pulpitis

Diseases of Pulpitis

Definition

• It is defined as Mild, transient, localized inflammatory response in the bulb cavity.

CLINICAL FEATURES:

        Tooth is sensitive to thermal changes, especially cold.

        Pain - short duration, disappears on withdrawal of thermal irritant.

        Affected tooth responds to stimulation of electric pulp tester at lower level of current indicating low pain threshold.

        Teeth usually show deep caries, metallic restoration with defective margins.

        Dilation of pulp blood vessels.

        Edema fluid collection due to damage of vessel wall.

        Slowing of blood flow & hemoconcentration due to transudation can cause thrombosis.

1. Diagnostic Evaluation

ü  History collectiopn

ü   Physical Examination

ü   Pulp vitality test indicats increased sensitivity at low level of current.

ü   X ray

TREATMENT & PROGNOSIS:

        Pulpotomy & placing calcium hydroxide over entrance of root canal.

        Root canal treatment.

        Extraction of tooth.

        Carious lesion should be excised & restored or defective filling is replaced.

        If primary cause is not corrected, extensive pulpitis may result in death of pulp.

        Drainage of abscess by opening pulp chamber or extraction