{"id":274,"date":"2019-09-20T06:09:22","date_gmt":"2019-09-20T06:09:22","guid":{"rendered":"https:\/\/bestorthodontistbracespune.in\/DeccanDentalBlog\/?p=274"},"modified":"2019-12-24T05:57:24","modified_gmt":"2019-12-24T05:57:24","slug":"diseases-of-dental-pulp","status":"publish","type":"post","link":"https:\/\/bestorthodontistbracespune.in\/DeccanDentalBlog\/2019\/09\/20\/diseases-of-dental-pulp\/","title":{"rendered":"DISEASES OF DENTAL PULP"},"content":{"rendered":"\n<h3 class=\"wp-block-heading\">dental pulp pdf, dental pulp stem cells, dental pulp removal, type of nerve fibers in dental pulp, tooth pulp exposed, pulp chamber, nerve supply of pulp, tooth pulp infection<\/h3>\n\n\n\n<p> Dental Pulp is the soft connective tissue that occupies the pulp cavity in the central part of the teeth. <\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Causes of Dental Pulp-<\/h2>\n\n\n\n<p>In Human teeth, there are enamel and dentin layers that protect the pulp from bacterial infection.diseases of dental pulp occur when these two protective layers are damaged or breakdown and bacteria begin to multiply within the pulp chamber.<strong> Different causes of Dental Pulp are as  follows:<\/strong><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"> 1. Physical Causes of dental pulp Disease: <\/h3>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>Mechanical:<\/strong><ul><li> Accidental or iatrogenic dental procedures. <\/li><li> Pathological wear.  <\/li><li> Crack through the body of the tooth <\/li><\/ul><\/li><li> <strong>Thermal: <\/strong><ul><li> Heat prone cavity preparation-<\/li><\/ul><\/li><li><strong> Electrical: <\/strong><ul><li> Electronic pulp testers <\/li><\/ul><\/li><\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">2. Chemical Causes of dental pulp Disease: <\/h3>\n\n\n\n<ul class=\"wp-block-list\"><li> &nbsp;Erosion or phosphoric acid. <\/li><\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"> 3. Bacterial Causes of dental pulp Disease:<\/h3>\n\n\n\n<ul class=\"wp-block-list\"><li> Toxin associated with caries.<\/li><li> Direct invasion of pulp from caries or trauma or by some blood-borne microorganisms. <\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"> <strong>Types of Pulp Diseases<\/strong>:<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"> Reversible Pulpitis: <\/h3>\n\n\n\n<p>It is a mild to moderate inflammatory condition of the pulp by noxious stimuli. In which pulp is capable of returning to uninflamed state once by removal of the stimuli.&nbsp;<\/p>\n\n\n\n<p>Tooth is sensitive to thermal changes, especially cold.<br><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"> Irreversible pulpitis <\/h3>\n\n\n\n<p>&nbsp;it is a persistent inflammatory condition of the pulp, symptomatic or asymptomatic, caused by noxious stimuli. It may be acute or chronic. <\/p>\n\n\n\n<p><strong><em>Most Common Sites of Occurrence<\/em><\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Primary and permanent teeth<\/li><li>Sites of recent or defective restorations<\/li><li>Sites of recent trauma<\/li><\/ul>\n\n\n\n<p><strong><em>Signs<\/em><\/strong><\/p>\n\n\n\n<p><em>Reversible pulpitis<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Caries<\/li><li>Exposed dentin<\/li><\/ul>\n\n\n\n<p><em>Irreversible pulpitis<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Deep caries<\/li><\/ul>\n\n\n\n<p><strong><em>Symptoms<\/em><\/strong><\/p>\n\n\n\n<p><em>Reversible pulpitis<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Non-lingering\n     pain to temperature or osmotic changes<\/li><\/ul>\n\n\n\n<p><em>Irreversible pulpitis<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Intense, lingering pain to temperature changes<\/li><li>Spontaneous pain<\/li><li>Diffuse or referred pain<\/li><\/ul>\n\n\n\n<figure class=\"wp-block-image\"><img loading=\"lazy\" decoding=\"async\" width=\"598\" height=\"430\" src=\"https:\/\/bestorthodontistbracespune.in\/DeccanDentalBlog\/wp-content\/uploads\/2019\/09\/DentalPulp2-1.jpg\" alt=\"\" class=\"wp-image-276\" srcset=\"https:\/\/bestorthodontistbracespune.in\/DeccanDentalBlog\/wp-content\/uploads\/2019\/09\/DentalPulp2-1.jpg 598w, https:\/\/bestorthodontistbracespune.in\/DeccanDentalBlog\/wp-content\/uploads\/2019\/09\/DentalPulp2-1-300x216.jpg 300w\" sizes=\"auto, (max-width: 598px) 100vw, 598px\" \/><\/figure>\n\n\n\n<p><strong>Investigation<\/strong><\/p>\n\n\n\n<ol class=\"wp-block-list\"><li>Obtain thorough dental history and inquire about recent restorations or trauma.&nbsp;<\/li><li>Inquire about the previous history of pain on the offending tooth.<\/li><li>Ask the patient about:<\/li><\/ol>\n\n\n\n<p>                   a.  Location of the offending tooth <\/p>\n\n\n\n<p>                   b. When did the pain start? <\/p>\n\n\n\n<p>                   c. How intense is the pain?<\/p>\n\n\n\n<p>                   d. What causes the pain and what relieves it?<\/p>\n\n\n\n<p>                   e. How long does the pain last? <\/p>\n\n\n\n<p>                   f. Pain description (e.g., dull, sharp, throbbing)<\/p>\n\n\n\n<ol class=\"wp-block-list\"><li>Perform an intraoral examination to check for exposed dentin, caries, a deep or defective restoration, or trauma.&nbsp;<\/li><li>Perform a percussion test to rule out acute apical periodontitis.<\/li><li>Perform a cold test using a refrigerant spray (e.g., Endo-Ice\u00ae) or an ice stick. Test the healthy control teeth first in order to better localize the offending tooth.<\/li><li>Perform a hot test using hot water in a syringe (e.g., Monojet\u00ae) and rubber dam isolation, a heated gutta-percha stick or heat source (e.g., System B\u2122 Heat Source) to reproduce pain to hot. Healthy control teeth should be tested first. Delayed and prolonged pain triggered by heat may indicate irreversible pulpitis.<\/li><li>Use radiographs to identify teeth with large restorations or caries that are not clinically visible. Keep in mind that teeth with reversible or irreversible pulpitis will not show periapical lesions radiographically, but may show thickening of the periodontal ligament (PDL), loss of lamina dura, and\/or condensing osteitis. Irreversible pulpitis may show widened PDL space.<\/li><\/ol>\n\n\n\n<p><strong>Diagnosis<\/strong><\/p>\n\n\n\n<p>Based on clinical\nexamination and testing, a diagnosis of reversible or irreversible pulpitis is\ndetermined.&nbsp;<\/p>\n\n\n\n<p><em>Reversible Pulpitis<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Pain\n     from cold test does not linger more than 30 s<\/li><li>No\n     percussion sensitivity<\/li><li>No\n     spontaneous pain<\/li><li>No heat\n     sensitivity<\/li><\/ul>\n\n\n\n<p><em>Irreversible Pulpitis<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Pain from cold test lingers more than 30 s<\/li><li>May get pain from heat test<\/li><li>May  have spontaneous pain<\/li><li>Maybe percussion sensitive<\/li><li>Radiographically  or clinically visible deep caries<\/li><\/ul>\n\n\n\n<p><strong><em>Differential\nDiagnosis<\/em><\/strong><\/p>\n\n\n\n<p>Pain of non-odontogenic\norigin:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Musculoskeletal pain<\/li><li>Neurovascular pain<\/li><li>Neuropathic pain<\/li><li>Pain caused by a distant pathology (cardiovascular, cranial, throat, neck)<\/li><li>Psychogenic pain<\/li><\/ul>\n\n\n\n<p><strong>Treatment<\/strong><\/p>\n\n\n\n<p><strong><em>Common Initial\nTreatments<\/em><\/strong><\/p>\n\n\n\n<p><em>Reversible pulpitis<\/em><\/p>\n\n\n\n<ol class=\"wp-block-list\"><li>Remove the irritant\nor repair tooth structure (caries, exposed dentin, defective\nrestoration).&nbsp;<\/li><li>Continue to monitor\nthe patient\u2019s symptoms.<\/li><li>Advise patient to\nreturn if symptoms persist or worsen.<\/li><\/ol>\n\n\n\n<p><em>Irreversible pulpitis<\/em><\/p>\n\n\n\n<ol class=\"wp-block-list\"><li>Pulpectomy of the offending tooth: complete removal of the pulp. If it is determined that the case in question is too complex, promptly refer to an endodontist.&nbsp;<\/li><li>If treatment is undertaken and the appointed treatment time permits, <a href=\"https:\/\/www.bestorthodontistbracespune.in\/root-canal-treatment-pune.html\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"root canal treatment (opens in a new tab)\">root canal treatment<\/a> can be completed in one visit.<\/li><\/ol>\n\n\n\n<p><em>Antibiotics are not recommended for irreversible\npulpitis as they will not alleviate the patient\u2019s pain and should not be given\nin lieu of performing an immediate pulpectomy.<\/em><\/p>\n\n\n\n<p><strong><em>Alternate Treatments<\/em><\/strong><\/p>\n\n\n\n<p>Perform extraction<\/p>\n\n\n\n<p>Chronic Hyperplastic\nPulpitis It is also called as pulp polyp It is a productive pulpal inflammation\ndue to extensive carious exposure of a young pulp.<\/p>\n\n\n\n<p>HISTOLOGIC FEATURES: The T surface of the pulp polyp is usually covered by the stratified squamous epithelium. Such epithelium may be derived from the gingiva or from freshly desquamated epithelial cells of mucosa and tongue. T granulation tissue is young, vascular connective he tissues containing polymorph nuclear neutrophils, lymphocytes, and plasma cells.<\/p>\n\n\n\n<p>Stratified sq.\nepithelium covering polyp<\/p>\n\n\n\n<p>CAUSES<\/p>\n\n\n\n<p>Slow, progressive carious of the pulp is the cause. F development of hyperplastic pulpitis, a large, open or cavity a young resistant pulp, and chronic, low-grade stimulus are necessary. Mechanical irritation from chewing or bacterial infection often provide the stimulus. symptoms It is symptomless, except during mastication, when the pressure of food bolus may cause discomfort. <\/p>\n\n\n\n<p>TREATMENT PROGNOSIS: Extraction of tooth or pulp extirpation.<\/p>\n\n\n\n<p>Internal resorption <\/p>\n\n\n\n<p>It is an idiopathic slow or fast progressive resorption process occurring in the dentin of the pulp chamber or root canals of teeth. <\/p>\n\n\n\n<p>Histopathology <\/p>\n\n\n\n<p>It is a result of\nosteoclast activity <\/p>\n\n\n\n<p>There is resorptive\nprocess is characterized by lacunae, which may be by osteoid tissue.<\/p>\n\n\n\n<p><strong>PULP POLYP<\/strong><\/p>\n\n\n\n<p>Multinucleated giant cell dentinoclast\nare present. Metaplasia of pulp. Causes <\/p>\n\n\n\n<p>It is unknown but maybe there is a history of trauma.<\/p>\n\n\n\n<p>Symptoms <\/p>\n\n\n\n<p>In the root of a tooth is asymptomatic. <\/p>\n\n\n\n<p>In crown, it may be manifested as a reddish area called \u201cpink spot\u201d. Diagnosis <\/p>\n\n\n\n<p>It is diagnosed during routine radiographic examination.<\/p>\n\n\n\n<p>The appearance of the \u201cpink spot\u201d occurs late in he resorptive process when the integrity of the crown has been compromised.<\/p>\n\n\n\n<p>radiograph usually shows a change in the appearance he of the wall in the root canal or the pulp chamber, with a round or ovoid radiolucent area.<\/p>\n\n\n\n<p>&nbsp;Treatment and prognosis <\/p>\n\n\n\n<p>Routine endodontic treatment is indicated , obturation of the defect requires a special effort UT ,preferred with a plasticized gutta-percha method . When root is perforated, then mineral trioxide aggregate (MTA) is used to repair. prognosis is favorable before perforation of the root he or crown occurs.<\/p>\n\n\n\n<p><strong>PULP DEGENERATION<\/strong><\/p>\n\n\n\n<p> Pulp degeneration is usually present in teeth of old people. It may also result in persistent, mild irritation in the teeth of young patients. <\/p>\n\n\n\n<p>1.Calcific degeneration :<\/p>\n\n\n\n<p>In calcific degeneration part of the pulp tissue is replaced by calcific material i.e., stone or denticles. It may occur in root canal or pulp chamber. The calcific material has a limitation structure, like the he skin of an onion, and lies unattached within the body of<\/p>\n\n\n\n<p>2. Atrophic degeneration <\/p>\n\n\n\n<p>In this type, observed histopathological in pulp of older people, Fewer stellate cells are present and intercellular fluids is increased. pulp tissue is less sensitive than normal. <\/p>\n\n\n\n<p>&nbsp;3. Fibrous degeneration <\/p>\n\n\n\n<p>In this type, the pulp is characterized by the replacement of the cellular elements by fibrous connective tissue. On removal of root canal, such pulp has the characteristic appearance of leathery fibrous.<\/p>\n\n\n\n<p>NECROSIS OF PULP<\/p>\n\n\n\n<p>It is the death of the pulp.  It may be partial or total, depending on whether part or the entire pulp is involved.<\/p>\n\n\n\n<p>Types:<\/p>\n\n\n\n<p>1. Coagulation<\/p>\n\n\n\n<p>&nbsp;2.Caseation <\/p>\n\n\n\n<p>3.Liquefaction <\/p>\n\n\n\n<p>Causes  It can be due to any noxious insult injurious to the pulp, such as bacteria, trauma and chemical irritation.<\/p>\n\n\n\n<p>Clinical features no painful symptoms.  discoloration of tooth, tooth is greyish or brownish in color. Pulp is dead.<\/p>\n\n\n\n<p>Management <\/p>\n\n\n\n<p>preparation + obturation of root canals\n<\/p>\n\n\n\n<p>PROGNOSIS -favourable.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>dental pulp pdf, dental pulp stem cells, dental pulp removal, type of nerve fibers in dental pulp, tooth pulp exposed, pulp chamber, nerve supply of pulp, tooth pulp infection Dental Pulp is the soft connective tissue that occupies the pulp cavity in the central part of the teeth. Causes of Dental Pulp- In Human teeth, &hellip; <\/p>\n<p class=\"link-more\"><a href=\"https:\/\/bestorthodontistbracespune.in\/DeccanDentalBlog\/2019\/09\/20\/diseases-of-dental-pulp\/\" class=\"more-link\">Read More<span class=\"screen-reader-text\"> &#8220;DISEASES OF DENTAL PULP&#8221;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":276,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4],"tags":[32,9,20,8,30,28,107,108,106,112,110,42,109,114,111,31],"class_list":["post-274","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-dental-health","tag-best-dentist-in-pune","tag-best-dentist-near-me","tag-best-orthodontist-in-pune","tag-best-orthodontist-near-me","tag-dental-clinic-in-pune","tag-dental-implant-in-pune","tag-dental-pulp-pdf","tag-dental-pulp-removal","tag-dental-pulp-stem-cells","tag-nerve-supply-of-pulp","tag-pulp-chamber","tag-root-canal-treatment-in-pune","tag-tooth-pulp-exposed","tag-tooth-pulp-infection","tag-type-of-nerve-fibers-in-dental-pulp","tag-wisdom-tooth-removal-cost-in-pune"],"_links":{"self":[{"href":"https:\/\/bestorthodontistbracespune.in\/DeccanDentalBlog\/wp-json\/wp\/v2\/posts\/274","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bestorthodontistbracespune.in\/DeccanDentalBlog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/bestorthodontistbracespune.in\/DeccanDentalBlog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/bestorthodontistbracespune.in\/DeccanDentalBlog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/bestorthodontistbracespune.in\/DeccanDentalBlog\/wp-json\/wp\/v2\/comments?post=274"}],"version-history":[{"count":5,"href":"https:\/\/bestorthodontistbracespune.in\/DeccanDentalBlog\/wp-json\/wp\/v2\/posts\/274\/revisions"}],"predecessor-version":[{"id":536,"href":"https:\/\/bestorthodontistbracespune.in\/DeccanDentalBlog\/wp-json\/wp\/v2\/posts\/274\/revisions\/536"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/bestorthodontistbracespune.in\/DeccanDentalBlog\/wp-json\/wp\/v2\/media\/276"}],"wp:attachment":[{"href":"https:\/\/bestorthodontistbracespune.in\/DeccanDentalBlog\/wp-json\/wp\/v2\/media?parent=274"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/bestorthodontistbracespune.in\/DeccanDentalBlog\/wp-json\/wp\/v2\/categories?post=274"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bestorthodontistbracespune.in\/DeccanDentalBlog\/wp-json\/wp\/v2\/tags?post=274"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}