Dental Education

Continuing Education in Dentistry

Pulpal Diagnosis for Endodontic Treatment

leave a comment »

PULPAL DIAGNOSIS	CLINICAL FINDINGS	RADIOGRAPHIC FINDINGS	ENDODONTIC TREATEMENT ASSUMING TOOTH IS RESTORABLE
Normal pulp	Pulp is vital Patient is asymptomatic Gingival retraction: may cause symptoms due to fluid movement inside dentinal tubules	Normal PDL space	No endodontic treatment Non-surgical root canal treatment for prosthetic or periodontal reasons
Reversible pulpitis	Pulp is vital with some degree of inflammation Symptoms: from none to intense Pain: Mainly to cold Pain subsides after stimulus is removed No carious pulp exposure	Normal PDL space	Removal of the etiologic factor, normally caries, and placement of restoration or sedative filling Non-surgical root canal treatment for prosthetic or periodontal reasons Emergency treatment may be required
Irreversible pulpitis	Pulp is vital with severe degree of inflammation Symptoms: from none to intense Pain: may be spontaneous, poorly localized Pain to hot and/or to cold In some cases, cold relives pain Pain lingers for several seconds after stimulus is removed May present with pain to percussion May present with carious pulp exposure	Normal PDL space Some cases may present with “thickened” PDL space	Non-surgical root canal treatment Emergency treatment is required
Necrotic pulp	Pulp is non-vital Symptoms: from none to intense Pain: Present when inducing periradicular disease	May or may not present with periradicular lesion	Non-surgical root canal treatment Emergency treatment may be required
Previously treated	Previous endodontic treatment detectable radiographically Symptoms: from none to intense Normally, no sensitivity to thermal stimuli Pain: present when inducing periradicular disease	May or may not present with bone resorption	Non-surgical root canal retreatment Surgical root canal treatment Emergency treatment may be required

Like this:

Be the first to like this post.

Written by Dr Anto Youssef

August 8, 2008 at 2:25 am

Posted in Endodontics

Tagged with continuing education, education, learn, learning, teach, teaching

Leave a Reply Cancel reply

Enter your comment here...

Fill in your details below or click an icon to log in:

Email (required) (Address never made public)

Name (required)

Website

You are commenting using your WordPress.com account. ( Log Out / Change )

You are commenting using your Twitter account. ( Log Out / Change )

You are commenting using your Facebook account. ( Log Out / Change )

Connecting to %s

Follow

Follow “Dental Education”

Powered by WordPress.com