Introduction to endodontics, pathohistological and clinical classification of pulpal diseases, indication and contraindication of endodontic treatment. 4.Year - Dental Medicine. Pulp normality. histologic normality clinical normality The CLINICALLY NORMAL PULP
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Introduction to endodontics,pathohistological and clinical classification of pulpal diseases, indication and contraindication of endodontic treatment
4.Year - Dental Medicine
It is free of inflammatory change of any type!!!
DP : dental pulpOB : odontoblastD : dentinPD : predentinTF : Tom's fiber
A. Regresive changes
B. Inflammatory changes
C. Necrosis of the pulp
D. Gangraena of the pulp
aperta hypertrophicaHistopathologic classificationof pulpal diseases
the lipids in cells
1. HEALTHY PULP:
without clinical symptoms
2. REVERSIBLE FORM OF PULP INFLAMMATION:
pulp with clinical symptoms, in which we can preserve the vitality
of the pulp by treatment
3. IRREVERSIBLE FORM OF PULP INFLAMMATION:
pulp with clinical symptoms, in which we cannot preserve the vitality
of the pulp by treatment
4. DEATH OF THE PULP:
pulp with lost vitality, necrotic, gangrenous
tercial dentine is present
periapical finding is negative
intervals with pain start to be longer
tercial dentine is not present
How do the right diagnosis?
REVERSIBLE OR IRREVERSIBLE PULPAL DISEASE
- to pulpitis.
In clinical practice this moment play the key role in decision of the TREATMENT CHOICE -
the clinical symptoms.
B. INFLAMMATORY CHANGES:
- acute serous total pulpitis
- acute purulent partial pulpitis
- acute purulent total pulpitis
1. Is the tooth needed or important? Does it have an opponent? Could it some day serve as an abutment for prosthesis?
2. Is the tooth salvageable, or is it so badly destroyed that it cannot be restored?
3. Is the entire dentition so completely broken down that it would be virtually impossible to restore?
4. Is the tooth serving esthetically, or would the patient be better served by its extraction and a more cosmetic replacement?
5. Is the tooth so severely involved periodontally that it would be lost soon for this reason?
6. Is the practitioner capable of performing the needed endodontic procedures?
The objections are listed according to:
necrosis, tuberculosis, syphilis ...
for attention !