CLINICAL CONSIDERATION OF PULP

Image source: info.dentis

➡️ For all operative procedures, the shape of pulp chamber & its extensions into the cusps, pulpal horns is important.

➡️ In some developmental disturbances the pulpal horn projects high into the cusps & exposure of pulp can occur when it is least anticipated.

➡️ Pulpitis is the response of the traumatized pulp with trauma being the result of a bacterial infection as in dental caries or physical trauma to tooth structure.

➡️ Pulpitis in milder form could result in focal reversible pulpitis & may progress if left unchecked to acute & chronic forms of pulpitis.

➡️ Well vascularized pulpal tissue may at times in carious molar teeth of young adults & children with open apex exhibit a form of hyperplasia seen clinically in exposed pulp chamber as a protruding red mass of granulation tissue called pulp polyp or chronic hyperplastic pulpitis.

➡️ Inflammation within pulp may also sometimes result in a condition called pulp polyp, internal resorption or pink tooth.

➡️ Pulp infection can spread apically into PDL causing granuloma, abscess, cysts.

➡️ Pulp stones lying at the opening of the root canal may cause difficulty to locate the root canals.

➡️ A necrotic pulp can cause spread of disease to periodontium through an accessory canal.

➡️ Pulp capping is successful in non-infected or minimally infected accidentally exposed pulp in individuals of any age.

Source: Internet, Grossman’s Textbook of Endodontics


Dentowesome 2020 @ dr.mehnaz

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