Transcript
Heidi Emmerling, RDH, PhDDHYG 138 Oral Pathology
Fall 2009
Pulpitis (P 63 Syll)
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 2
General InformationIrritants:
Microorganisms
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 3
General InformationIrritants:
MicroorganismsTrauma
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 4
General InformationIrritants:
MicroorganismsTraumaIatrogenic Dentistry
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 5
General InformationIrritants:
MicroorganismsTraumaIatrogenicChemical
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 6
General InformationIrritants:
MicroorganismsTraumaIatrogenicChemicalSystemic Disorders
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 7
General InformationIrritants:
MicroorganismsTraumaIatrogenicChemicalSystemic Disorders
Diabetes
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 8
General InformationIrritants:
MicroorganismsTraumaIatrogenicChemicalSystemic Disorders
DiabetesSickle Cell Anemia
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 9
Hyperemia SymptomsPain (Temp and
Sweet/Sour)Usually sharp pain
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 10
Hyperemia SymptomsPain (Temp and
Sweet/Sour)X-Rays (Normal
w/poss caries)
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Hyperemia SymptomsPain (Temp and
Sweet/Sour)X-Rays (Normal w/poss
cariesVitality Test (Readings
Lower than Normal)
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 12
Hyperemia SymptomsPain (Temp and
Sweet/Sour)X-Rays (Normal w/poss
cariesVitality Test (Readings
Lower than Normal)Pain after irritant is
removed?
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Hyperemia SymptomsPain (Temp and
Sweet/Sour)X-Rays (Normal w/poss
cariesVitality Test (Readings
Lower than Normal)Pain after irritant is
removed? It’s Ser(i)ous
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 14
Acute Serous PulpitisSame as Hyperemia except more…
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Acute Serous PulpitisSame as Hyperemia except more
Severe
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Acute Serous PulpitisSame as Hyperemia except more
SevereProlonged
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Acute Supportive Pulpitis
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Acute Supportive PulpitisPP= PM PainUsually more of a dull ache than Serous
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Acute Supportive PulpitisX-Rays
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Acute Supportive PulpitisX-Rays
Everything Appears Normal (Caries)
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Vitality Tests ComparisonSupportive SerousPercussionEPT Ice Heat
PercussionEPTIce Heat
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Vitality Tests Comparison P 65 Syll)
Supporative SerousPercussion Tender Percussion Tender
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Vitality Tests ComparisonSupporative SerousPercussion TenderEPT Exaggerated or
No Response
Percussion TenderEPT Exaggerated
(low number)
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Vitality Tests ComparisonSupporative SerousPercussion TenderEPT Exaggerated or
No ResponseIce Relieves Pain
Percussion TenderEPT Exaggerated
(low number)Ice: Quick Pain
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Vitality Tests ComparisonSupportive SerousPercussion TenderEPT Exaggerated or
No ResponseIce Relieves PainHeat Increases Pain
Percussion TenderEPT Exaggerated
(low number)Ice: Quick Pain Heat: No Response
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Chronic PulpitisSymptoms:
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Chronic PulpitisSymptoms:
Usually asymptomatic w/occasional sharp pain
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Chronic PulpitisX-Rays:
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Chronic PulpitisX-Rays:
Either Negative or Radiolucency at Apex, Depending on Stage of Pulpitis
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Chronic PulpitisVitality Tests
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Chronic PulpitisVitality Tests
Usually Negative
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Chronic PulpitisTreatment
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Chronic PulpitisTreatment
RCT
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Pulp Stones
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Pulp Polyp
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Sequelea to PulpitisPeriapical Abscess
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Sequelea to PulpitisPeriapical AbscessPeriapical Granuloma
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Sequelea to PulpitisPeriapical AbscessPeriapical GranulomaRadicular Cyst
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Sequelea to PulpitisPeriapical AbscessPeriapical GranulomaRadicular CystTooth Resorption (P 67 Syll)
External (Outside)
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Sequelea to PulpitisPeriapical AbscessPeriapical GranulomaRadicular CystTooth Resorption (P 67 Syll)
External (Outside)Internal (Inside)
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Sequelea to PulpitisPeriapical AbscessPeriapical GranulomaRadicular CystTooth Resorption (P 67
Syll)Condensing Osteitis
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