II. Definition
- Inflammation of the dental pulp
III. Pathophysiology
- Tooth defect allows for dental pulp exposure to pathogens
- Predisposing defects in the tooth
- Dental Caries
- Tooth Fracture
- Apical foramen defect
- Course
- Initial: Tooth cavity develops
- Reversible Pulpitis
- Mild inflammation from encroaching pathogenic material
- Irreversible Pulpitis
- Pulp chamber is rigid and does not accomodate increased pressures
- Pressure occludes apical foramen vessels
- Dental pulp tissue necroses
IV. Symptoms
- Reversible Pulpitis: Mild tooth pulp inflammation and encroachment
- Pain triggered by hot, cold or sweet stimuli
- Provoked by lying supine
- Irreversible Pulpitis: Progresses from Reversible Pulpitis
- Severe tooth pulp inflammation
- Pain is severe, persistent and poorly localized
- Pain may radiate to ear, temple, eye or neck
V. Management
- Reversible Pulpitis
- Dental Caries debris removed
- Dental filling applied
- Irreversible Pulpitis
- Root canal or Tooth Extraction
- Do not delay management more than a few days
VI. Complications (of Irreversible Pulpitis)
VII. Prevention
- See Oral Health
- See Oral Health in Children
- See Dental Caries
VIII. References
- Delaney (2017) EM:Rap 17(9): 5-7
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Related Studies
Definition (NCI) | Inflammation of the dental pulp. |
Definition (MSH) | Inflammation of the DENTAL PULP, usually due to bacterial infection in dental caries, tooth fracture, or other conditions causing exposure of the pulp to bacterial invasion. Chemical irritants, thermal factors, hyperemic changes, and other factors may also cause pulpitis. |
Concepts | Disease or Syndrome (T047) |
MSH | D011671 |
ICD9 | 522.0 |
ICD10 | K04.0 |
SnomedCT | 155638006, 196331007, 32620007 |
English | Pulpitides, Pulpitis, Pulpitis NOS, pulpitis, pulpitis (diagnosis), Pulpitis dental, Pulpitis [Disease/Finding], dental pulpitis, Pulpitis NOS (disorder), Inflammation of tooth pulp, Endodontic Inflammations, Endodontic Inflammation, Inflammations, Endodontic, Inflammation, Endodontic, Pulpitis (disorder), Pulpitis, NOS |
Italian | Pulpite dentale, Infiammazione endodontica, Pulpite |
Dutch | pulpitis, tandpulpitis, Pulpitis, Ontsteking, endodontische |
Swedish | Pulpainflammation |
Japanese | シズイエン, 歯髄炎 |
Czech | pulpitida, zubní dřeň - zánět, Zánět zubní dřeně, Pulpitida, záněty zubní dřeně, zánět zubní dřeně |
Finnish | Pulpiitti |
Russian | PUL'PIT, ПУЛЬПИТ |
Korean | 치수염 |
Croatian | PULPITIS |
Polish | Zapalenie miazgi zęba |
Hungarian | Pulpitis, dentális pulpitis |
Norwegian | Pulpitt |
Spanish | pulpitis, SAI, pulpitis, SAI (trastorno), Inflamación de la Pulpa Dental, pulpitis (trastorno), pulpitis, Pulpitis dental, Pulpitis, Inflamación Endodóntica |
Portuguese | Inflamação da Polpa Dentária, Pulpite dentária, Inflamação Endodôntica, Pulpite |
French | Pulpite dentaire, Pulpite, Inflammation de l'endodonte |
German | Pulpitis dentalis, Pulpitis |
Ontology: Reversible pulpitis (C0399405)
Concepts | Disease or Syndrome (T047) |
ICD10 | K04.0 |
SnomedCT | 109599007 |
English | Pulp hyperaemia, Pulp hyperemia, Pulpitis - reversible, Reversible pulpitis (disorder), Reversible pulpitis |
Spanish | hiperemia de la pulpa, pulpitis - reversible, pulpitis reversible (trastorno), pulpitis reversible |
Ontology: Irreversible pulpitis (C0399406)
Concepts | Disease or Syndrome (T047) |
ICD10 | K04.0 |
SnomedCT | 109600005 |
English | Pulpitis - irreversible, Irreversible pulpitis (disorder), Irreversible pulpitis |
Spanish | pulpitis irreversible (trastorno), pulpitis irreversible |