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Pulpitis
Aka: Pulpitis, Reversible Pulpitis, Irreversible Pulpitis
- See Also
- Dental Caries
- Definition
- Inflammation of the dental pulp
- 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
- 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
- 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
- Complications (of Irreversible Pulpitis)
- Apical Periodontitis
- Apical Abscess
- Periodontal Cellulitis
- Prevention
- See Oral Health
- See Oral Health in Children
- See Dental Caries
- References
- Delaney (2017) EM:Rap 17(9): 5-7