Clinical Classification and Presentation of pulp and periapical disease Flashcards Preview

Pulpal Disease > Clinical Classification and Presentation of pulp and periapical disease > Flashcards

Flashcards in Clinical Classification and Presentation of pulp and periapical disease Deck (14)
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1

Cause of pulpitis

Trauma - tooth surface loss
Primary and secondary caries - inflammatory responses
Restorative - crowns and fillings

2

Reversible pulpitis

Discomfort to cold and sweet stimuli

3

Symptomatic irreversible pulpitis

Acute
Lingering pain which can't be localised as it has not extended to the PA region yet
Pulp cannot heal - endodontic treatment required

4

Asymptomatic irreversible pulpitis

Chronic
No pain - requires pulp testing
Endodontic treatment required

5

Pulp necrosis

RCT indicated
No response to pulp testing
May also be due to calcification of tooth
Bacteria cause periapical periodontitis

6

Post-necrosis

Pulp chamber space invaded by bacteria and colonised
Infection spreads periapically and tissue fluid, inflammatory cells and inflammatory exudate are released
Progresses to periodontitis

7

Periapical diagnoses

normal, SPAPD, APAPD, APAA, CPAA

8

Normal diagnosis

Normal response and normal tissue

9

Spapd

Symptomatic periapical periodontitis
Infection has spread periapically
Pain can be localised
Minute radiographic changes

10

APAPD

Asymptomatic periapical periodontitis
Periapical radiolucency

11

APAA

Acute periapical abscess
Pus and swelling in periapical region
Rapid onset
Malaise, fever and lymphadenopathy
Requires endo/extraction

12

CPAA

Chronic periapical abscess
Pus is discharged therefore no build up of pressure

13

Condensing osteitis

Inflammation of bone leads to localised bony response
Diffused radiopacity at tooth apex

14

Diagnostic tools

Examination for redness/swelling
Pulp testing
Percussion
Mobility - loss of pdl attachment/bony support
Palpation
Radiographs
Operative