4endo.txt

  1. Why do we need to classify pulpal and periradicular diseases?
    • 1. To determine the treatment plan (RCT, surgery, antibiotics)
    • 2. To assess the treatment outcome (diagnosis affects prognosis)
  2. What is Reversible pulpitis?
    • A reactive inflammatory process
    • radiographically normal
    • pain with pressure and temperature
    • self limiting inflammation with time and insult removal
    • Monitor first before RCT
    • EX: incipient caries, acute trauma, restorative procedure
  3. Visual example of reversible pulpitis
    Image Upload 2
  4. What is irreversible pulpitis?
    • Irreperable pulpal injury
    • Spontaneous sharp pains
    • sensitive to cold/hot (lingering sensitivity)
    • Can progress to necrosis if untreated
  5. Image of irreversible pulpitis
    Image Upload 4Image Upload 6
  6. What is pulpal necrosis?
    • Complete loss of vitality
    • Mostly asymptomatic
    • Can be partially necrotic in multi-rooted teeth
  7. What is hyperplastic pulpitis?
    • Pulp polyps
    • prevalent in young patients
    • usually asymptomatic
    • highly vascularized
  8. Acute periradicular periodontitis
    • Main issues are with pressure. Cannot chew
    • always linked with pulpal disease
    • No PARL, but thickened PDL
    • Needs RCT
  9. Chronic periradicular periodontitis
    • Occasional 'acting up'. No major symptoms
    • Always linked with infected pulp necrosis
    • Distinct PARL radiographicallyImage Upload 8
  10. Acute periradicular abscess
    • Facial swelling and extreme pain
    • ALWAYS linked with pulp necrosis
    • Distinct PARL
    • Needs incision and drainage with antibiotics
  11. Chronic periradicular abscess
    • No major symptoms
    • Always linked with pulp necrosis
    • radiographically distinct PARL
  12. Chronic periradicular Abscess
    Image Upload 10
  13. Condensing osteitis
    • Variant form of CPP
    • Increase in bone density
    • Little or no pain
    • Linkd with necrotic pulp in mandibular molars
  14. Endodontic diagnosis chart
    Image Upload 12
  15. Characteristics of pulpal diseases
    Image Upload 14
Author
Grant32
ID
186807
Card Set
4endo.txt
Description
endo
Updated