Pulpitis is penetrated at the center of the tooth pulp inflammation caused by bacteria or toxins. Spontaneous, paroxysmal pain, the main disease. Clinical often divided into multiple pulpitis, Irreducible pulpitis, pulp degeneration and necrotic pulp. The use of treatment methods to remove the pulp. The vast majority of periapical lesions, especially inflammation, are secondary to endodontics. Periapical lesions, may also affect the dental pulp.
The pulpitis reusable pulpitis and Irreducible pulpitis two categories.
Refolding pulpitis: lesser lesions, pulpitis, which is equivalent to pulp congestion. When the pulps by temperature stimulation, resulting in a brief, sharp pain, stimulate the removal of the pain immediately disappeared. Clinical examination, to make the carious organizations, no Pithing hole; pulp electrical measuring device to check the reaction with normal teeth the same or slightly higher, cold stimulation test of pain, to stimulate a removal of pain immediately disappeared. Its main characteristic is: no history of spontaneous pain, stimulate the removal of the pain disappear immediately.
Irreducible pulpitis: Irreducible pulpitis according to the clinical been characteristics are divided into: acute pulpitis, chronic pulpitis, retrograde pulpitis.
The clinical manifestations of acute pulpitis: acute pulpitis, acute onset, severe pain, clinical findings of acute pulpitis (carious) most of the acute exacerbation of chronic pulpitis. The severe pain of acute pulpitis is characterized by spontaneous and paroxysmal pain, thermal stimuli to make weight, the pain often can not locate.
Chronic pulpitis: pulpitis occurs mostly caries due to dental supplies gradually against caries, pulp also chronic inflammation. Chronic pulpitis severe spontaneous pain, but there are longer-term case of hot and cold stimulation of the pain history, the nature of pain for pain.
Retrograde pulpitis: retrograde pulpitis teeth with periodontal diseases, periodontal tissue destruction, infection through the side of the canal and Deciduous cytological changes apical foramen into the dental pulp caused pulpitis. The clinical manifestations of acute inflammation in general, spontaneous and paroxysmal pain, according to the hot and cold stimulation of sensitive or radiating pain, treatment of acute pulpitis treatment. But can also be manifested as symptoms of chronic pulpitis, no significant spontaneous pain, pain nature of pain, sensitivity to hot and cold stimulation, can be handled according to pulpitis.
No comments:
Post a Comment