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Endoslid
Endoslid
PATHOSIS.
DIAGNOSIS:
1- Questioning. Thermo-vitality test
2- Visual diagnosis Electro-vitality test
(examination). Roentgen diagnosis
3- Special method of (periapical,
diagnosis panoramic,..)
Probing Selected anesthesia
Percussion Transluminance
Palpation Diagnosis the pathway of
Movement the sinuses (fistula)
Classification of pulp & periapical
diseases
Clinical
1-Reversable
2-Irreversable
Histo-pathological.
Classification of pulp & periapical diseases
(Histo-pathological)
PULPITIS
Hyperaemia.Initial.
Acute.
Suppurative (Pulpal
abscess).
Chronic.
Chronic, ulcerative.
Chronic, hyperplastic.
(pulpal polyp)
Other specified pulpitis.
Pulpitis, unspecified.
NECROSIS OF PULP
* Pulp gangrene
PULP DEGENERATION
Denticles.
Pulpal calcification.
Pulpal stones.
ABNORMAL HARD TISSUE FORMATION IN
PULP
Secondary or irregular dentine.
ACUTE APICAL PERIODONTITIS OF
PULPALE ORIGIN
Acute apical periodonitis
infection from
bacteria
Young pulp resistant
Symptoms:
no symptoms or pain from pressure of the
food on the polyp
Diagnosis:
1.in children & young people
2. the pulp like the meat (red)
3. it fill the caries cavity or over the level of
the cavity
4. polyp less painful from probing than
normal pulp but more painful than gingival
5. propping not painful
6. bleeding
7. no sensitivity from cold & hot just a little
from (chlorethyl) cold
8. X-ray opened p.ch.
Differential diagnosis:
with hypertrophy gingivitis which fill the
caries cavity.
Histopathology:
surfaces of the pulp its epithelial
granulation tissue.
Proliferation (polipblast )
Dilatation of the
vessels.
*apical tissue
normal.
Results:
necroses of the pulp
Treatment:
RCT
Pulp Necrosis
apical granuloma:
Etiology:
pulp necrosis, acute apical periodontitis
Symptoms:
without symptoms or discomfort.
Diagnosis:
no pain from irritation ( chemical thermo
test)
Percussion (-)
Palpation: may be pain ( Destruction of
cortical tissue) when granuloma gets in
soft tissue
X-ray: Periapical lesion ( bone resorption).
Histopathology:
Granulation tissue (Periapical ).
Infiltration macrophages, lymphocytes,
epithelium.
Results:
radycular cyst, osteamialitis
Treatment:
or conservative RCT with surgical (
Apicoectomy to keep the teeth).
Or
extraction.
Periapical abscess