OSTEOMYELITIS

AND PULPITIS
Dr NIKHIL JOSHI
PULPITIS
 Inflammation of pulp is called pulpitis.

 Pulpitis is a dental condition that refers to inflammation of the dental pulp, which is the soft
tissue inside the tooth that contains nerves, blood vessels, and connective tissue.
TYPES
 Reversible pulpitis- This type of pulpitis is the early stages of inflammation. It has limited
inflammation and can be fixed by treating the tooth.
 Irreversible pulpitis- Pulp is permanently damaged and can’t be saved
REVERSIBLE PULPITIS
 Symptoms of reversible pulpitis include:
 Sensitivity to sweet foods or drinks
 Sensitivity to cold that lasts only a few seconds
 Sharp pain
 Tooth doesn’t hurt when it’s tapped
IRREVERSIBLE PULPITIS
 Symptoms of irreversible pulpitis include:
 Intense pain
 Spontaneous pain
 Sensitivity to cold that lasts more than 30 seconds
 Sensitivity to heat
 Pain when the tooth is tapped
 Swelling around tooth and gums
TREATMENT
 Pulp therapy for reversible pulpitis
 Root canal treatment for irreversible pulpitis
OSTEOMYELITIS
 It is the inflammation of bone and its marrow contents

 Osteomyelitis is a serious and potentially life-threatening infection of the bone. It can affect
people of all ages, but it is more common in children and older adults. The infection can occur
in any bone, but it most commonly affects the long bones in the arms and legs, as well as the
vertebrae, pelvis, and jaw.
 Osteomyelitis can be caused by a variety of microorganisms, including bacteria, fungi, and
viruses. The most common cause of osteomyelitis is a bacterial infection, usually by
Staphylococcus aureus. The infection can occur as a result of an open fracture, surgery, or a
blood-borne infection.
CLASSIFICATION
 Acute form of OML

 Chronic form of OML

ETIOLOGY
 Direct spread of infection from dental pulp into jaw bone
 Spread of infection from periapical abscess, Pericoronitis
 Gunshot injuries
 Idiopathic
CLINICAL FEATURES
 Generalized symptoms: fever, malaise, nausea and anorexia
 Deep seated boring, continuous intense pain
 Trismus(difficult in mouth opening)
 Facial cellulitis
 Purulent discharge
 Enlargement of mandible due to deposition of subperiosteal bone
TREATMENT

 Conservative Treatment:
 Complete bed rest
 Supportive therapy:- nutrition,
dehydration, blood transfusion,
HBO(hyperbaric oxygen therapy), IV
antimicrobial agents
SURGICAL TREATMENT
 Extraction of offending tooth.
 Incision and drainage
 Irrigation
 Resection of jaw with or without reconstruction