Pathology of the Dentine-Pulp Complex

Question 1

Dental caries process can lead reversible/irreversible changes within the dentine-pulp complex.

What do these changes depend on? (4)

Answer 1

• Anatomical considerations of the lesion location
• Dynamic activity of the carious lesion
• Extent of the lesions
• Age of the pulp

Question 2

What 3 factors helps us give a pulpal diagnosis?

Answer 2

• Patient description of subjective symptoms
• Pulp sensibility testing
• Radiographic examination

Question 3

What are some factors that could influence the pulp healing process? (6)

Answer 3

• Drill speed
• The use of coolant
• Operator pressure
• Extent of cavity preparation
• Unnecessary iatrogenic removal of dentine
• Extensive and prolonged use of etchants