PULPITIS

Question 1

Def of pulpitis

Answer 1

inflammation of the dental pulp resulting from untreated caries, trauma, or
multiple restorations

Question 2

Pulpitis can occur when:

Answer 2

(1) Caries progresses deeply into the dentin
(2) A tooth requires multiple invasive procedures
(3) Trauma disrupts the lymphatic blood supply to the pulp

Question 3

Describe reversible pulpitis

Answer 3

1. saved by a simple filling
2. sensitive to cold or sweets.
3. When the stimulus is removed, pain is gone in 1-2 secs.

Question 4

Describe irreversible pulpitis

Answer 4

1. Pain lingers minutes after stimulus is removed
2. difficult to locate the pain
3. pain may disappear due to necrotic tissue
4. As infection develops and extends, the tooth becomes exquistely sensitive to pressure and percussion.
5. Periapical abscess elevates the tooth from its socket and feels high when the patient bites down

Question 5

How is pulpitis diagnosed

Answer 5

on history and physical exam.

x rays help determine whether inflammation has extended beyond the tooth apex and help exclude other conditions

Question 6

Treatment In reversible pulpitis

Answer 6

can be maintained if the tooth is treated, usually by caries removal, and then restored

Question 7

Treatment In rreversible pulpitis

Answer 7

require endodontic (root canal) therapy or tooth extraction