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Pulpal Diseases Diagnosis and Classification
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Transcript
Pulpal Pathosis
Diagnosis and Classification
Pulpal Pathosis Diagnosis
Diagnosis
Patient history.
Medical history.
Dental history.
Questioning
Visual diagnosis (examination intra and extra- oral.
Special methods for diagnosis:
special methods for diagnosis
1. Regular Tests
2. Special Tests
3. Supplemental Tests.
Regular Tests
Probing
Percussion
Palpation
Mobility
Special Tests
Cold Test
cold testing is usually performed first by using Endo ice (Dichlorodifluoromethane).
Thermo-Vitality Test
Heat Test
by using Gutta Percha, Stopper or hot water.
Heat Test
Electric Pulp Test
- Indicates only whether the pulp isresponsive or not.
- Used to confirm then results of previous tests.
Electro-Vitality Test
Supplemental Test
Supplemental Tests
Selected Anesthesia
Transluminance.
Cavity test.
Diagnosis the pathway of fistula.
clinical classification
Clinical Classification
Normal Pulp
- normal pulp is sympotome free.
- response to cold test 1-2 sec and then disappear.
- normal PDL space and intact.
- lamina dura on radioghraphe.
Reversible Pulpitis
- Patient with sympotoms.
- Initial pathosis to pulp.
Reversible Pulpitis
Symptomatic Irreversible Pulpitis
- Continous pain, spontaneous pain.
- Response persistent for long time when stimulate.
Asympotomatic Irreversible Pulpitis
Asymptomatic Irreversible Pulpitis
Vital pulp but not normal, destruction to odontoblasts and A delta fibers also detructed .
Pulp necrosis
- Patient have history of pulpitis or trauma.
- Discoloration of tooth may be present.