• Tissue necrosis with destruction of the microcirculation that usually accompanies irreversible pulpitis does not occur in part because of this lack of significant intrapulpal pressure. (medscape.com)
  • In young teeth in which the apex of the root is open, the risk of pulpal necrosis secondary to venous congestion is decreased. (medscape.com)
  • Pulpal complications of caries, extensive wear or other external irritation may result in symptomatic or asymptomatic inflammation, followed by partial or progressive pulp tissue degradation and necrosis. (tannlegetidende.no)
  • Possible outcomes of thermal injuries during dental procedures include transient pulpal inflammation, irreversible pulpal inflammation or necrosis [ 2 , 3 ], bone resorption, and tooth ankylosis [ 4 ]. (hindawi.com)
  • Dental pulp can have different status: Healthy Pulp Reversible pulpitis Irreversible pulpitis Pulpal necrosis low cost viagra Pulp necrobiosis Peri-radicular pain can originate in the dental pulp and/or in the peri-radicular tissues. (sunstoneonline.com)
  • The state of pulp vitality, the amount of pulpal necrosis, and related periapical damage can all impact the outcomes of placing a pulp capping material. (dentalproductsreport.com)
  • The aforementioned noxious stimuli may lead to dentinal damage, as well as pulpal inflammation or necrosis. (cambridge.org)
  • Does removal of the original pulp tissue before autotransplantation influence ingrowth of new tissue in the pulp chamber? (ugent.be)
  • Whereas dentin forms the main body of the tooth, providing support to enamel, resilience under occlusal loads, and physical protection of the pulp against microbes and other noxious substances, the pulp tissue readily reacts to the external irritation, initiating and orchestrating the defensive reactions that aim to keep the tooth functional and protect it from microbial invasion. (tannlegetidende.no)
  • Tertiary dentin increases the mineralized barrier thickness between external irritation and pulp tissue, aiming to retain the pulp tissue vital and non-infected. (tannlegetidende.no)
  • Reactionary dentin is tubular and relatively similar to secondary dentin in structure, while reparative dentin (also called fibrodentin or even "calcified scar tissue" [ 4 ] is believed to be relatively impermeable, forming a barrier between tubular dentin and pulp tissue. (tannlegetidende.no)
  • Additionally, the pulp tissue is encased inside tooth structure and it cannot swell and expand in reaction to injury like tissues in other areas of the body. (1stdentist.com)
  • When the injured pulp tissue attempts to swell within the confined root canal space, the pressure buildup can cause a significant toothache. (1stdentist.com)
  • Vital pulpotomy is the amputation of the coronal pulp tissue and placement of a pulpal dressing with the intention of maintaining the vitality of the radicular pulp. (pulpdent.com)
  • Traditional methods of evaluating the status of dental pulp tissue in clinical practice have limitations. (researchsquare.com)
  • If harmful stimuli cannot be removed in time, increasing numbers of immune cells are recruited to the pulp tissue[5] and the immune-inflammatory balance is disrupted. (researchsquare.com)
  • Pulp capping promotes the healing of a damaged pulp by creating a barrier over the pulp tissue to allow healing to take place without contamination. (dentalproductsreport.com)
  • In this case, pulp capping agents are placed directly over pulp tissue that is exposed due to decay, trauma, or mechanical damage. (dentalproductsreport.com)
  • Traditionally, the term pulpotomy has implied the removal of pulp tissue to the cervical line. (lbp.world)
  • Given the pulp's solely apical blood supply and limited self-healing capacity, recovery from insult to pulp tissue is difficult, and the resulting inflammation is often irreversible. (cambridge.org)
  • Applying orthodontic forces may result in pulp tissue alterations owing to the compression of the blood vessels that supply the pulp in the alveolus [8]. (bvsalud.org)
  • Even though dentin is mineralized and the pulp a loose connective tissue, they form a developmentally interdependent and functionally integrated continuum, often referred to as the dentin‐pulp complex, where physiologic and pathologic reactions in one will also affect the other. (tannlegetidende.no)
  • Dentin is mineralized collagenous tissue, a nanocrystalline-reinforced collagen biocomposite, with 70 w-% (55 vol-%) biological hydroxyapatite (Ca10(PO4)6(OH)2) and 20 w-% (30 vol-%) organic components [ 1 ]. (tannlegetidende.no)
  • The aim of this study was to evaluate the temperature change at various sites within the composite and on the pulpal side of dentin during polymerization of two composite increments. (hindawi.com)
  • Temperatures were measured for 110 s using eight thermocouples: bottom center of cavity (BC), top center of 1st increment (MC), top center of 2nd increment (TC), bottom corner of cavity (BE), top corner of 1st increment (ME), top corner of 2nd increment (TE), pulpal side of dentin (PD), and center of curing light guide tip (CL). (hindawi.com)
  • It is well known that excessive heat is detrimental to living tissues such as the dentin-pulp complex and periodontal tissue. (hindawi.com)
  • Nevertheless, to date there is no published study that has performed the simultaneous measurements of the temperature changes within the composite resin and at the pulpal side of the dentin using human teeth under simulated in vivo conditions. (hindawi.com)
  • The aim of this paper was to compare the temperatures measured at various sites along the bottom and top surfaces of composite increments and the pulpal side of dentin during photopolymerization of two increments of composites in real-time using multiple thermocouples. (hindawi.com)
  • While gingival recession does not cause dentin hypersensitivity, the loss of gingival tissue predisposes a patient to hypersensitivity and often occurs alongside it . (colgateprofessional.com)
  • The dentin tubules that lead to the pulpal chamber are occluded by "plugs" and the dentinal surface is covered with an organic smear layer. (colgateprofessional.com)
  • Inadequate biofilm control can in turn cause the advancement of periodontal disease and gingival tissue loss, which can then increase the risk or severity of dentin hypersensitivity. (colgateprofessional.com)
  • A tooth is comprised of outer hard enamel and an inner dentin layer, which are highly mineralized tissues. (justia.com)
  • Dental pulp is loose connective tissue in the pulp cavity surrounded by rigid dentin and is necessary for tooth nutrition, innervation, and immunocompetency[1]. (researchsquare.com)
  • Biodentine by Septodont, a calcium silicate restorative dentin substitute, maintains pulpal vitality and stimulates formation of tertiary dentin. (dentalproductsreport.com)
  • The density of dentin tubules varies from approximately 15 000 per square millimeter at the CDJ in the cervical portion of the root to 8000 near the apex, whereas at the pulpal ends the number increases to 57 000 per square millimeter (2). (docshare.tips)
  • Pulp revascularization of an immature permanent tooth is another treatment approach that results in the formation of vital pulpal tissue. (medscape.com)
  • The mechanical causes that may stimulate this response include a tooth fracture with pulpal exposure or loss of a dental restoration. (medscape.com)
  • Furthermore, because the tooth is open to the oral cavity, transudates and exudates from the inflamed pulpal tissue drain freely and do not accumulate within the restricted and rigid confines of the tooth. (medscape.com)
  • The pulpal tissue within the tooth can be irritated by bacteria, external traumatic events, repetitive or extensive dental care procedures, or even periodontal disease causing a toothache . (1stdentist.com)
  • Since the pulpal tissues and the tissues supporting the tooth have a rich supply of nerve fibers, the inflammatory process can cause pain as these nerve pathways are stimulated. (1stdentist.com)
  • When attempting to identify the source or cause of facial pain and/or swelling, the dentist must consider that the symptoms could actually originate in a tooth (endodontic disease), the gum tissues (periodontal disease), the muscles (myofacial pain), the joints (TMJ), the sinuses (sinusitis), or even the surrounding vascular (blood vessels) or nerve tissues. (1stdentist.com)
  • In a healthy mouth, the gingival tissue covers and protects the cementum on the root of the tooth from acid attacks, erosion and abrasion. (colgateprofessional.com)
  • According to Medical News Today , this is inflammation of the pulp, which refers to the tissue, blood supply, and nerves found in the middle of a tooth. (natdent.com)
  • Pulpal inflammation may be caused by a cavity, injury, a fractured tooth, or repetitive trauma. (natdent.com)
  • This can be seen as a form of healing, the bone has accepted the dental hard tissue as part of itself and the tooth becomes involved in the normal skeletal turnover. (vin.com)
  • However, there can be exceptional cases where adults may require a pulpotomy as well.In most cases when an adult tooth is decayed or infected with pulpal involvement, it's actually root canal therapy or endodontic treatment that is the preferred treatment option. (outsourcestrategies.com)
  • Currently, complete pulpal resection (root canal therapy) is the default treatment for necrosed or irreversibly inflamed pulp of a tooth that is otherwise restorable. (cambridge.org)
  • Although these traditional restorative materials and methods have proven to be adequately effective in conserving teeth, they may render the remaining natural tooth structure mechanically compromised [1], and are incapable of repairing the tissue exposed to harmful stimuli [1, 2]. (cambridge.org)
  • A spongy, soft tissue nodule extrudes from the cavitated or fractured surface of a tooth. (medscape.com)
  • Polyps typically enlarge to fill the entire cavitated area or pulpal chamber of the tooth. (medscape.com)
  • However, the current use of blue light is not without its disadvantages since the oral soft tissues surrounding the tooth cannot be completely excluded from the area of light application. (who.int)
  • Millions of teeth have irreversible pulpal disease yet the patients have no clinical symptoms. (1stdentist.com)
  • Although this lesion is reported to be uncommon with only isolated references in the literature, the true prevalence of this reactive pulpal disease is likely to be underestimated because it is a well-recognized sequela of extensive dental caries in children. (medscape.com)
  • The duration of pulpal anesthesia for bupivacaine (240 minutes) is greater than lidocaine (85 minutes) and articaine (90 minutes) and is also greater for soft tissue (340 minutes) compared to lidocaine and articaine (around 180 minutes). (dentalcare.com)
  • It should be noted that the duration of effect for pulpal and soft tissue anesthesia is essentially the same with all these vasoconstrictor concentrations, and therefore the lowest concentration available is recommended. (rdhmag.com)
  • Laser preconditioning did not result in any pain or noticeable symptoms for both teeth and soft tissues. (allenpress.com)
  • A much more conservative approach is taking root in dentistry as technology and materials allow providers to save teeth and tissue. (dentalproductsreport.com)
  • Dental pain results from injury to the dental pulp or tissues supporting the teeth (the periodontium). (bakerstreetdental.com)
  • Symptoms of pulpal pain may include teeth sensitivity brought on by tactile sensations or cold, hot, and sweets. (bakerstreetdental.com)
  • There are companies hard at work on soft-tissue imaging that will give us more information about the periodontal and pulpal health, as well as technology to evaluate cracks in teeth. (dentaleconomics.com)
  • Dental trauma refers to injuries that affect the teeth, gums, lips, tongue, or surrounding tissues due to various causes such as accidents, sports-related incidents, or falls. (kennettsmiles.com)
  • When faced with dental trauma, acting quickly can make a substantial difference in preserving the affected teeth and tissues. (kennettsmiles.com)
  • Remember, swift action can make a significant difference in preserving teeth and tissues during dental emergencies. (kennettsmiles.com)
  • Pulpal diseases are broadly divided into reversible and irreversible pulpitis and are based on the ability of the inflamed dental pulp to return to a healthy state once the noxious stimulus has been removed. (medscape.com)
  • A total of 470 DEGs comprising 394 upregulated and 76 downregulated genes were found in pulpitis tissue. (researchsquare.com)
  • Thus, tissues collected from cases diagnosed as irreversible pulpitis may not present severe inflammation in pathologic examination[11]. (researchsquare.com)
  • En dientes con pulpa normal, la eficacia fue de 27,3% y esta disminuyó considerablemente en dientes con pulpitis irreversible tanto asintomática como sintomática, con porcentajes de 5,8% y 12,5% respectivamente, aunque esta diferencia no fue estadísticamente significativa ( p = 0,276). (bvsalud.org)
  • No se encontraron diferencias estadísticamente significativas al comparar la local, lidocaína, eficacia anestésica en molares con pulpa normal y molares con pulpa inflamada (aunque el porcentaje de articaína éxito en pulpa normal fue mayor que en dientes con pulpitis irreversible). (bvsalud.org)
  • The hyperplastic tissue reaction occurs because the young dental pulp has a rich blood supply and favorable immune response that is more resistant to bacterial infection . (medscape.com)
  • When this irritation occurs, the pulpal tissue reacts by becoming inflamed. (1stdentist.com)
  • If pulpal exposure occurs, then a pulpotomy procedure aims to preserve pulp vitality to allow for normal root development. (lbp.world)
  • This pulpal disease occurs almost exclusively in children and young adults, and it can occur in both the primary dentition and the permanent dentition. (medscape.com)
  • Injecting through infected tissue (Anesthetics are less effective in infected tissue and can cause bacteremia or spread infection to adjacent tissues, planes, or bone, which can be extremely difficult to treat. (medscape.com)
  • This type of resorption results in replacement of the dental hard tissue by bone. (vin.com)
  • Bone will thus be formed directly upon the dental hard tissue. (vin.com)
  • So during consequent remodelling of bone, both dental hard tissue and bone will be resorbed. (vin.com)
  • In this way the dental tissues will gradually be replaced by bone. (vin.com)
  • Peri-implantitis is defined as an inflammatory process affecting the tissues around an osseointegrated implant in function, resulting in loss of supporting bone. (theendoblog.com)
  • Peri-implant mucositis is defined as reversible inflammatory changes of the peri-implant soft tissues in the absence of bone loss. (theendoblog.com)
  • However, much research has focused solely on the response of the alveolar bone or the periodontal ligament, as well as on pulpal blood flow 2,16,19 . (bvsalud.org)
  • After atraumatic dental extraction and bone regeneration with the use of platelet-rich fibrin and bone graft, the area showed excellent bone regeneration with adequate stability of the soft tissue, even 4 months after the surgery. (bvsalud.org)
  • Recently, an alternative material called mineral trioxide aggregate (MTA) has demonstrated the ability to induce hard-tissue formation in pulpal tissue. (lbp.world)
  • At early stages pulpal disease(s) can be classified as reversible, if there is not permanent damage. (bakerstreetdental.com)
  • Bacteremia also affects the heart, because circulating bacteria attach to the heart valves, putting the heart at increased risk of endocarditis, hypertension, and roughening of the epithelium of the heart tissue. (wikipedia.org)
  • Bacteria can still grow on dead pulpal tissue, allowing precipitation of more toxins and causing an infection, which can spread outside to the underlying jawbone and supporting tissues. (intelligentdental.com)
  • The dental pulp is a singular connective tissue confined by rigid walls of mineralized tissue, in an environment that has a low tolerance to inflammation, and where the tissue is supplied by the blood vessels passing through the apical foramen. (bvsalud.org)
  • The presence of a rich vascular network in the young pulpal tissue is an important protective mechanism against the inflammatory response that significantly decreases with age. (medscape.com)
  • Composite resection of the metastatic lesion was performed, and the mandible was reconstructed with an osteomyocutaneous free tissue transfer and a custom plate. (agd.org)
  • In PIRR, the osteoclast activating factors, which perpetuate the resorptive process, are provided by an inflammatory lesion in the adjacent periodontal tissues. (vin.com)
  • The large exposure of pulpal tissue to the oral environment and bacterial invasion results in a chronic inflammatory response that stimulates an exuberant granulation tissue reaction. (medscape.com)
  • Dystrophic calcification is seen most commonly in which of the following oral tissues? (dentaldevotee.com)
  • The specimens for histological examination were dissected from the experimental sites and the oral soft tissues surrounding the exposed mandibular first molar were excised. (who.int)
  • In addition, the condition and quality of the pulpal vascularity may determine the degree of damage caused by thermal trauma [11]. (who.int)
  • The exception to this is in the case of severe soft tissue injury, for example chronic gingivostomatitis. (wikipedia.org)
  • Localized bleeding may occur when the soft tissue is manipulated or traumatized. (medscape.com)
  • There is variation in duration between anesthetics, pulp and soft tissue, and maxillary infiltration and mandibular blocks. (dentalcare.com)
  • We have state-of-the-art dental health centers, cone beam computed tomography (CBCT), in-clinic digital scanners, in-house milling, soft tissue laser, in-house information technology support, a world-class simulation center, teleconference capabilities, and a medical library staff dedicated to resident and faculty needs. (mahec.net)
  • Soft tissue may merge with the adjacent attached gingiva. (medscape.com)
  • Injuries to the gums, lips, or other soft tissues may lead to bleeding. (kennettsmiles.com)
  • A study investigated the anaesthetic efficacy, duration of action, pain, pulpal anaesthesia, and cardiovascular effects of 0.5% ropivacaine. (medscape.com)
  • The possible role of a type 1 hypersensitivity reaction has been hypothesized because of an increased presence and concentration of immunoglobulin E (IgE), histamine, and interleukin-4 (IL-4) within the pulp polyps when compared with healthy pulpal tissues. (medscape.com)
  • Hard tissues are protected from resorption by their surface layers of blast cells. (vin.com)
  • When the resorption stops, cells from the periodontal ligament will proliferate and populate the resorbed area resulting in deposition of reparative dental tissue. (vin.com)
  • In other words, the common factor for these two types of resorption is inflammation in the adjacent tissues. (vin.com)
  • Pulpal inflammation causes pain and results killing and resorption of the live tissues at the tip of the root. (biodent-clinic.com)
  • When the hard dental tissue is broken, various stimuli may induce pathological changes in dental pulp, which is difficult to heal due to the lack of collateral circulation[2]. (researchsquare.com)
  • Biofilm accumulates at the gingival margin and causes inflammation of the gingiva, eventually leading to the destruction of the periodontal tissues. (colgateprofessional.com)
  • Despite the nerve being dead, the surrounding tissues still possess neural innervation and this contribute to the pain perception when infection associated with a necrotic nerve is involved. (intelligentdental.com)
  • When faced with deep carious lesions and root lesions, we as clinicians should be changing our focus from endodontic treatment, post and cores, and deep-cut full coverage restorations to, if possible, achieving pulpal health and restoring more conservatively. (dentalproductsreport.com)
  • Over-production of pro-inflammatory cytokines, released by monocytes / macrophages and T cells in response to a microbial challenge can lead to the breakdown of the periodontal or peri-implant tissues. (theendoblog.com)
  • It is important to note that pulpal disease can refer pain to other areas within the head and neck. (1stdentist.com)
  • First things first, let's talk about the purpose of a pulpotomy.The main goal of this procedure is to remove the infected portion of the dental pulp while preserving the healthy tissue to maintain the tooth's function until it naturally falls out. (outsourcestrategies.com)
  • Dr. Berk is the inventor of Pulpdent Paste , the first premixed calcium hydroxide-aqueous methylcellulose pulpal dressing, widely used in vital pulp therapy and root canal therapy. (pulpdent.com)
  • For example, bacteremia from periodontal disease can cause inflammation of the hepatic tissue, portal vein fibrosis, and cholestasis. (wikipedia.org)
  • Touching the root can damage the delicate tissues that are crucial for reattachment. (kennettsmiles.com)
  • However, the depth to which tissue is re-moved is determined by clinical judgment. (lbp.world)