Death of pulp tissue with or without bacterial invasion. When the necrosis is due to ischemia with superimposed bacterial infection, it is referred to as pulp gangrene. When the necrosis is non-bacterial in origin, it is called pulp mummification.
A richly vascularized and innervated connective tissue of mesodermal origin, contained in the central cavity of a tooth and delimited by the dentin, and having formative, nutritive, sensory, and protective functions. (Jablonski, Dictionary of Dentistry, 1992)
Endodontic procedure performed to induce TOOTH APEX barrier development. ROOT CANAL FILLING MATERIALS are used to repair open apex or DENTAL PULP NECROSIS in an immature tooth. CALCIUM HYDROXIDE and mineral trioxide aggregate are commonly used as the filling materials.
Inflammation of the PERIAPICAL TISSUE. It includes general, unspecified, or acute nonsuppurative inflammation. Chronic nonsuppurative inflammation is PERIAPICAL GRANULOMA. Suppurative inflammation is PERIAPICAL ABSCESS.
A white powder prepared from lime that has many medical and industrial uses. It is in many dental formulations, especially for root canal filling.
Chemicals used mainly to disinfect root canals after pulpectomy and before obturation. The major ones are camphorated monochlorophenol, EDTA, formocresol, hydrogen peroxide, metacresylacetate, and sodium hypochlorite. Root canal irrigants include also rinsing solutions of distilled water, sodium chloride, etc.
Application of a protective agent to an exposed pulp (direct capping) or the remaining thin layer of dentin over a nearly exposed pulp (indirect capping) in order to allow the pulp to recover and maintain its normal vitality and function.
Inflammation of the DENTAL PULP, usually due to bacterial infection in dental caries, tooth fracture, or other conditions causing exposure of the pulp to bacterial invasion. Chemical irritants, thermal factors, hyperemic changes, and other factors may also cause pulpitis.
The total of dental diagnostic, preventive, and restorative services provided to meet the needs of a patient (from Illustrated Dictionary of Dentistry, 1982).
The result of pathological changes in the hard tissue of a tooth caused by carious lesions, mechanical factors, or trauma, which render the pulp susceptible to bacterial invasion from the external environment.
Endodontic diseases of the DENTAL PULP inside the tooth, which is distinguished from PERIAPICAL DISEASES of the tissue surrounding the root.
The pathological process occurring in cells that are dying from irreparable injuries. It is caused by the progressive, uncontrolled action of degradative ENZYMES, leading to MITOCHONDRIAL SWELLING, nuclear flocculation, and cell lysis. It is distinct it from APOPTOSIS, which is a normal, regulated cellular process.
Dentin formed by normal pulp after completion of root end formation.
Use for articles concerning dental education in general.
Localized destruction of the tooth surface initiated by decalcification of the enamel followed by enzymatic lysis of organic structures and leading to cavity formation. If left unchecked, the cavity may penetrate the enamel and dentin and reach the pulp.
Educational institutions for individuals specializing in the field of dentistry.
Individuals enrolled a school of dentistry or a formal educational program in leading to a degree in dentistry.
The formation of dentin. Dentin first appears in the layer between the ameloblasts and odontoblasts and becomes calcified immediately. Formation progresses from the tip of the papilla over its slope to form a calcified cap becoming thicker by the apposition of new layers pulpward. A layer of uncalcified dentin intervenes between the calcified tissue and the odontoblast and its processes. (From Jablonski, Dictionary of Dentistry, 1992)
Serum glycoprotein produced by activated MACROPHAGES and other mammalian MONONUCLEAR LEUKOCYTES. It has necrotizing activity against tumor cell lines and increases ability to reject tumor transplants. Also known as TNF-alpha, it is only 30% homologous to TNF-beta (LYMPHOTOXIN), but they share TNF RECEPTORS.
Specialized hospital facilities which provide diagnostic and therapeutic services for trauma patients.
Mesodermal tissue enclosed in the invaginated portion of the epithelial enamel organ and giving rise to the dentin and pulp.
The space in a tooth bounded by the dentin and containing the dental pulp. The portion of the cavity within the crown of the tooth is the pulp chamber; the portion within the root is the pulp canal or root canal.
Dental care for patients with chronic diseases. These diseases include chronic cardiovascular, endocrinologic, hematologic, immunologic, neoplastic, and renal diseases. The concept does not include dental care for the mentally or physically disabled which is DENTAL CARE FOR DISABLED.
Hospital department providing dental care.
The nonexpendable items used by the dentist or dental staff in the performance of professional duties. (From Boucher's Clinical Dental Terminology, 4th ed, p106)
One of a set of bone-like structures in the mouth used for biting and chewing.
A detailed review and evaluation of selected clinical records by qualified professional personnel for evaluating quality of dental care.
Any change in the hue, color, or translucency of a tooth due to any cause. Restorative filling materials, drugs (both topical and systemic), pulpal necrosis, or hemorrhage may be responsible. (Jablonski, Dictionary of Dentistry, 1992, p253)
A tooth from which the dental pulp has been removed or is necrotic. (Boucher, Clinical Dental Terminology, 4th ed)
Traumatic or other damage to teeth including fractures (TOOTH FRACTURES) or displacements (TOOTH LUXATION).
Break or rupture of a tooth or tooth root.
Works containing information articles on subjects in every field of knowledge, usually arranged in alphabetical order, or a similar work limited to a special field or subject. (From The ALA Glossary of Library and Information Science, 1983)
An occlusion resulting in overstrain and injury to teeth, periodontal tissue, or other oral structures.
The teeth of the first dentition, which are shed and replaced by the permanent teeth.
Partial or complete displacement of a tooth from its alveolar support. It is commonly the result of trauma. (From Boucher's Clinical Dental Terminology, 4th ed, p312)
General or unspecified injuries to the soft tissue or bony portions of the face.
The part of a tooth from the neck to the apex, embedded in the alveolar process and covered with cementum. A root may be single or divided into several branches, usually identified by their relative position, e.g., lingual root or buccal root. Single-rooted teeth include mandibular first and second premolars and the maxillary second premolar teeth. The maxillary first premolar has two roots in most cases. Maxillary molars have three roots. (Jablonski, Dictionary of Dentistry, 1992, p690)
Tissue surrounding the apex of a tooth, including the apical portion of the periodontal membrane and alveolar bone.
Any of the eight frontal teeth (four maxillary and four mandibular) having a sharp incisal edge for cutting food and a single root, which occurs in man both as a deciduous and a permanent tooth. (Jablonski, Dictionary of Dentistry, 1992, p820)
A publication issued at stated, more or less regular, intervals.
Individual's rights to obtain and use information collected or generated by others.
Relatively undifferentiated cells that retain the ability to divide and proliferate throughout postnatal life to provide progenitor cells that can differentiate into specialized cells.
A quantitative measure of the frequency on average with which articles in a journal have been cited in a given period of time.
The use of statistical methods in the analysis of a body of literature to reveal the historical development of subject fields and patterns of authorship, publication, and use. Formerly called statistical bibliography. (from The ALA Glossary of Library and Information Science, 1983)
"The business or profession of the commercial production and issuance of literature" (Webster's 3d). It includes the publisher, publication processes, editing and editors. Production may be by conventional printing methods or by electronic publishing.
The largest and strongest bone of the FACE constituting the lower jaw. It supports the lower teeth.
Diseases of the PERIAPICAL TISSUE surrounding the root of the tooth, which is distinguished from DENTAL PULP DISEASES inside the TOOTH ROOT.
A treatment modality in endodontics concerned with the therapy of diseases of the dental pulp. For preparatory procedures, ROOT CANAL PREPARATION is available.
Dental trauma which may cause staining either as a result of pulp necrosis or internal resorption. Alternatively the tooth may ... Dental Materials. 20 (9): 852-861. doi:10.1016/ ISSN 0109-5641. PMID 15451241. American Dental Association ... Bleaching agents are only allowed to be given by dental practitioners, dental therapists, and dental hygienists. Bleaching is ... Dental plaque: Dental plaque is a clear biofilm of bacteria that naturally forms in the mouth, particularly along the gumline, ...
Excessive pressure can lead to frictional heat that may cause pulpal discomfort or necrosis of the dental pulp. Surfaces of ... It is important to refer to manufacturer's directions before using any product on dental restorations. Trauma to soft tissues ... Dental tape is used for polishing the proximal surfaces of teeth that are inaccessible to other polishing instruments. It is ... This has placed dental professionals into an ethical dilemma on whether or not this service should be provided. Many factors ...
Pulpal necrosis[edit]. Pulp necrosis usually occurs either as ischaemic necrosis (infarction) caused by disruption to the blood ... Dental Trauma Guide, an interactive tool for evidence based dental trauma treatment ... "Dental trauma in children and young adults visiting a University Dental Clinic". Dental Traumatology. 25 (1): 84-7. doi:10.1111 ... Love RM (May 1997). "Effects of dental trauma on the pulp". Practical Periodontics and Aesthetic Dentistry : PPAD. 9 (4): 427- ...
Carious dentin by dental decay progressing to pulp may get fractured during mastication (chewing food) causing direct trauma to ... Pulp necrosis describes when the pulp of a tooth has become necrotic. The pulp tissue is either dead or dying, this may be for ... The dental pulp is essentially a mature dental papilla. The development of dental pulp can also be split into two stages: The ... see Dental pulp test The health of the dental pulp can be established by a variety of diagnostic aids which test either the ...
When a tooth is displaced from its normal position as a result of dental trauma, it can result in pulp necrosis due to the ... For example, pulp necrosis caused by dental trauma which may only manifest/present itself with time, resulting in clinical ... Necrosis is a histological term that means death of the pulp. It does not occur suddenly unless there has been trauma. The pulp ... Pulp necrosis is a clinical diagnostic category indicating the death of the pulp and nerves of the pulp chamber and root canal ...
The exact causes of pulp obliteration are unclear but it typically occurs in response to dental trauma, especially following ... There is a small risk of pulp necrosis. If root canal treatment is attempted it can be difficult or impossible on a tooth with ... "The Dental Trauma Guide". Copenhagen University Hospital and the International Association of Dental ... Pulp canal obliteration (also termed pulp chamber obliteration or root canal obliteration) is a condition which can occur in ...
... pulp fibroblasts and other niche cells in dental pulp and dentin regeneration. To ensure the success of dental pulp and dentin ... Trauma has been recognised as the most common cause of pulpal necrosis in immature permanent teeth. Up to 35 percent of ... "In Vivo Generation of Dental Pulp-like Tissue by Using Dental Pulp Stem Cells, a Collagen Scaffold, and Dentin Matrix Protein 1 ... Apexogenesis, (which can be used when the pulp is injured but not necrotic) leaves the apical one-third of the dental pulp in ...
... the cyst is caused by pulpal necrosis secondary to dental caries or trauma. Its lining is derived from the epithelial cell ... Untreated dental caries then allow bacteria to reach the level of the pulp, causing infection. The bacteria gains access to the ... This infection is what causes necrosis of the pulp. Larger cysts may cause bone expansion or displace roots. Discoloration of ... "Bone - Structural Characteristics - School of Dental Medicine - University of Pittsburgh". "the definition of ...
Common causes include inflammation of the pulp, (usually in response to tooth decay, dental trauma, or other factors), dentin ... Left untreated, pulpitis may become irreversible, then progress to pulp necrosis (death of the pulp) and apical periodontitis. ... Those cracks that are irritating the pulp but do not extend through the pulp chamber can be amenable to stabilizing dental ... dental trauma (such as a crack or fracture), or a filling with an imperfect seal. Because the pulp is encased in a rigid outer ...
This type of dental trauma is complex and is commonly associated with pulpal necrosis and inflammatory ankylosis. Management is ... disruption of the neurovascular supply to the pulp, and communication or fracture of the alveolar socket. Intrusive traumas ... "Dental Trauma Guide: A source of evidence-based treatment guidelines for dental trauma". Dental Traumatology. 28 (2): 142-147. ... Yearly for 5 years Dental trauma O., Andreasen, J. (2000). Essentials of traumatic injuries to the teeth : a step-by-step ...
Teeth may turn grey following trauma-induced pulp necrosis (death of the pulp). This discoloration typically develops weeks or ... At the core of the tooth is soft connective tissue termed the dental pulp. The pulp is pink/red due to its vascularity, but is ... Yellow discoloration may occur following pulp canal obliteration, i.e., the sealing up of the pulp. Trauma to a developing ... Cohen's Pathways of the Pulp Expert Consult. Elsevier Health Sciences. p. 2212. ISBN 978-0-323-18586-8. "The Dental Trauma ...
Dental trauma[12] which may cause staining either as a result of pulp necrosis or internal resorption. Alternatively the tooth ... doi:10.1016/ ISSN 0109-5641. PMID 15451241.. *^ American Dental Association (November 2010) [September ... Bleaching agents are only allowed to be given by dental practitioners, dental therapists, and dental hygienists. ... Dental plaque: Dental plaque is a clear biofilm of bacteria that naturally forms in the mouth, particularly along the gumline, ...
... most commonly caused by bacterial invasion of the pulp of the tooth. It is a likely outcome of untreated dental caries (tooth ... irreversible pulpitis and pulpal necrosis. Other causes can include occlusal trauma due to 'high spots' after restoration work ... 2010). Cohen's pathways of the pulp (10th ed.). St. Louis, Mo.: Mosby Elsevier. pp. 529-555. ISBN 978-0-323-06489-7.. ... the consequence of spread of infection from the tooth pulp (odontogenic infection), or into a periapical cyst, where an ...
Wide pulp horns (34%) Narrow pulp horns (22%) Constricted pulp horns (14%) Isolated pulp horn remnants (20%) No pulp horn (10 ... It is a challenging task to differentiate between a true periapical lesion and a normal periapical radiolucency of a dental ... In 70% of the cases, the fine pulpal extension were exposed which can lead to infection, pulpal necrosis and periapical ... Temporomandibular joint pain could be experienced secondarily due to occlusal trauma caused by the tubercle. This cusp could be ...
... could be considered a type of dental trauma and also one of the possible causes of dental pain. One ... If the crack propagates into the pulp, irreversible pulpitis, pulpal necrosis and periapical periodontitis may develop, with ... If the fracture propagates into the pulp, this is termed a complete fracture, and pulpitis and pulp death may occur. If the ... This activates A-type nociceptors in the dentin-pulp complex, reported by the pulp-dentin complex as pain. Another theory is ...
... is a technique used in dental restorations to prevent the dental pulp from necrosis, after being exposed, or ... Indication for Direct Pulp Capping: Immature/mature permanent teeth with simple restoration needs Recent trauma less than ... To prevent the pulp from deteriorating when a dental restoration gets near the pulp, the dentist will place a small amount of a ... The ultimate goal of pulp capping or stepwise caries removal is to protect a healthy dental pulp and avoid the need for root ...
Contrarily, when compared with vital pulp, pulp with partial necrosis will not be stimulated as extensively. In the case of ... assessing pulpal status following dental trauma, e) establishment of pulpal health prior to prosthodontic treatment. Pulpal ... Dental pulp Pulpitis Endodontics Chen, Eugene (September 2009). "Dental Pulp Testing; A Review". International Journal of ... Dental pulpal testing is a clinical and diagnostic aid used in dentistry to help establish the health of the dental pulp within ...
Sometimes, the trauma might cause pulpal damage and there is a minimal risk of pulpal necrosis, thus follow-up is essential A ... To begin with, any sensitivity testing of the pulp may provide a negative response; in which case it is important to continue ... and even overlooked by caregivers when treating more serious dental traumas in adjacent teeth. Subluxation Dental trauma ... Radiographical and clinical exam should be carried out at 2 weeks, 4 weeks, 6-8 weeks, 6 months and 1 year Dental trauma is a ...
Medicine portal Barotrauma - Injury caused by pressure Dental trauma List of diving hazards and precautions - List of the ... pulp necrosis, apical periodontitis, periodontal pockets, impacted teeth, and mucous retention cysts. One exception is ... Dental barotrauma is a condition in which such changes in barometric pressure changes cause damage to the dentition. The most ... Zadik Y, Einy S, Pokroy R, Bar Dayan Y, Goldstein L (June 2006). "Dental fractures on acute exposure to high altitude" (PDF). ...
Tooth decay may cause pulpitis (toothache) to occur in the same region, and this may cause pulp necrosis and the formation of a ... Signs of trauma on the operculum, such as indentations of the cusps of the upper teeth, or ulceration. Rarely, the soft tissue ... The presence of dental plaque or infection beneath an inflamed operculum without other obvious causes of pain will often lead ... Dental infections such as a pericoronal abscess can develop into sepsis and be life-threatening in persons who have neutropenia ...
... during dental procedures). Odontoblasts were originally the outer cells of the dental papilla. Thus, dentin and pulp tissue ... reducing the probability of partial pulp necrosis. The distinction of the two kinds of tertiary dentin is important, because ... or indirectly through other means such as heat or trauma (e.g. ... origin that is part of the outer surface of the dental pulp, ... This is an attempt to slow down the progress of the caries so that it does not reach the pulp. In the case of an infection ...
... but unlike normal dental pain, it is not relieved in the long term by dental treatments such as endodontic therapy (root canal ... "Craniomaxillofacial Trauma and Reconstruction. 2 (2): 067-076. doi:10.1055/s-0029-1202593. PMC 3052669. PMID 22110799.. ... 2010). Cohen's pathways of the pulp (10th ed.). St. Louis, Mo.: Mosby Elsevier. pp. 55, 60. ISBN 978-0-323-06489-7. .. ... Proponents of the so-called "Neuralgia inducing cavitational necrosis" suggest surgical exploration of the bone marrow ...
Inflammation of the dental pulp, termed pulpitis, produces true hypersensitivity of the nerves in the dental pulp. Pulpitis is ... Receding gums can be a sign of long-term trauma from excessive or forceful toothbrushing or abrasive toothpaste (dental ... classified as irreversible when pulpal inflammation will irreversibly progress to pulpal necrosis due to compression of the ... coolant water jet from a dental instrument. Electrical - electric pulp testers. Mechanical-tactile - dental probe during dental ...
... failure requiring extraction hyper-mobility ankylosis pulp necrosis pulp obliteration root resorption Factors that could ... The History of the First English Dental Publication, with Corrections". The Journal of the American Dental Association. 18 (1 ... It also provides an additional advantage in the first few months to keep the transplanted tooth free from occlusal trauma. In ... 658: Charles Allen, in 1685, wrote of tooth transplantation in the first English dental textbook, The Operator for the Teeth. ...
However, it also leads to superficial necrosis of the pulp tissue in contact with the medication and has been shown to be toxic ... Tooth crown fractures are one of the most common dental injuries and the pulp is exposed in approximately 25% of all crown ... Examples include teeth with carious exposures and trauma in which treatment of the exposed pulp is delayed and it becomes ... During pulpotomy, the inflamed/diseased pulp tissue is removed from the coronal pulp chamber of the tooth leaving healthy pulp ...
In 1974, Cvek M, Hollender L and Nord CE showed that the removal of the dental pulp following replantation was required to ... infection and pulp necrosis. Avulsed teeth should be replanted within the hour to increase the likelihood of a successful tooth ... blood gets into the dentinal nerves and gets trapped into the pulp, staining the dentin. Post trauma, a tooth can discolour and ... Dental avulsions are a dental emergency and replantations are generally performed by either dentists, endodontists, or oral ...
Seltzer and Bender's Dental Pulp. Quintessence, 2002. *^ a b c d e Eugene Chen and Paul V. Abbott, "Dental Pulp Testing: A ... but the introduction of bacteria into the pulp will not allow the pulp to heal and it will ultimately result in necrosis, or ... More often it is from physical trauma rather than dental treatments.[medical citation needed] ... In addition, dental caries is more likely to develop pulpitis due to less time for the dental pulp to react and protect itself ...
... pulp necrosis, periapical lesions and tooth developmental anomalies. In those with poor immune function, disseminated shingles ... Other potential risk factors include mechanical trauma and exposure to immunotoxins. There is no strong evidence for a genetic ... Gupta S, Sreenivasan V, Patil PB (2015). "Dental complications of herpes zoster: Two case reports and review of literature". ... Sometimes this leads to unnecessary dental treatment. Post herpetic neuralgia uncommonly is associated with shingles in the ...
History of dental restorations,[46] use of dental appliances, or oral exposure to substances that may cause oral lichenoid ... Pulp calcification *Pulp stone. *Pulp canal obliteration. *Pulp necrosis. *Pulp polyp. *Pulpitis ... Papules are arranged in a line (the "Blaschko line").[15] This pattern may develop secondary to trauma (koebnerization) or, ... "IOSR Journal of Dental and Medical Sciences. 12: 61-69. doi:10.9790/0853-1216169.. ...
Trauma could occur during injections of local anesthetic in the mouth, or otherwise during dental treatments, frictional trauma ... Pulp calcification *Pulp stone. *Pulp canal obliteration. *Pulp necrosis. *Pulp polyp. *Pulpitis ... Local trauma is also associated with aphthous stomatitis, and it is known that trauma can decrease the mucosal barrier. ... Tricarico A, Molteni G, Mattioli F, Guerra A, Mordini B, Presutti L, Iughetti L (November-December 2012). "Nipple trauma in ...
K03.7) en:Posteruptive colour changes of en:dental hard tissues. *(K03.8) Other specified diseases of en:hard tissues of teeth ... K04) Diseases of pulp and en:periapical tissues *(K04.0) పంటి గుజ్జు ఇన్ఫెక్షన్ ... K06.2) en:Gingival and edentulous alveolar ridge lesions associated with trauma ... K71.1) Toxic liver disease with hepatic necrosis. *(K71.2) Toxic liver disease with acute hepatitis ...
Pulp calcification *Pulp stone. *Pulp canal obliteration. *Pulp necrosis. *Pulp polyp. *Pulpitis ... Cutaneous sinus of dental origin. *Cystic hygroma. *Gnathophyma. *Ludwig's angina. *Macrostomia. *Melkersson-Rosenthal syndrome ...
Pulp calcification *Pulp stone. *Pulp canal obliteration. *Pulp necrosis. *Pulp polyp. *Pulpitis ... Chronic trauma may produce an ulcer with a keratotic (white, thickened mucosa) margin.[5] Malignant lesions may ulcerate either ... Oral ulceration is a common reason for people to seek medical or dental advice.[19]:52 A breach of the oral mucosa probably ... Gottfried Schmalz; Dorthe Arenholt Bindslev (2008). Biocompatibility of Dental Materials. Springer. Retrieved March 5, 2014.. ...
... difference between a periapical abscess and abscesses of the periodontium are that the latter do not arise from pulp necrosis. ... Dental plaque is a microbial biofilm which forms on teeth. This biofilm may calcify and harden, termed calculus (tartar). ... Trauma may be chemical, physical or thermal. It can be self-inflicted (factitious), iatrogenic or accidental. Foreign body ... Tiny particles of dental materials (e.g. abrasive polishing pastes) may become impregnated in the gingival tissues and trigger ...
The underlying cause of inflammation may be due to infection, toxin, or trauma, and may require special treatment in order to ... This impairment of blood supply leads to hyperemia and congestion, and ultimately to ischaemic necrosis and cellular death. The ... Other possible factors include poor dental care, course roughage, dehydration, and limited exercise. Horses with a large colon ... and beet pulp. Horses usually show signs of mild colic that is chronic, unresponsive to analgesics, and may include signs such ...
Pulp calcification *Pulp stone. *Pulp canal obliteration. *Pulp necrosis. *Pulp polyp. *Pulpitis ... A dental hygienist or dentist will also look for signs of periodontitis using X-rays or periodontal probing as well as other ... A dental hygienist or dentist will check for the symptoms of gingivitis, and may also examine the amount of plaque in the oral ... Dental Hygiene - E-Book: Theory and Practice, by Michele Leonardi Darby, Margaret Walsh, page 318 ...
Pulp calcification *Pulp stone. *Pulp canal obliteration. *Pulp necrosis. *Pulp polyp. *Pulpitis ... Mothers infected with HSV are advised to avoid procedures that would cause trauma to the infant during birth (e.g. fetal scalp ... Balasubramaniam, R; Kuperstein, AS; Stoopler, ET (April 2014). "Update on oral herpes virus infections". Dental Clinics of ... Other identified triggers include local injury to the face, lips, eyes, or mouth; trauma; surgery; radiotherapy; and exposure ...
... pulp calcification, pulp necrosis, periapical lesions and tooth developmental anomalies.[21] ... "Indian Journal of Dental Research. 26 (2): 214-19. doi:10.4103/0970-9290.159175. PMID 26096121. Archived from the original on ... Other potential risk factors include mechanical trauma and exposure to immunotoxins.[38][76] ... sometimes causing ischemic necrosis.[25] Therefore, oral involvement rarely causes complications such as osteonecrosis, tooth ...
Pulp calcification *Pulp stone. *Pulp canal obliteration. *Pulp necrosis. *Pulp polyp. *Pulpitis ... Immunosuppressants such as interferon alpha and tumour necrosis factor antagonists may improve though not completely reverse ... Cutaneous sinus of dental origin. *Cystic hygroma. *Gnathophyma. *Ludwig's angina. *Macrostomia. *Melkersson-Rosenthal syndrome ... "Behçet's disease: a new target for anti-tumour necrosis factor treatment". Ann Rheum Dis. 61 Suppl 2 (Suppl 2): ii51-3. doi ...
Pulp calcification *Pulp stone. *Pulp canal obliteration. *Pulp necrosis. *Pulp polyp. *Pulpitis ... To provide the best treatment option the dental clinician must determine the level of activity and predict possible progression ... If there are concerns around aesthetics or clinical consequences such as dentinal hypersensitivity, a dental restoration (white ... Australian Dental Journal. 54 (1): 2-8. doi:10.1111/j.1834-7819.2008.01080.x.. ...
Pulp calcification *Pulp stone. *Pulp canal obliteration. *Pulp necrosis. *Pulp polyp. *Pulpitis ... The textbook description of Koplik spots is ulcerated mucosal lesions marked by necrosis, neutrophilic exudate, and ... Cutaneous sinus of dental origin. *Cystic hygroma. *Gnathophyma. *Ludwig's angina. *Macrostomia. *Melkersson-Rosenthal syndrome ...
Pulp calcification *Pulp stone. *Pulp canal obliteration. *Pulp necrosis. *Pulp polyp. *Pulpitis ... Surgical procedures such as dental or neural surgery, lip tattooing, or dermabrasion are also common triggers. HSV-1 can in ... Cold sore outbreaks may be influenced by stress, menstruation, sunlight, sunburn, fever, dehydration, or local skin trauma. ...
Pulp calcification *Pulp stone. *Pulp canal obliteration. *Pulp necrosis. *Pulp polyp. *Pulpitis ... Burning mouth syndrome (BMS) is a burning sensation in the mouth with no underlying known dental or medical cause.[3] No ... Chronic low-grade trauma due to parafunctional habits (e.g. rubbing the tongue against the teeth or pressing it against the ... Kalantzis, Crispian Scully, Athanasios (2005). Oxford handbook of dental patient care (2nd ed.). New York: Oxford University ...
TMJ Disorders, National Institute of Dental and Craniofacial Research *^ a b c d e f g h i j k Mujakperuo HR, Watson M, ... Trauma[edit]. Trauma, both micro and macrotrauma, is sometimes identified as a possible cause of TMD; however, the evidence for ... Pulp calcification *Pulp stone. *Pulp canal obliteration. *Pulp necrosis. *Pulp polyp. *Pulpitis ... "American Association for Dental Research. Retrieved 6 June 2013.. *^ a b c d e f g Luther F, Layton S, McDonald F (July 2010). ...
Pulp calcification *Pulp stone. *Pulp canal obliteration. *Pulp necrosis. *Pulp polyp. *Pulpitis ... A reaction to past trauma or infection but it's difficult to rule out in some cases. ... Cutaneous sinus of dental origin. *Cystic hygroma. *Gnathophyma. *Ludwig's angina. *Macrostomia. *Melkersson-Rosenthal syndrome ...
The procedure can damage the pulp irreversibly, through mechanical, thermal and chemical trauma and making the pulp more ... A crown, or dental cap, is a type of dental restoration which completely caps or encircles a tooth or dental implant. A crown ... leading to pulpal inflammation and necrosis; Prevent gingival growth in the area created by the tooth preparation; Allow area ... studies/vol6/iss1/1 Media related to Dental crowns at Wikimedia Commons Dental Health: Dental Crowns Videos from Sheffield ...
Pulp necrosis, trauma, periodontal treatment, orthodontics and tooth whitening are the most common stimulants of inflammatory ... "Root resorption in dental trauma: 45 cases followed for 5 years". Dental Traumatology. 19 (5): 262-5. doi:10.1034/j.1600- ... Trope M (2002). "Root resorption due to dental trauma". Endodontic Topics. 1: 79-100. doi:10.1034/j.1601-1546.2002.10106.x. ... The pulp must be vital below the area of resorption to provide osteoclasts with nutrients. If the pulp becomes totally necrosed ...
Necrosis. Periapical Periodontitis. Dental Pulp Necrosis. Periodontal Diseases. Mouth Diseases. Stomatognathic Diseases. ... Pulp revitalisation. Triple antibiotic paste. Root canal therapy. Root end closure. Tooth root. Tooth apex. Dental trauma. Non- ... Apexification Apexogenesis Pulp Necrosis MTA Pulp Revascularisation Periapical Periodontitis Non-vital Immature Tooth Procedure ... Comparison of Two Dental Techniques Used to Treat Teeth Which Have Become Infected or Painful Following Trauma. This study has ...
Pulpal necrosis[edit]. Pulp necrosis usually occurs either as ischaemic necrosis (infarction) caused by disruption to the blood ... Dental Trauma Guide, an interactive tool for evidence based dental trauma treatment ... "Dental trauma in children and young adults visiting a University Dental Clinic". Dental Traumatology. 25 (1): 84-7. doi:10.1111 ... Love RM (May 1997). "Effects of dental trauma on the pulp". Practical Periodontics and Aesthetic Dentistry : PPAD. 9 (4): 427- ...
... a permanent incisor showing pulp necrosis secondary to trauma, a healthy maxillary deciduous canine tooth, and candidate for ... Trauma to immature permanent teeth is relatively common in school-aged children and can result in loss of vital dental pulp, ... Dental pulp necrosis is one of the most common pathological conditions that results in tooth loss. However, regeneration of ... Pulp necrosis arrests root development in injured immature permanent teeth, which may result in tooth loss. However, dental ...
... were ideal for young patients who had suffered invasion pulp necrosis in their immature permanent incisors following a trauma [ ... "Dental pulp stem cells secretome enhances pulp repair processes and compensates TEGDMA-induced cytotoxicity," Dental Materials ... S. Gronthos, J. Brahim, W. Li et al., "Stem cell properties of human dental pulp stem cells," Journal of Dental Research, vol. ... T. Takeda, Y. Tezuka, M. Horiuchi et al., "Characterization of dental pulp stem cells of human tooth germs," Journal of Dental ...
Pulpal necrosis and chronic and apical periodontitis with cystic changes are the most common sequelae of the dental traumatic ... Dental traumatic injuries may affect the teeth and alveolar bone directly or indirectly. ... In some cases, the pulp remains normal, whereas in some cases it becomes necrotic. As a consequence to dental trauma, the pulp ... Anterior region of the mouth is most commonly affected in dental trauma [1]. Dental trauma may affect the teeth and alveolar ...
When a tooth is displaced from its normal position as a result of dental trauma, it can result in pulp necrosis due to the ... For example, pulp necrosis caused by dental trauma which may only manifest/present itself with time, resulting in clinical ... Necrosis is a histological term that means death of the pulp. It does not occur suddenly unless there has been trauma. The pulp ... Pulp necrosis is a clinical diagnostic category indicating the death of the pulp and nerves of the pulp chamber and root canal ...
Dental trauma which may cause staining either as a result of pulp necrosis or internal resorption. Alternatively the tooth may ... Dental Materials. 20 (9): 852-861. doi:10.1016/ ISSN 0109-5641. PMID 15451241. American Dental Association ... Bleaching agents are only allowed to be given by dental practitioners, dental therapists, and dental hygienists. Bleaching is ... Dental plaque: Dental plaque is a clear biofilm of bacteria that naturally forms in the mouth, particularly along the gumline, ...
The main indications for RoCT are irreversible pulpitis and necrosis of the dental pulp caused by carious processes, tooth ... or dental trauma. Success *Single versus two layer suturing for closing the uterine incision at Caesarean section Cochrane ...
Dental trauma such as avulsion is a challenge to dental integrity and can result in pulp necrosis. When these characteristics ... OBJECTIVE: Traumatic dental injuries often affect the dental hard tissues, periodontal tissues, and dental pulp. Root ... The aim of this study was to report the risk of pulp necrosis (PN), pulp canal obliteration (PCO), repair-related resorption ( ... The aim of this study was to report the risk of pulp necrosis (PN), pulp canal obliteration (PCO), infection-related resorption ...
Incidence of pulp necrosis subsequent to pulp canal obliteration from trauma of permanent incisors. J Endod 1996;22:557-60. ... These 4,000 cases are now part of an extensive database covering all types of dental trauma injuries. In 2005 the Dental Trauma ... Dental Trauma Guide: a source of evidence-based treatment guidelines for dental trauma. Dent Traumatol 2012;28:345-50. ... Dental Trauma Guide: a source of evidence-based treatment guidelines for dental trauma. Dent Traumatol 2012;28:142-7. ...
... and performing trauma first aid when they occur can encourage positive oral health outcomes. ... and integrity in our mission of education supporting oral health professionals and those allied with the dental industry. ... peer-reviewed journal that reconnects practicing dental hygienists with the nations leading educators and researchers. ... Understanding the risk for traumatic dental injuries (TDIs) ... pulp necrosis, fistulas, or external inflammatory root ...
Pulp Necrosis,/span,).,span itemprop=code itemscope itemtype=,,meta itemprop=code content= ... dental trauma,/span,,/span, or ,span itemprop=cause itemscope itemtype=,,span itemprop=name ... The branch of dentistry that deals with diseases and conditions of the tooth root, dental pulp, and surrounding tissue is ... the tooth nerve and pulp are extracted and the inside of the tooth is cleaned, disinfected and sealed with care. The most ...
Pulp injury resulting in hemorrhage or necrosis in a closed canal (usually a discolored tooth) Dental trauma: tooth ... Reimplantation of avulsed or luxated tooth Dental trauma: tooth luxation/avulsion.. Advantages. *Alleviates pain and infection. ... Contra-indicated in teeth with vertical root fractures Dental trauma: root fracture. ... Endodontics Endodontics: basic is the branch of dentistry dealing with the diagnosis and treatment of diseases of the pulp. ...
However, more severe trauma will cause irreversible pulpitis, eventually leading to pulp necrosis. Because dental pulp has no ... will result in pulpitis and possibly pulp necrosis. Blunt trauma can also injure the pulp beyond its ability to heal. A tooth ... is evidence of previous trauma and hemorrhage from the pulp into the dentinal tubules. An inflamed pulp can heal after a minor ... Damage to the enamel, either through trauma or from a developmental abnormality that allows bacteria to reach the pulp, ...
... trauma, and multiple restorations would cause pulpitis and pulp necrosis, the most common types of oral diseases. Clinical ... dental follicle stem cells (5), periodontal ligament stem cells (6), dental pulp stem cells (DPSCs) (7), and dental papilla ... Differentiation potential of dental papilla, dental pulp, and apical papilla progenitor cells. J. Endod. 36, 781-789 (2010).. ... dental follicle cells) (DFCs) (32), and DPSCs (7, 11)-have been applied in dental pulp regeneration [some even in clinics (11, ...
... they may find themselves forced to deal with acute dental injuries in such situations. ... Dental trauma is relatively common and can occur secondary to falls, fights, sporting injuries, or motor vehicle accidents. ... of patients was pulp necrosis and the most frequent avulsion related complication was ankylotic root resorption seen in 50% of ... encoded search term (Management of Dental Trauma) and Management of Dental Trauma What to Read Next on Medscape. Related ...
This paper describes the various types of dental injuries that may result from motor vehicle collisions. Diagnosis, treatment ... Pulp treatment is unnecessary unless irreversible pulpitis or pulp necrosis develops. Pulp sensitivity testing (cold test or ... If pulp necrosis and infection develop, the pulp is removed from the fracture site and apexification procedures involving the ... Pulp necrosis has been reported in 43% of teeth (usually within 1 year), pulp calcification in 35% and progressive root ...
Orthodontic splinting is a simple and versatile procedure that should be considered for managing severe dental trauma in ... Potential complications include pulp necrosis, pulp canal obliteration, internal and external root resorption, cessation of ... Dental trauma is common in the pediatric population, affecting approximately 1 in 3 children.1 Trauma to the mixed dentition ... Fixed Orthodontic Appliances in the Management of Severe Dental Trauma in Mixed Dentition: A Case Report. Share on ...
The pulp has been described both as a highly resistant organ and as an organ with little resistance or recuperating ability. ... Direct invasion of pulp from caries or trauma. Microbial colonization in the pulp by blood borne microorganisms (anachoresis) ... III Necrosis. Reversible Pulpitis:. Definition:. Reversible pulpitis is a mild to moderate inflammatory condition of the pulp ... In addition certain dental procedures occasionally injure the pulp.. Accidental exposure of the pulp during excavation of ...
A nonsalvageable tooth may result from tooth decay, pulp necrosis, bone loss secondary to periodontal disease, or trauma that ... Use of Dental Forceps. The beaks of the dental forceps are inserted along the root of the tooth, parallel to the long axis. ... Use of Dental Elevator. A dental elevator is inserted perpendicularly with the concave surface facing the tooth to be removed. ... Cardiovascular Disorders Clinical Pharmacology Critical Care Medicine Dental Disorders Dermatologic Disorders Ear, Nose, and ...
Revitalization procedures in four teeth with pulp necrosis following dental trauma were performed using a standardized ... Pulp necrosis or damage to Hertwigs epithelial root sheath (HERS) leads to arrested tooth root development in immature teeth. ... Pulp necrosis can be treated by revitalization, a biology-based treatment alternative to apexification. Induction of a blood ... Traumatic impact as the cause of pulp necrosis may affect the treatment outcome negatively, depending on the severity of damage ...
Dental pulp exposure caused by carious or trauma in immature teeth always leads to necrosis and apical periodontitis. Meanwhile ... Promotion of dental pulp cell migration and pulp repair by a bioceramic putty involving FGFR-mediated signaling pathways. J ... Comparison of in vivo dental pulp responses to capping with iRoot BP Plus and mineral trioxide aggregate. Int Endod J. 2016;49: ... In vitro and in vivo evaluation of a nanoparticulate bioceramic paste for dental pulp repair. Acta Biomater. 2014;10:5156-68. ...
Direct pulp capping following carious pulp exposure. *Direct pulp capping following dental trauma injury to healthy pulp ( ... Permanent immature single-root tooth having suffered periodontal or dentoalveolar injury causing pulp necrosis with or without ... Direct pulp capping following dental trauma injury to healthy pulp, reformulated as a partial pulpotomy - children (6 to 18 ... Experimental: Direct pulp capping/dental trauma • Permanent mature or immature single-root tooth having suffered traumatic ...
Dental Trauma: as a result of pulp necrosis or internal resorption... *Enamel hypoplasia. ...
Pulp necrosis:. Pulp necrosis can be caused by mechanical, bacterial or chemical irritations. Chromogenic degradation products ... Dental trauma or removal of the pulp tissue are the most common causes of intrinsic discoloration. 19 ... Incomplete removal of pulp tissue:. The incomplete removal of the pulp tissue especially in the pulp horn area during ... After dental trauma, the intrapulpal bleeding is the most. common etiology of tooth discoloration. 1 After rupture of blood ...
Dental Pulp Capping * Dental Radiography * Dental Radiology * Dental Science * Dental Surgery * Dental Trauma ... These conditions include teeth with exposed pulp, root fracture and pulp necrosis located in the coronal part of the pulp [24- ... If the pulp vitality of a traumatized immature tooth is lost, the treatment will be a challenge, especially for pulp necrosis ... The most susceptible age to dental trauma is between 6 to 12 years [4]. Complicated crown fractures represent 18-20% of all ...
Emergency dental treatment that cannot be postponed, such as oral and maxillofacial trauma or painful exacerbations of dental ... Teeth in which the carious process has extended into the pulp and has caused irreversible inflammation or necrosis should ... Pathologic dental conditions that preclude adequate cleansing, such as periodontal disease, necrotic pulps that have caused ... National Institute of Dental and Craniofacial Research. Oral Complications of Cancer Treatment: What the Dental Team Can Do. ...
Dental trauma[seven] which can trigger staining either on account of pulp necrosis or inner resorption. Alternatively the tooth ... might turn out to be darker without pulp necrosis. Instructions change according to the toughness on the peroxide. Keep to the ... cosmetic dental implants austin. Gary L. Cash, DDS. 1500 W 38th St #48, Austin, TX 78731, USA. +1 512- ...
Stem cells taken from baby teeth were used to fix dental pulp in patients suffering from pulp necrosis. ... trauma can cut off the blood supply to a tooth and rot out the living pulp inside it; a condition called "pulp necrosis." This ... Shi of the University of Pennsylvanias School of Dental Medicine demonstrates how to repair teeth suffering from pulp necrosis ... The patients who received the stem cell treatment, called human deciduous pulp stem cell (hDPSC) treatment, had pulp tissue ...
Abstract Dental trauma in immature permanent teeth can damage pulp vascularization, which leads to necrosis and cessation of ... Dental Leakage , Lasers , Dental Porcelain , Dentin-Bonding Agents , Resin Cements , Dentin , Dental Enamel , In Vitro ... Humans , Dental Pulp/radiation effects , Fibroblasts/radiation effects , Hydrogen Peroxide/toxicity , Low-Level Light Therapy ... Therefore, LPT could be a valuable adjunct treatment in tissue engineering when using stem cells derived from the dental pulp ...
  • Potential sequelae can involve pulpal necrosis, pulp obliteration and root resorption. (
  • Pulpal necrosis and chronic and apical periodontitis with cystic changes are the most common sequelae of the dental traumatic injuries, if the teeth are not treated immediately. (
  • Dental trauma is one of the factors which is associated with disruption of blood supply to the pulp which is responsible for the occurrence of pulpal necrosis later developing into endodontic infection. (
  • In young patients with delayed treatment, the pulp may show various responses like internal resorption, dystrophic calcification, and pulpitis which may evolve into partial or total pulpal necrosis [ 3 ]. (
  • Pulp sensitivity may be negative initially indicating transient pulpal damage. (
  • In the presence of severe inflammation, focal microabscesses form and eventually coalesce leading to progressive pulpal necrosis. (
  • One key requirement of a successful restorative procedure is to cause minimal additional irritation of the pulp so as not to interfere with normal pulpal healing. (
  • The pulse oximeter also offers accurate means of monitoring pulp vitality by recording the oxygenation of pulpal flow [12]. (
  • Many risk factors have been found to affect the health of dental pulp and consequently cause pulpal infection. (
  • Endodontic treatment is a procedure that is designed to maintain the health of all or part of the pulp when the pulp is diseased or injured, thereby preserving the tooth that would have been otherwise extracted due to pulpal pathology. (
  • It frequently leads to caries, pulpal, and periodontal involvement with necrosis and loss of attachment. (
  • Endodontics is the dental specialty concerned with the prevention, diagnosis and treatment of the pulpal pathology. (
  • Of the 168 traumatized discoloured anterior teeth, 47.6% and 31.6% had partial and total obliteration of the pulp canal spaces respectively, 20.8% had pulpal necrosis. (
  • Injuries sustained during the 1st and 2nd decade of life resulted more in obliteration of the pulp canal space, while injuries sustained in the 3rd decade resulted in more pulpal necrosis. (
  • Pulpal necrosis occurred more often in traumatized teeth including fractures. (
  • Studies indicate that pulpal necrosis will develop in about 1%-16% of these [ 10 ]. (
  • While pulpal necrosis only occurs in 3% of teeth subjected to concussion [ 11 ]. (
  • Endodontic therapy is required to treat teeth with partial or complete necrosis of the pulpal tissues, typically resulting from dental trauma or infection of the pulp by cariogenic microorganisms that have penetrated through the enamel and dentin. (
  • However, dental caries and trauma are estimated to result in pulpal necrosis and tooth loss in more than 5 million children and adolescents annually in the United States alone. (
  • Dens invaginatus can also result in pulpal necrosis. (
  • Dental trauma with or without pulpal exposure is the most common cause of endodontic disease in dogs. (
  • The present case report describes an apexogenesis report of a 9-year old boy referred to department of Endodontics 4 days after an impact trauma to the maxillary right central and lateral incisor that caused a complicated crown fracture and pulpal exposure. (
  • Exposure of the pulp in this type of fracture will eventually lead to pulpal necrosis from bacterial infection, if left untreated. (
  • The purpose of this Clinical Update is to standardize terminology for the diagnoses of pulpal and periradicular tissues and to facilitate effective communication between dental officers. (
  • Teeth with total pulpal necrosis are generally asymptomatic unless the periradicular tissues become involved. (
  • The dental record entry for this pulpal diagnosis should be necrotic pulp. (
  • In rare instances, pulpal necrosis may occur in the absence of symptoms, however is almost always later accompanied by sensitivity to biting and chewing. (
  • This is why many toothaches seem to sponataneously dissappear, only to reappear at a later date, once bone inflammation which is secondary to pulpal necrosis is present. (
  • The indications, objectives, and type of pulpal therapy depend on whether the pulp is vital or nonvital, based on the clinical diagnosis of normal pulp (symptom free and normally responsive to vitality testing), reversible pulpitis (pulp is capable of healing), symptomatic or asymptomatic irreversible pulpitis (vital inflamed pulp is incapable of healing), or necrotic pulp. (
  • Repeated dental treatments, such as filling or crown replacements, thus become more detrimental to pulpal health. (
  • In his standard textbook Pathways of the Pulp , Stephen Cohen, DDS, writes at length about the vulnerability of the pulpal complex to such damage. (
  • for teeth with open apices, pulps should be extirpated when there is evidence of pulpal necrosis. (
  • in the pulpal sensitivity test with cold stimulus, there was an absence of pain, characteristic of pulp necrosis. (
  • Non-vital teeth with an open end are routinely treated in this way at Liverpool Dental Hospital. (
  • Dental trauma refers to trauma (injury) to the teeth and/or periodontium (gums, periodontal ligament , alveolar bone ), and nearby soft tissues such as the lips, tongue, etc. (
  • Trauma to primary teeth occurs most commonly at the age of 2 to 3 years, during the development of motor coordination. (
  • They demonstrated regeneration of dental pulp containing an odontoblast layer, blood vessels, and nerves in the implanted teeth and rescue of sensation to stimuli such as temperature. (
  • This work suggests that implantation of tooth stem cells can provide partial recovery of teeth injured by trauma. (
  • Pulp necrosis arrests root development in injured immature permanent teeth, which may result in tooth loss. (
  • We show that implantation of autologous tooth stem cells from deciduous teeth regenerated dental pulp with an odontoblast layer, blood vessels, and nerves in two animal models. (
  • To date, most studies have shown that, regardless of their origin in third molars, incisors, or exfoliated deciduous teeth, DPSCs can generate mineralized tissue, an extracellular matrix and structures type dentin, periodontal ligament, and dental pulp, as well as other structures. (
  • Teeth develop due to interactions between the oral ectodermal epithelial cells and MSCs, first forming the enamel organ and the second forming papilla and the dental follicle. (
  • The presence of different types of MSC populations in teeth has been described, which depending on the harvest site are called dental pulp stem cells (DPSCs), periodontal ligament stem cells (PDLSCs), apical papilla stem cells (SCAPs), dental follicle stem cells (DFSCs), and gingival tissue stem cells (GMSCs) [ 2 ], although they are generically referred to as dental stem cell (DSCs). (
  • Dental traumatic injuries may affect the teeth and alveolar bone directly or indirectly. (
  • Dental trauma may affect the teeth and alveolar bone and may involve the pulp and periodontal ligament directly or indirectly [ 2 ]. (
  • Especially, the dental traumatic injuries affecting the anterior teeth can result in pain, psychological problems, and disfigurement of the face and the untreated traumatic teeth may develop cyst like apical periodontitis [ 5 ]. (
  • His dental history revealed trauma to lower anterior teeth due to accident five years ago. (
  • They were thoroughly examined for injury/fracture to facial region as well as for dental injuries (teeth). (
  • Traumatic dental injuries (TDIs) such as subluxations of primary teeth can have significant consequences on their developing successors. (
  • Whenever treatment failed and teeth were removed they were examined at the Department of Oral Pathology at the Dental School which had strong ties to the University Hospital (the senior author having a dual appointment at both institutions). (
  • Contra-indicated in fractured deciduous teeth Dental fracture . (
  • Contra-indicated in teeth with vertical root fractures Dental trauma: root fracture . (
  • Teeth with irreversible pulpitis or pulp necrosis require either endodontic treatment (root canal therapy) or extraction. (
  • Dental trauma includes concussion, subluxation and dislocation of teeth, and fracture of teeth and maxillofacial bone, in addition to soft tissue injury that may cause ecchymosis, hematoma and laceration or abrasion. (
  • Iatrogenic dental procedures (wedging of teeth , cavity or crown preparation. (
  • The pulp may also become exposed or nearly exposed by pathologic wear of the teeth from either abrasion or attrition if secondary dentin is not deposited rapidly enough. (
  • Laser radiation sufficient to cause cavitation in teeth also causes severe degenerative changes in the pulp. (
  • Splinting is the principle method for treating dental trauma, as splinting stabilizes the traumatized teeth, maintaining them within the periodontium, precluding further trauma and facilitating periodontal healing. (
  • Tooth extraction is done using manual dental instruments, to remove nonviable, nonsalvageable teeth. (
  • In addition to caries, dental trauma is one of the most common causes of damage to permanent teeth and pulp. (
  • Pulp necrosis or damage to Hertwig's epithelial root sheath (HERS) leads to arrested tooth root development in immature teeth. (
  • Revitalization procedures in four teeth with pulp necrosis following dental trauma were performed using a standardized treatment protocol. (
  • Dental pulp exposure caused by carious or trauma in immature teeth always leads to necrosis and apical periodontitis. (
  • To describe the causes of discolored non-vital teeth, - To explain the protocol of the different bleaching procedures and the agents used for, - To report different clinical cases of discolored non-vital teeth treated in our service of Dental Medicine with internal bleaching procedures. (
  • 8 ]. Vital amputation (pulpotomy) is the treatment of choice for traumatized immature teeth with pulp exposure [ 9 , 10 ]. (
  • If the pulp vitality of a traumatized immature tooth is lost, the treatment will be a challenge, especially for pulp necrosis in teeth with inadequate radicular development due to the fact that an open apex in permanent tooth takes approximately 3 years to close after tooth eruption [ 2 , 9 , 11 - 13 ]. (
  • If the apex is not completely formed, the standard treatment option for traumatized immature permanent teeth with necrotic pulp is apexification. (
  • A new clinical trial by Yan Jin , Kun Xuan , and Bei Li of the Fourth Military Medicine University in Xi'an, China and Songtao Shi of the University of Pennsylvania's School of Dental Medicine demonstrates how to repair teeth suffering from pulp necrosis by taking stem cells from the patient's baby teeth. (
  • The patients who received the stem cell treatment, called human deciduous pulp stem cell (hDPSC) treatment, had pulp tissue taken out of one of their healthy baby teeth. (
  • The problem of how to treat adults with dental problems after they have no more baby teeth to take stem cells from still remains unsolved. (
  • Many children suffer dental injuries that can have a lasting impact later in life, often leading to the loss of permanent teeth. (
  • Abstract Dental trauma in immature permanent teeth can damage pulp vascularization, which leads to necrosis and cessation of apexogenesis. (
  • Therefore, LPT could be a valuable adjunct treatment in tissue engineering when using stem cells derived from the dental pulp of primary teeth. (
  • Teeth cleaning is an element of oral hygiene and entails the elimination of dental plaque from teeth Together with the intention of avoiding cavities (dental caries), gingivitis, and periodontal illness. (
  • Crown-fracture teeth with or without pulp exposure and associated luxation injury experience a greater frequency of pulp necrosis [7]. (
  • These injuries to the dentoalveolar complex can occur in two basic ways, first by direct trauma where a ball, stick, elbow, knee, or other sports implement directly strikes the teeth. (
  • Direct trauma injuries usually affect the maxillary anterior teeth, and the injuries most likely encountered in direct trauma are luxation injuries, tooth avulsion, and all types of dental fractures. (
  • High-velocity low-mass-type injuries such as a ball striking the teeth tend to cause damage to the dental hard tissues and less damage to the supporting structure such as the periodontal ligament (PDL) or the alveolar process. (
  • Conversely, low-velocity, high-mass-type injuries such as the teeth striking the ground or other playing surfaces tend to cause more damage to the supporting structures causing fewer dental fractures and more damage to the supporting structures leading to more luxation and avulsion injuries. (
  • Indirect trauma causes more damage to the posterior teeth than direct trauma, as well as trauma to other craniofacial structures. (
  • Immature teeth present a wide open apex that may favor revascularization and repair of the vascular bundle after trauma. (
  • In these teeth the frequency of pulp necrosis is lower (13.6%) than in teeth completely closed roots (63.1%) 3 . (
  • More recently, pulp revascularization has demonstrated promising results, with root end development in immature teeth with indication for endodontic therapy 8-10 . (
  • Endodontic treatment aims at preservation of teeth that are pulpally damaged, consequently make the teeth functional on the dental arch. (
  • Data such as age, gender, endodontically treated teeth, reasons for endodontic treatment and type of endodontic treatment given were retrieved from the patients' dental records. (
  • Dental caries and trauma were the commonest reasons for endodontic treatment in primary and permanent teeth respectively. (
  • One of the most typical emergencies in dental surgeries is trauma of teeth, especially in children. (
  • The causes for the inflammation of the dental pulp are: dental trauma, inaccurate teeth fillings or severe teeth decays. (
  • OFFICIAL BUT UNFORMATTED Guideline on Pulp Therapy for Primary and Immature Permanent Teeth Originating Committee Clinical Affairs Committee - Pulp Therapy Subcommittee Review Council, principles of techniques of cleaning rootcanals, A review on vital pulp therapy in primary teeth, Mineral Trioxide Aggregate: A Comprehensive Literature Review-Part II: Leakage and Biocompatibility Investigations. (
  • 0000004607 00000 n The recommendations given in American Academy of Pediatric Dentistry (AAPD) guidelines 2012 for pulp therapy in primary and young permanent teeth are being followed in the majority instances. (
  • ommended for teeth having received pulp therapy. (
  • 0000030633 00000 n There is a discrepancy in the choice of treatment and medications for pulp therapy primary teeth between general practitioners and pediatric dentists. (
  • However, Objectives: Vital pulp therapy (VPT) encompasses distinct treatment modalities for deep caries that approximate the pulp chamber in vital teeth. (
  • 0000049486 00000 n Teeth diagnosed A tooth without a vital pulp, however, can remain clinically with a normal pulp requiring pulp therapy or with reversible functional.1 pulpitis should be treated with vital pulp procedures.7-10 244 CLINICAL PRAC TICE GUIDELINES AMERICAN ACADEMY OF PEDIATRIC DENTISTRY Recommendations Primary teeth All relevant diagnostic information, treatment, and treatment Vital pulp therapy for … 0000006897 00000 n AAPD Clinical Guidelines 0000008496 00000 n 1. (
  • 0000022769 00000 n Continuing root development in immature teeth Continue to next evaluation Symptomatic Negative response to pulp … The first aim of this paper is to provide dental professionals caring for children and adolescents during and after the COVID-19 pandemic with a reference to international dental guidelines. (
  • Scientific literature points out that traumatic for sequelae to be diagnosed in the primary teeth involved injuries to primary teeth are among the main causes of in the trauma. (
  • These injuries prevalence traumatized teeth is extremely relevant, however, post- varies in the studies, according to Costa et al.2 the traumatic sequelae can be diagnosed even after more incidence of trauma in the primary teeth dentition is than four years of follow-up. (
  • This study sets out to document the incidence of various posttraumatic sequelae of discoloured anterior teeth among adult Nigerian dental patients. (
  • An evidence-based review of the efficacy of treatment approaches for immature permanent teeth with pulp necrosis. (
  • These goals are valid for immature teeth that have been subjected to trauma and dental caries or that are the result of developmental anomalies that expose the tooth to the risk of pulp necrosis and consequently result in the cessation of root maturation. (
  • Commonly occurring canine dental and oral lesions include: variations in number of teeth and roots, periodontal disease, endodontic disease, dental caries, dental attrition/abrasion, discolored teeth and oral masses (benign and malignant). (
  • Some fractures occur from trauma, others from grinding you teeth, and others may be the result of chewing something. (
  • Teeth alvusions is a medical/dental emergency that require prompt recognition and treatment in the emergency department. (
  • Microorganisms were isolated in 14 out of 29 (55%) intact teeth, in two cases they were verified microscopically, but did not grow iin culture and in 14 (58%) out of 24 teeth trauma was succeeded by caries or some treatment (tooth filling, canal filling or drainage). (
  • During the firs t two months after trauma in the intact teeth the only microorganism isolated by cultivation was Streptococcus pneumoniae, which leads to the conclusion that it represents a frequent cause of early pulp necrosis and periapical affection in luxated teeth. (
  • In cases where the teeth did not remain intact after trauma the microbiological finding was not so typical and it depended on the objective finding of the tooth itself. (
  • horizontal root fractures are observed in anterior teeth with direct trauma. (
  • There are several ways in which Endodontists save teeth that have infections or necrosis. (
  • Dental caries (cavities), chipped teeth, cracked dental fillings and injury to the teeth can cause damage to the dental pulp. (
  • Fractured teeth can expose the pulp. (
  • Injuries to the teeth can cause pulp damage as well, even though there are no external signs of damage to the inside of the teeth. (
  • A 32 years old, male patient had suffered subluxation of teeth 12 and 13 and coronal fracture involving enamel and dentin, as well as pulp exposition, of tooth 14 because of a motorcycle accident. (
  • The man was given dental assistance and a semi-rigid splinting of teeth numbers 12 and 13 was carried out followed by the root canal treatment in a single visit on tooth no. 14. (
  • At 30-day follow-up pulp necrosis was detected in teeth 12 and 13 and the root canal treatment was implemented. (
  • A dental avulsion occur when teeth are dislodged entirely from the socket. (
  • Dental pulp is the tissue inside the teeth, and is composed of nerves, blood vessels and specialized cells. (
  • is made on teeth that have a single dental root and a single pulp duct. (
  • The purpose of a dental treatment is to make sure that all teeth are wearing evenly and with the same amount of pressure. (
  • The American Academy of Pediatric Dentistry ( AAPD ) intends these recommendations to aid in the diagnosis of pulp health versus pathosis and to set forth the indications, objectives, and therapeutic interventions for pulp therapy in primary and immature permanent teeth. (
  • Recommendations on pulp therapy for primary and immature permanent teeth were developed by the Clinical Affairs Committee - Pulp Therapy Subcommittee and adopted in 1991. (
  • The primary objective of pulp therapy is to maintain the integrity and health of the teeth and their supporting tissues. (
  • Especially in young permanent teeth with immature roots, the pulp is integral to continue apexogenesis. (
  • In permanent teeth, electric pulp tests and thermal tests may be helpful. (
  • 3 Teeth exhibiting signs and/or symptoms such as a history of spontaneous unprovoked toothache, a sinus tract, soft tissue inflammation not resulting from gingivitis or periodontitis, excessive mobility not associated with trauma or exfoliation, furcation/apical radiolucency, or radiographic evidence of internal/external resorption have a clinical diagnosis of irreversible pulpitis or necrosis. (
  • A study reported in the Journal of Veterinary Dentistry by Dr. Fraser Hale (JVD, Vol18:1, March 2001 and the Veterinary Dental Forum in October 2001) showed that 94% of discolored teeth suffer from partial or total pulp necrosis (infected) and only 58% of those show radiographic signs of necrosis. (
  • Treatment of non-vital teeth is always necessary as the necrotic pulp becomes a source of local (periapical periodontitis or osteomyelitis) or systemic infection (heart, liver, kidneys). (
  • Treatment of discolored teeth is always centered around the non-vital pulp, which is the source of infection/inflammation and pain. (
  • All discolored teeth should be evaluated by a veterinary dental specialist as soon as it is noted. (
  • for replanted teeth with closed apices (i.e. very low chance of the pulp being revascularised) elective extirpation of the pulps should be performed within 14 days. (
  • Teeth contain a living tissue called dental pulp, enclosed within a hard, outer shell made of enamel and dentin. (
  • The dental pulp keeps the teeth alive by providing oxygen, nutrients, and the nerve supply to each tooth. (
  • Enamel and dentin are the first barriers against both bacterial infections and other trauma to the teeth, and they protect the dental pulp. (
  • Dental caries and tooth injuries are the main causes of pulp inflammation in primary teeth. (
  • CHAIRSIDE BLEACHING - chairside bleaching is method of whitening teeth done in the dental office and usually takes about 30 to 60 minutes. (
  • While baby teeth may not seem important enough for a dental procedure like this, there are valid reasons for pulpectomy. (
  • It is often the end result of many cases of dental trauma, caries and irreversible pulpitis. (
  • The pulp can respond (reversible pulpitis, irreversible pulpitis, partial necrosis, total necrosis) in a variety of ways to irritants. (
  • The main indications for RoCT are irreversible pulpitis and necrosis of the dental pulp caused by carious processes, tooth cracks or chips, or dental trauma. (
  • Damage to the enamel, either through trauma or from a developmental abnormality that allows bacteria to reach the pulp, will result in pulpitis and possibly pulp necrosis. (
  • However, more severe trauma will cause irreversible pulpitis, eventually leading to pulp necrosis. (
  • If there is generalized pulpitis, the effect can be an apparent accelerated aging of the entire tooth with an abnormally narrow root canal space and pulp chamber. (
  • Pulp treatment is unnecessary unless irreversible pulpitis or pulp necrosis develops. (
  • Pulpitis or inflammation of the pulp may be acute or chronic, partial or total, and the pulp may be infected or sterile. (
  • 2. Chronic a. asymptomatic with pulp exposure b. hyperplastic pulpitis c. (
  • Reversible pulpitis is a mild to moderate inflammatory condition of the pulp caused by noxious stimuli in which the pulp is capable of returning to the uninflamed state following removal of the stimuli. (
  • Reversible pulpitis may be caused by any agent that is capable of injuring the pulp. (
  • Inflammation of the dental pulp (pulpitis) generally presents with severe pain as toothache, which is commonly treated by either extracting the tooth or root canal treatment (RCT). (
  • Internal resorption and hyperplastic pulpitis (pulp polyp) are examples of asymptomatic irreversible pulpitis. (
  • When there is irreversible inflammation of pulp tissue(pulpitis). (
  • if obtainable, radiograph(s) to diagnose pulpitis or necrosis showing the involved tooth, furcation, periapical area, and the surrounding bone. (
  • Eventually, the blood vessels and nerves within the dental pulp experience a chronic inflammation known as pulpitis . (
  • Dental caries is the most prevalent microbial infectious disease. (
  • As the caries lesion approximates the pulp, there is acute exacerbation of the precedent chronic inflammation characterized by an influx of neutrophils [4]. (
  • Dental pulp necrosis can occur as a result of caries, trauma, and operative dental procedures and often comprises of a mixed, predominantly gram-negative, anaerobic bacterial flora [ 1 ]. (
  • Common examples of irritants are dental caries, cavity preparation procedures, traumatic injuries, and chemical substances like bleaching agents and adhesive systems. (
  • Children aged 10-13 years had the highest frequency of endodontic treatment (36.8%) and this was majorly due to dental trauma, followed by those aged 6-9 years (28.6%) who were treated mainly for dental caries. (
  • Of these factors, dental caries, periodontal disease and dental trauma have been generally reported to be the major and the commonest causes of pulp necrosis and periapical periodontitis. (
  • 2,3,4 In Nigeria, studies have shown that the commonest cause of tooth loss among children is delayed presentation of dental caries and traumatic dental injury. (
  • Dental caries is demineralization of the tooth and results in subsequent loss of tooth structure. (
  • It is usually the result of necrosis and infection of dental pulp following dental caries. (
  • If dental caries are not treated in time, the decay spreads inwards into the tooth pulp causing nerve damage. (
  • Caries, cracks, restorative procedures or trauma may cause a pulp to become inflamed. (
  • To have a closer look at caries, periodontal disease and open dental pulps one can make usage of a dental mirror and probes in various types and sizes. (
  • 3 The prevalence of gingivitis can be similar to or greater than dental caries during childhood. (
  • 1 Nevertheless, when compared to dental caries, gingivitis in children has received much less attention in understanding the long-term impact that chronic inflammation of the periodontal tissues in childhood may have on overall health of the periodontium throughout life. (
  • It is a treatment objective to maintain the vitality of the pulp of a tooth affected by caries, traumatic injury, or other causes. (
  • Tooth cavities (also called caries) and injury can destroy the hard shell of the tooth and, when the injury is deep, it can damage the pulp. (
  • Dry mouth is associated with a high number of dental caries. (
  • Radiation dental caries is a term used for rapid tooth demineralization and severe cavities that occur with head and neck radiation, particularly when the parotid, submandibular, submental, or submaxillary salivary glands are in the radiation field. (
  • There are many things that can cause these changes and the most common one is the infection of the dental pulp, or tooth nerve to be more precise, which occurs as a result of untreated caries. (
  • Sequelae of a necrotic pulp include acute apical periodontitis, dental abscess or radicular cyst and discolouration of the tooth. (
  • citation needed] Tests for a necrotic pulp include: vitality testing using a thermal test or an electric pulp tester. (
  • A necrotic pulp discontinues its normal dentin production, and thus it falls behind that of a normally maturing tooth adjacent to it or on the contralateral side. (
  • Recently, regenerative endodontics which is based on tissue engineering and root canal revascularization was introduced to overcome the limitations of apicectomy and apexification in the management of immature tooth with open apex and necrotic pulp. (
  • If the bacteria from a necrotic pulp progress into the periradicular tissues and the patient's immune response cannot defend against the invasion, the patient will demonstrate signs and symptoms of an acute periradicular abscess. (
  • A tooth with direct exposure of the pulp at a fracture site requires endodontic treatment or extraction. (
  • Except in very young animals, one of these options is indicated for every tooth in which a fracture has exposed the pulp chamber. (
  • A nonsalvageable tooth may result from tooth decay , pulp necrosis, bone loss secondary to periodontal disease , or trauma that causes tooth ischemia or fracture . (
  • 72 hours, with amelodentinal coronal fracture causing pulp exposure. (
  • Some side effects were reported like external root resorption, diminution of tooth resistance (fracture…), morphological alteration of dental hard tissues and alteration of the characteristics of dental materials. (
  • Complex dental trauma resulting from sport: crown fracture, avulsion, crown-root fracture, and soft tissue trauma. (
  • Although it is a well-known procedure, apexification also presents some disadvantages, due to the lack of patient cooperation for intracanal dressing changes, long-term weakening of the root considering the hygroscopic and proteolytic properties of calcium hydroxide, increase of fracture risk and pulp space contamination 12 . (
  • If the fracture is complicated need to determine the severity of exposure of the pulp. (
  • Similarly, if the fracture exposed the pulp was extensively proceeding with the endodontic directly. (
  • If left untreated, will always result in pulp necrosis but, if it handled correctly, prognosis of the pulp following a traumatic crown fracture can be favorable. (
  • In an Ellis class III dental fracture, exposure of the pulp's nerve endings can cause extreme pain - even if exposed only to air. (
  • The most common reason for root fractures in the permanent dentition is physical trauma caused during falls.8 Another rare type of root fracture is a vertical root fracture that extends through the long axis of the root toward the apex.RestorativeDentistry the highest chances of preservation of pulpvitality as compared to other luxation injuries. (
  • If the crack is a vertical fracture that doesn't extend beyond the visible part of your tooth, it usually won't cause you to lose a section of your tooth and expose the tooth pulp. (
  • The sooner a patient with a root fracture receives root canal therapy (also known as endodontic treatment) to prevent infection in the pulp, the less likely they are to experience necrosis that leads to tooth loss. (
  • This case report presents the successful treatment of a "trauma induced large periapical lesion in mandibular central incisors by combined nonsurgical and surgical endodontic treatment" and the case was periodically examined. (
  • Recently, Platelet-Rich Plasma (PRP) has been mentioned as a source for growth factors and potentially ideal scaffold for regenerative endodontic treatment regimens due to their recognition to maintain vitality of pulp tissues by promoting cell growth and transport of growth factors in a disinfected environment [ 13 - 16 ]. (
  • In dental trauma situations, endodontic treatment involves the use of intracanal dressing between sessions as a complementary factor to eliminate and reduce microorganisms, prevent or stabilize root resorption, induce dentin formation and periapical tissue repair 4 . (
  • This study aimed at determining the prevalence and pattern of endodontic treatment carried out at the Paediatric dental unit of the University College Hospital, Ibadan over a five-year period. (
  • We need an endodontic treatment when the dental pulp becomes inflamed. (
  • Endodontic treatment of a tooth with pulp necrosis and severe inflammatory external apical root resorption in a single session: Is it possible? (
  • This article aims to present a case of a tooth with pulp necrosis, periradicular lesion and severe inflammatory apical root resorption, where endodontic treatment was performed in a single session. (
  • In particular, it has been shown that human dental pulp stem cells (DPSCs) can generate mineralized tissue, an extracellular matrix and structures type dentin, dental pulp, and periodontal ligament in xenograft models. (
  • MSCs give rise to other components of the tooth, such as dentin, pulp, cementum, and the periodontal ligament [ 1 ]. (
  • The pulp is protected from bacteria by the impervious enamel covering the dentin of the crown. (
  • Because dental pulp has no collateral circulation, injuries heal less readily, and extravasated blood remains in the dentin, where it deteriorates rather than being removed. (
  • Throughout life, the pulp produces dentin on the inside surface of the pulp cavity, resulting in a constantly decreasing cross-sectional width of the pulp chamber in the crown and root canal in the root of the tooth. (
  • Conversely, an inflamed pulp produces dentin at an accelerated rate. (
  • Uncomplicated crown fractures may involve enamel and dentin without pulp exposure. (
  • The observations made in this study support the assumption that a separation of HERS and the cells that form pulp and dentin during tooth root development may negatively affect the outcome after a standardized revitalization procedure. (
  • Huang GT, Sonoyama W, Liu Y, Liu H, Wang S, Shi S. The hidden treasure in apical papilla: the potential role in pulp/dentin regeneration and bioroot engineering. (
  • Ca(OH) 2 is the most widely accepted material, due to its biological and antimicrobial properties, such as reparative dentin to bridge a pulp exposure, induction of hard tissue formation and ability to stimulate the formation of new bone, healing of large periradicular lesions and inhibition of root resorption [ 17 - 19 ]. (
  • The effect of chemical substances or restorative procedures on dentin and pulp is the result of a complex interaction among many factors such as, health of the underlying pulp, thickness and permeability of the intermediate dentin layer, mechanical injury during tooth preparation, toxicity of the restorative material and microleakage 2 . (
  • Several studies have defended that this procedure is innocuous to dental tissues, but there is evidence in the literature that the chemicals used for tooth bleaching have deleterious effects on the pulp-dentin complex 3 . (
  • A recent study simulated a professionally applied vital tooth bleaching procedure with 35% H2O2 bleaching gel, and showed that the diffusion of the bleaching gel components through enamel and dentin caused severe toxic effects to the cultured pulp cells 5 . (
  • Complicated crown fractures involve enamel, dentin, and pulp and occur in 0.9 to l3% of all dental injuries. (
  • The inside layer is called dentin and the pulp is soft tissue and nerve located in the root canals of each tooth. (
  • Normal dentin is composed of millions of tubules that change as you move from the periphery toward the pulp chamber. (
  • Another natural issue of concern is that, as we age, the size or volume of the pulp changes because the continued formation of secondary dentin throughout the life of the tooth gradually reduces the size of the pulp chamber and the canals in the roots. (
  • When the pet chews hard on an object or from blunt trauma to the mouth, the pulp of the tooth bleeds and stains the dentin pink initially. (
  • The structure of a tooth is similar, with a hard, outer, white casing made up of substances called enamel and dentin, and a soft inner red pulp ( Figure 1 ). (
  • The layers below the enamel are a hard layer called the dentin followed by soft tissue known as the pulp (the location of your tooth's nerves and blood vessels), according to the American Association of Endodontics (AAE) . (
  • In the initial stage of the infection, the pulp chamber is partially necrosed for a period of time and if left untreated, the area of cell death expands until the entire pulp necroses. (
  • Tetanus booster and antibiotics should be administered whenever a dental injury is at risk for infection. (
  • Failure healing in the pulp would be pulp necrosis or infection, and in the periodontal ligament, failure healing would be inflammatory resorption. (
  • If the dental pulp is exposed, as long as the infection and inflammation can be controlled, conservative therapies can promote the formation of new tertiary dentine in a stem cell-led reparative process. (
  • Among the dental trauma complications, the most common are pulp necrosis and microbial infection, which may accelerate the root resorption process 2-3 . (
  • These treatments aim at prevention of progression of infection, preservation of normal periradicular tissues and restoration of the treated tooth to its proper form and function in the dental arch. (
  • Other theories are infection, trauma and genetics as possible contributing factors [ 9 , 10 ]. (
  • A dental abscess is an infection at the base of a tooth. (
  • A dental abscess must be treated by a dentist, but some home remedies can relieve the discomfort caused by the infection. (
  • Treatment depends on the extent of the spread of dental infection. (
  • An untreated infection of the pulp can also allow the bacteria to spread systemically, allowing it to lodge in other areas of the body, including the brain. (
  • often due to infection in mastoid and frontal sinuses, to trauma, and, in the context of emergency medicine, to illicit injecting drug use. (
  • Infection of nerve tissue by the invading organism results in necrosis and liquefaction of the tissue, with edema of surrounding tissues. (
  • The combined effect of the damaging factor and a stimulating factor such as an infection, may render the self-regeneration of the periodontal tissues impossible, and result in the development of resorption, even a long time after the trauma. (
  • Without root canal treatment, the infection in the tooth pulp can result in an abscess, which in turn can cause damage to the jawbone. (
  • If a pulp is accidently opened, it must be treated and sealed to prevent infection and possible disease of the element. (
  • Infection and inflammation in the pulp can lead to the death of the tooth. (
  • The layers of tissue that make up the tooth are clearly visible, with the pink pulp standing out against the paler dentine and tooth enamel . (
  • Trauma injuries involving the alveolus can be complicated as it does not happen in isolation, very often presents along with other types of tooth tissue injuries. (
  • citation needed] The dental pulp is located in the centre of a tooth, made up of living connective tissue and cells. (
  • This tissue also becomes ischaemic which suppresses the cellular metabolism in the area of the pulp that is affected. (
  • The branch of dentistry that deals with diseases and conditions of the tooth root, dental pulp, and surrounding tissue is called Endodontics. (
  • 1-3 If the history or examination suggests hard tissue (maxilla or mandible) involvement, appropriate diagnostic imaging should be obtained: screening pantomographic view, plain films, dental imaging, conventional or cone beam computed tomography (CT). (
  • The major irritants of pulp tissue include various bacteria, trauma, dental procedures generating thermal stimulation and chemical agent. (
  • Irritation of pulp tissue results in major changes in pulp microcirculation that can lead to pulp necrosis and arrest root formation [3]. (
  • Dental trauma from sport: complex injury to the dental hard tissue, periodontal ligament, supporting bone, and the oral soft tissues. (
  • The dental pulp may be exposed to several irritants that are potentially noxious to the health and functions of this tissue. (
  • The presence of dentinal tubules within the tooth architecture could allow these free radicals to reach the pulp tissue and generate adverse effects 3-5 . (
  • It is important to monitor the vitality of the tooth in time to discard the pulp necrosis or tissue death. (
  • If this happens should perform a root canal to remove all the pulp tissue. (
  • Dens invaginatus is a developmental anomaly resulting from the invaginations of the enamel organ into the dental papilla during the soft tissue stage of development. (
  • Partial pulpotomy for traumatic exposures (Cvek pulpotomy) The partial pulpotomy for traumatic exposures is a procedure in which the inflamed pulp tissue beneath an exposure is removed to a depth of 1 to 3 mm or more to reach the deeper healthy tissue. (
  • More frequent in children as soft tissue anesthesia lasts longer than tooth pulp anesthesia. (
  • If for any reason the pulp space is exposed to the outside, the tissue becomes contaminated and eventually infected. (
  • Root canal treatment is the process of going inside the pulp space and removing the infected and dead tissue. (
  • The pulp contains the tooth connective tissue, blood vessels, and nerves. (
  • It consists of the removal of pulp tissue to maintain the tooth and its chewing function. (
  • When there is a necrosis (death) of pulp tissue. (
  • Necrosis , or lack of blood supply, then sets in, literally reducing the once vital tissues into dried tissue. (
  • The pulp is at the center, or core of the tooth, and consists of connective tissue, nerves, and blood vessels that nourish the tooth. (
  • Osteoradionecrosis (soft tissue and bone necrosis) can be spontaneous or secondary to trauma, extractions, or dental prostheses. (
  • Pulp is the soft inner material that contains connective tissue, blood vessels, and nerves. (
  • Endodontics Endodontics: basic is the branch of dentistry dealing with the diagnosis and treatment of diseases of the pulp. (
  • The word "endodontics" comes from Greek and it is formed by the joining of "endo" (inside) and "dontia" (tooth), so the endodontics concerns the treatment of the inside of the tooth, more precisely, the affections of the dental pulp. (
  • In endodontics, diagnostic procedures should follow a consistent and logical order and include review of medical and dental histories, radiographic examination and clinical examination. (
  • Our Services We are specialists in pain, endodontics, dental pulp and treatments with regard to root canal. (
  • Each patient exhibited at least two clinical signs of pulp necrosis as well as radiographic evidence of apical periodontitis. (
  • Soft tissues injuries are presented commonly in association with dental trauma. (
  • These results prompted us to enroll 40 patients with pulp necrosis after traumatic dental injuries in a randomized, controlled clinical trial. (
  • Dental traumatic injuries usually occur in 7- to 12-year-old age group and mostly due to falls and accidents near home or school. (
  • OBJECTIVE: Traumatic dental injuries often affect the dental hard tissues, periodontal tissues, and dental pulp. (
  • PURPOSE: To assess different types of dental injuries associated with facial bone fractures. (
  • RESULTS: Dental injuries were more in females than males found to be statistically significant with (p (
  • In 1962 an important decision was made at the Trauma Center, Department of Oral and Maxillofacial Surgery at the University Hospital of Copenhagen: A periodic follow-up record would be made of all patients treated for traumatic dental and maxillofacial injuries. (
  • At that time the department had the sole responsibility for treatment of traumatic dental injuries in the eastern part of Denmark with a population of close to two million inhabitants. (
  • The treatment principles followed at the time were based on the 1960 textbook "The Classification and Treatment of Traumatic Dental Injuries" , by R.G. Ellis (1) a book which relied on case reports and expert opinions. (
  • The first step to rectify this situation was to establish a classification system for dental trauma injuries covering all the possible injuries to the hard dental tissues, the periodontal tissues and the alveolar bone. (
  • Describe the prevalence of traumatic dental injuries (TDIs). (
  • 1,5,6,8,10,11,13,21 In the United States, baseball accounts for the most dental injuries experienced among those age 7 to 12, and basketball has the highest rate among those age 13 to 17. (
  • Dental injuries are unpredictable and most commonly happen in the home, with school being the second most common location. (
  • Dental trauma is relatively common and can occur secondary to falls, fights, sporting injuries, or motor vehicle accidents. (
  • Because many clinicians work in a community-based environment where there is no dentist on call for emergencies, they may find themselves forced to deal with acute dental injuries in such situations. (
  • Orofacial Injuries Due to Trauma Following Motor Vehicle Collisions: Part 1. (
  • In addition to undergoing medical evaluation and possible treatment, victims of MVCs should be investigated for possible dental, oral and jaw-related injuries. (
  • Following an MVC, a patient may be seen in a general dental practice for orofacial or dental injuries. (
  • The following are common traumatic dental injuries. (
  • The majority of these injuries occur before root formation is complete, causing in some cases pulp inflammation and necrosis , with possible impact on the quality of life of affected individuals [ 2 , 3 ]. (
  • After traumatic injuries electric and thermal pulp tests may be unreliable, only generalized impressions may be gained from these tests [10]. (
  • Dentoalveolar trauma creates complex injuries affecting multiple tissues. (
  • Based on the APPD Clinical Guidelines 2017, the panel found that the 0000009563 00000 n 0000054784 00000 n The Recommended Guidelines of the American Association of Endodontists for the Treatment of Traumatic Dental Injuries 4 Note: Pulp necrosis subsequent to trauma should be diagnosed by at least two signs or symptoms. (
  • The number, type and severity of dental injuries differ according to the age of the patient and the cause of the accident. (
  • Generally, when evaluating a tooth with endodontic and/or periapical disease, the focus should be on structural defects at its crown and root apex, the width of its pulp cavity, and the appearance of the periapical tissues. (
  • A study sought to determine whether oral cavity cancers occurred more commonly at sites of dental trauma. (
  • The study concluded that oral cavity cancers occur predominantly at sites of potential dental and denture trauma, especially in nonsmokers without other risk factors. (
  • Chemical irritants of pulp include cavity cleansers such as alcohol, chloroform and hydrogen peroxide as well as some substance in restorative materials and cavity liner [6]. (
  • The energy of impact may also determine the type and the severity of damage as a result of trauma to the oral cavity. (
  • This discolouration may be the result of obliteration of the pulp canal space, the pulp cavity being filled with dark tertiary dentine resulting in a tooth with less translucent appearance. (
  • As a temporary measure, fill a sugarless gum in the cavity or over the counter dental cements. (
  • After access cavity preparation, cervical pulpotomy was performed, and the remaining pulp was capped with mineral trioxide aggregate (MTA) cement. (
  • Damage to the pulp can be a result of a cracked tooth, a deep cavity, or trauma. (
  • When the process of growth of the tooth ends the pulp is of less importance and now its function will be to maintain a water contribution (relative to hydrogen) to the tooth that improves its physical properties and it will be the pulp that tells us when we have broken the piece or have a cavity, explains the best dentist in Pitampura . (
  • The most common reasons for a root canal treatment are bad cases of tooth decay , large fillings , dental trauma or tooth abrasion that may occur during dental treatments. (
  • They can be caused by tooth decay or trauma to the tooth, but often are "idiopathic", meaning they have no known cause. (
  • The organic matrix of dental plaque and calcified tissues undergo a series of chemical and morphological changes that lead to calcification of the dental plaque and therefore leading to the formation of calculus. (
  • Tissues get starved of oxygen thus causing venules and lymphatics collapse which may lead to localized necrosis. (
  • Following the spread of local inflammation, chemical mediators such as IL-8, IL-6 and IL-1 are released from necrotic tissues leading to further inflammation and odema, which advances to total necrosis of the pulp. (
  • An inflamed or dead pulp releases inflammatory mediators into the periradicular tissues (through furcation canals into the periodontal ligament at the furcation of a multirooted tooth, through lateral canals into the periodontal ligament at the mid-root level, and through apical foramina into the periapical tissues). (
  • Dental trauma may cause damage to the pulp and periodontal tissues 1 . (
  • As the hard tissues are formed, the invaginated enamel organ produces a small tooth within the future pulp chamber. (
  • We randomly allocated 30 patients to the human deciduous pulp stem cell (hDPSC) implantation group and 10 patients to the group receiving traditional apexification treatment. (
  • Pulp necrosis can be treated by revitalization, a biology-based treatment alternative to apexification. (
  • According to the manufacturer's instruction, the application of iRoot BP Plus includes root-end fillings, apexification, pulpotomy, and indirect or direct pulp capping. (
  • The treatment options starts from indirect pulp capping, direct pulp capping, partial pulpotomy, full pulpotomy, apex genesis, apexification and ending up with revitalization. (
  • In these situations, some types of treatment have been proposed, including apexification with periodic changes of intracanal dressing, apexification with an apical plug, and more recently pulp revascularization 5-6 . (
  • Dental plaque: Dental plaque is a clear biofilm of bacteria that naturally forms in the mouth, particularly along the gumline, and it occurs due to the normal development and defences of the immune system. (
  • The acidic by-products of fermentable carbohydrates derived from high-sugar foods contribute to greater proportions of bacteria, such as Streptococcus mutans and Lactobacillus in dental plaque. (
  • Bacteria invade the pulp which causes the root canal system to become infected. (
  • In 1894, W.D. Miller suggested that bacteria were a possible cause of inflammation in the pulp. (
  • The bacteria most often recovered from infected vital pulps are streptococci and staphylococci, but many other micro-organisms, from diphtheroids to anaerobes, have also been isolated. (
  • As a result of necrosis, the present bacteria will move towards the apical region of the tooth causing apical reactions, leading in time to bone destruction of the respective tooth zone (dental granuloma or dental cyst). (
  • Cracked dental fillings allow saliva and harmful bacteria to reach the root canal and infect the pulp. (
  • Each type of irritant or injury has different effects on the pulp, which are generally characterized by acute inflammation, chronic inflammation or necrosis. (
  • Clinical guideline on management of acute dental trauma at the National Guideline Clearinghouse. (
  • See Box 2-2 Factors associated with enamel defects Local- 1.Local acute mechanical trauma 2. (
  • Acute dental infections can occur in two basic forms - abscess and cellulitis. (
  • So, if you have a dental abscess, I know how you feel at this moment. (
  • Sometimes, a dental abscess leads to a severe headache, which makes it difficult to do something. (
  • With the home remedies you will learn in this article, you can cure dental abscess without problems. (
  • Pulp necrosis is a clinical diagnostic category indicating the death of the pulp and nerves of the pulp chamber and root canal of a tooth which may be due to bacterial sequelae, trauma and chemical or mechanical irritation. (
  • The most obvious indication of endodontic disease is a fractured tooth with exposure of the pulp chamber. (
  • If fractures are complicated you can make pulpotomies, nerve removal of the pulp chamber, in less serious cases and if this is not possible tooth extraction would take place. (
  • Partial obliteration was recorded when the pulp chamber or root canal was not discernible or reduced in size on radiographs, total obliteration was recorded when pulp chamber and root canal were not discernible. (
  • The tooth is open to remove the infected contents in the pulp chamber. (
  • The "root treatment" cleans the entire interior space of the tooth (the pulp chamber and associated channels) and seals the space with an inert rubber called gutta-percha. (
  • Radiographic analysis showed communication of the temporary restorative material with the pulp chamber, periradicular lesions in both roots, and severe inflammatory apical root resorption in the distal root (Figure 1A). (
  • A pulpectomy is removal of all the pulp from the tooth's upper chamber and the roots. (
  • A partial pulpectomy is when the dentist removes only the damaged portion of the pulp or all the pulp in the upper chamber of the tooth without touching the roots. (
  • The healing complications recognized in these clinical and radiographic follow-up examinations were pulp necrosis , pulp canal obliteration , progressive root resorption , loss of supporting bone and tooth loss . (
  • Potential complications include pulp necrosis, pulp canal obliteration, internal and external root resorption, cessation of root development, ankylosis and loss of marginal bone. (
  • It does not occur suddenly unless there has been trauma. (
  • Understanding the risk for TDIs and performing trauma first aid when they occur can encourage positive oral health outcomes. (
  • Complications in administrating dental anesthesia may occur due to preventable or unpreventable circumstances. (
  • Many dental and oral lesions occur frequently in dogs but may have a variety of presentations and treatment options. (
  • An Endodontist is a dental specialist who deals with infections that occur inside the tooth. (
  • Mild toothaches occur in each of us at some point in our lives, but normally will subside with time, as the pulp heals. (
  • Developmental abnormalities such as altered craniofacial growth and dental/tooth deformities occur with cancer treatment during developmental periods. (
  • For example, a tooth with previous pulpotomy/pulpectomy/root canal debridement or previous root canal therapy should be recorded in the dental record as a pulpless tooth. (
  • A partial pulpectomy is also called pulpotomy, or pulp therapy. (
  • Necrosis is a histological term that means death of the pulp. (
  • Intense pain is an indication of severe inflammation in the dental pulp, and eventually results in necrosis, or death of the pulp (i.e. nerve). (
  • METHOD: One hundred dentate patients were selected randomly of all age and gender who had maxillofacial trauma only and having dental injury in association with facial bones fractures were included. (
  • Most of the time, these results in coronal fractures that are easily recognizable by both the patients and their parents, and are also easy to diagnose by the dental practitioner [ 6 ]. (
  • Abstract: Tooth fractures (crown or root fractures) are commonly encountered emergencies in a dental clinic. (
  • Root fractures are defined as fractures involving the dentine, cementum and pulp. (
  • Horizontal root fractures Classification Horizontal/transverse root fractures are most commonly seen in young adults due to direct physical trauma in the anterior region. (
  • Further stages of destruction of pulp necrosis often leads to periapical pathosis, causing bone resorption (visible on radiographs) following bacterial invasion. (
  • Dental Trauma: as a result of pulp necrosis or internal resorption. (
  • Dental trauma[seven] which can trigger staining either on account of pulp necrosis or inner resorption. (
  • Nevertheless, there are situations in which pulp revascularization may not be the first choice, considering the need for rehabilitation with intracanal retainers, root resorption and possibility of complications of this little known therapy. (
  • This is because the primary pulp contains undifferentiated mesenchymal cells turn into odontoclasts which can lead to internal resorption. (
  • Pulp necrosis, root resorption (surface, inflammatory and replacement resorption), and defects in marginal periodontal bone healing are the main complications. (
  • Special attention has been paid to the cause-and-effect relationship between resorption and dental trauma. (
  • To recapitulate, resorption due to trauma frequently poses a risk of tooth loss in spite of adequate tooth treatment immediately following the trauma. (
  • Dental trauma is among the initiating factors of external resorption, as it severs the periodontal ligament. (
  • Identify the steps that lead to the success of pulp necrosis and severe inflammatory apical root resorption in a single session after a 6-month follow-up. (
  • Particularly in regards to external inflammatory apical root resorption, several studies have shown a positive correlation between this disease, pulp necrosis, and the presence of periradicular lesions (Campos, et al. (
  • However, to date, no conclusive scientific evidence has been found on required use of an intracanal medication in cases of pulp necrosis, periradicular lesion, and severe associated inflammatory apical root resorption. (
  • Root Canal Therapy (RCT) is an endodontic procedure whereby the affected pulp is removed altogether (pulpectomy), the canal cleaned and shaped and then filled with suitable materials. (
  • In the case of pulp necrosis, pulpectomy and root canal therapy should be preferred [ 12 ]. (
  • Pulpectomy is a procedure to remove all the pulp from the crown and roots of a tooth. (
  • A pulpectomy is complete removal of pulp from the crown and roots. (
  • Once the pulp is removed, as in a pulpectomy, the entire root canal system is cleaned, shaped, and filled and sealed. (
  • Pulpectomy is used to save a baby tooth that has been severely damaged by decay or trauma . (
  • 9 Thibodeau B, Trope M. Pulp revascularization of a necrotic infected immature permanent tooth: case report and review of the literature. (
  • vitality tests should be performed on a regular basis and the tooth kept under constant observation as there are high chances of re-establishment of pulp vitality via revascularization. (
  • Concerns over the cost and destructive nature of dental treatment have led to the call for novel minimally invasive, biologically based restorative solutions. (
  • the greater the number of restorative dental treatments, the greater the abuse of and trauma to the affected tooth - and the greater chance of its becoming a candidate for a root canal. (
  • As a model the WHO classification system was selected and a few missing trauma entities were added (concussion, subluxation and lateral luxation) to cover all the biologically distinguishable injury scenarios (147). (
  • Reimplantation of avulsed or luxated tooth Dental trauma: tooth luxation/avulsion . (
  • We describe a case of complex trauma to the early mixed dentition in which tooth avulsion, intrusion, extrusion and lateral luxation were managed effectively using a fixed, non-rigid orthodontic splint after treatment with a traditional wire-composite splint had failed. (
  • Intrusive luxation is the most severe type of dental injury with a complex healing sequence. (
  • A 7-year-old boy presented to a private dental practice after sustaining severe orofacial trauma 2 weeks earlier. (
  • The boy had sustained severe trauma as well as a periodontal degloving injury to the maxillary permanent incisors. (
  • It will also describe the evaluation of treatment for a severe trauma, and how imaging relates to this. (
  • However, if the bleeding is less severe, you can treat the trauma by yourself. (
  • However immature permanent tooth has considerable capacity to heal after traumatic pulp exposure, so conservative pulp therapies are important to preserve pulp vitality and allow for continued root formation. (
  • A non-invasive device which determines the pulp oxygenation level of a tooth and the vitality of a tooth using multiple-wavelength optical plethysmography. (
  • The improvisation of the treatment procedures for treating the various kind of bone defects such as, bone or dental trauma and for diseases such as osteoporosis, osteomyelitis etc., need the suitable and promising biomaterials with resemblance of bone components. (
  • After the initial injury, it may appear as a red dot at the site of the exposure if the pulp remains vital, or as a black hole if it becomes necrotic. (
  • If the treatment is being postponed, the dental pulp becomes necrotic. (
  • Over several months the pulp becomes necrotic and the animal is no longer painful until an inflammatory reaction occurs around the apex of the tooth at which time the animal becomes painful again. (
  • In some cases, the inside of the tooth (called the pulp) dies, or becomes necrotic, for no immediately apparent reason. (
  • The mesenchymal stem cells of dental pulp (DPSCs) were isolated and characterized for the first time more than a decade ago as highly clonogenic cells that were able to generate densely calcified colonies. (
  • In dentoalveolar trauma, we also identify failure healing especially when describing healing of the dental pulp and periodontal ligament. (
  • This will be done with a dental material called Mineral Trioxide Aggregate (MTA). (
  • Abstract The pulp oil of Caryocar brasiliense Camb. (
  • In these cases, the tooth requires a root canal treatment in order to prevent problems such as pain and dental abscesses from arising. (
  • During a root canal therapy , the tooth nerve and pulp are extracted and the inside of the tooth is cleaned, disinfected and sealed with care. (
  • For patients with toothache, this has resulted in a shift from invasive root-canal-treatment (RCT) toward more conservative vital-pulp-treatment (VPT) procedures, aimed to protect the pulp and harness its natural regenerative capacity. (
  • With a lot of attention and precision, our doctors can perform obturations of the root canal that can significantly increase the lifetime of the tooth after the removal of the pulp. (
  • An endodontist performs root canal treatments to treat problems related to the soft inner pulp of a tooth. (
  • If these symptoms reveal inflamed and infected pulp inside the tooth then your dentist may recommend a root canal procedure. (
  • Root canal treatment can be one of the most painless dental procedures. (
  • A root canal usually requires more than one visit to the dental office. (
  • If there is tooth sensitivity that lingers well beyond the point of stimulus (e.g. cold), exquisite sensitivity to heat, or spontaneous pain, this is strongly suggestive of irreversible inflammation of the dental pulp, or "nerve. (
  • The most common clinical signs present in a tooth with a necrosed pulp would be a grey discoloration of the crown and/or periapical radiolucency. (
  • In the 1970s and 1980s sufficient standardized data had been accumulated to enable prospective clinical trauma studies and altogether 80 publications covering all trauma entities affecting the primary as well as the permanent dentition have now been completed (2-80, 156). (
  • In the following section the volume of clinical and experimental information available for each trauma type will be described. (
  • however, currently available dental-materials are limited by non-specific action, cytotoxicity and poor clinical handling. (
  • As a part of its efforts to develop evidence-based clinical practice guidelines to support dental professionals dedicated to treating children, the American Academy of Pediatric Dentistry (AAPD) has appointed Dr. Gerald Glickman as an expert consultant to its new workgroup on Permanent Tooth Vital Pulp Therapy in Children and Adolescents. (
  • In 2005, the ADA and the FDA issued a document titled â Guidelines for Prescribing Dental Radiographs.â It is a graph of categories of patients joined to possible appropriate radiographs, along with a listing of clinical situations where radiographs might be recommended. (
  • Clinical signs of a dental problem are usually only shown when horses can no longer deal with the situation. (
  • Clinical signs of disease due to opened pulps are often not clinically visible until years later. (
  • Next to being able to have a closer look in the mouth, the dental scope allows other people to look in the mouth via a screen and also images of clinical findings can be made and saved. (
  • Endodontic disease occurs when the dental pulp (odontoblasts, fibroblasts, undifferentiated mesenchymal cells, blood vessels, and nerves in the center of the tooth) becomes infected and/or inflamed. (
  • During treatment, it is important to work carefully and controlled in order to only remove tooth material where this is needed and to prevent opening of the pulps, which contain blood vessels and nerves of the elements. (
  • The decrease in the size of the pulp is thought to be related to a reduction in the number of nerves and blood vessels. (
  • Pulp sensitivity testing (cold test or electric pulp test) should be performed 3 and 12 months after the injury and radiography at 12 months to assess calcific metamorphosis (intrapulpal calcification). (
  • A normal pulp will produce a positive response to the electric pulp tester (EPT). (
  • This information is essential as it shapes the approach used by the Dental Trauma Guide for each individual trauma entity in relation to diagnosis and treatment selection and prognosis estimation . (
  • However with early diagnosis and intervention, pulp preservation strategies promote an environment for continued dentine apposition and root formation. (
  • A retrospective diagnosis of concussion was made from patient's history of trauma to the tooth without abnormal loosening, while subluxation was made from patient's history of trauma to the tooth with abnormal loosening. (
  • The parents' awareness concerning the importance of follow-up dental appointments is vital for a timely diagnosis of potential complications. (
  • It soon became apparent from follow-up visits of trauma patients that treatment regiments based on these sources of information often led to serious healing complications. (
  • An attempt to establish a cause-effect relationship between type and extent of trauma, treatment modality, and subsequent development of complications was seriously hampered by the incomplete data present in the patient records as well as insufficient initial radiographic documentation of the extent of injury. (
  • There is a need for early presentation of dental conditions so as to reduce complications which require such endodontic treatments. (
  • Kalra S, Jain V. Dental complications and management of patients on bisphosphonate therapy: A review article. (
  • How long should we wait for a pulp extirpation after a replantation of an avulsed permanent tooth? (
  • Prolonged dental plaque accumulation on the tooth surface can lead to enamel demineralisation and formation of white spot lesions which appear as an opaque milk-coloured lesion. (
  • The periapical lesion will enlarged with time and consequently, the pulp will be diagnosed as necrotic. (
  • Além de garantir uma correta sanificação, modelagem e obturação do canal, esta técnica também permitiu a preservação da estrutura dental remanescente. (