4 Oral Path Pulpal Disorders
Transcript of 4 Oral Path Pulpal Disorders
![Page 1: 4 Oral Path Pulpal Disorders](https://reader034.fdocuments.net/reader034/viewer/2022051614/551dd8bc49795950198b4f95/html5/thumbnails/1.jpg)
Heidi Emmerling, RDH, PhDDHYG 138 Oral Pathology
Fall 2009
![Page 2: 4 Oral Path Pulpal Disorders](https://reader034.fdocuments.net/reader034/viewer/2022051614/551dd8bc49795950198b4f95/html5/thumbnails/2.jpg)
Pulpitis (P 63 Syll)
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 2
![Page 3: 4 Oral Path Pulpal Disorders](https://reader034.fdocuments.net/reader034/viewer/2022051614/551dd8bc49795950198b4f95/html5/thumbnails/3.jpg)
General InformationIrritants:
Microorganisms
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 3
![Page 4: 4 Oral Path Pulpal Disorders](https://reader034.fdocuments.net/reader034/viewer/2022051614/551dd8bc49795950198b4f95/html5/thumbnails/4.jpg)
General InformationIrritants:
MicroorganismsTrauma
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 4
![Page 5: 4 Oral Path Pulpal Disorders](https://reader034.fdocuments.net/reader034/viewer/2022051614/551dd8bc49795950198b4f95/html5/thumbnails/5.jpg)
General InformationIrritants:
MicroorganismsTraumaIatrogenic Dentistry
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 5
![Page 6: 4 Oral Path Pulpal Disorders](https://reader034.fdocuments.net/reader034/viewer/2022051614/551dd8bc49795950198b4f95/html5/thumbnails/6.jpg)
General InformationIrritants:
MicroorganismsTraumaIatrogenicChemical
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 6
![Page 7: 4 Oral Path Pulpal Disorders](https://reader034.fdocuments.net/reader034/viewer/2022051614/551dd8bc49795950198b4f95/html5/thumbnails/7.jpg)
General InformationIrritants:
MicroorganismsTraumaIatrogenicChemicalSystemic Disorders
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 7
![Page 8: 4 Oral Path Pulpal Disorders](https://reader034.fdocuments.net/reader034/viewer/2022051614/551dd8bc49795950198b4f95/html5/thumbnails/8.jpg)
General InformationIrritants:
MicroorganismsTraumaIatrogenicChemicalSystemic Disorders
Diabetes
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 8
![Page 9: 4 Oral Path Pulpal Disorders](https://reader034.fdocuments.net/reader034/viewer/2022051614/551dd8bc49795950198b4f95/html5/thumbnails/9.jpg)
General InformationIrritants:
MicroorganismsTraumaIatrogenicChemicalSystemic Disorders
DiabetesSickle Cell Anemia
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 9
![Page 10: 4 Oral Path Pulpal Disorders](https://reader034.fdocuments.net/reader034/viewer/2022051614/551dd8bc49795950198b4f95/html5/thumbnails/10.jpg)
Hyperemia SymptomsPain (Temp and
Sweet/Sour)Usually sharp pain
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 10
![Page 11: 4 Oral Path Pulpal Disorders](https://reader034.fdocuments.net/reader034/viewer/2022051614/551dd8bc49795950198b4f95/html5/thumbnails/11.jpg)
Hyperemia SymptomsPain (Temp and
Sweet/Sour)X-Rays (Normal
w/poss caries)
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 11
![Page 12: 4 Oral Path Pulpal Disorders](https://reader034.fdocuments.net/reader034/viewer/2022051614/551dd8bc49795950198b4f95/html5/thumbnails/12.jpg)
Hyperemia SymptomsPain (Temp and
Sweet/Sour)X-Rays (Normal w/poss
cariesVitality Test (Readings
Lower than Normal)
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 12
![Page 13: 4 Oral Path Pulpal Disorders](https://reader034.fdocuments.net/reader034/viewer/2022051614/551dd8bc49795950198b4f95/html5/thumbnails/13.jpg)
Hyperemia SymptomsPain (Temp and
Sweet/Sour)X-Rays (Normal w/poss
cariesVitality Test (Readings
Lower than Normal)Pain after irritant is
removed?
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 13
![Page 14: 4 Oral Path Pulpal Disorders](https://reader034.fdocuments.net/reader034/viewer/2022051614/551dd8bc49795950198b4f95/html5/thumbnails/14.jpg)
Hyperemia SymptomsPain (Temp and
Sweet/Sour)X-Rays (Normal w/poss
cariesVitality Test (Readings
Lower than Normal)Pain after irritant is
removed? It’s Ser(i)ous
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 14
![Page 15: 4 Oral Path Pulpal Disorders](https://reader034.fdocuments.net/reader034/viewer/2022051614/551dd8bc49795950198b4f95/html5/thumbnails/15.jpg)
Acute Serous PulpitisSame as Hyperemia except more…
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 15
![Page 16: 4 Oral Path Pulpal Disorders](https://reader034.fdocuments.net/reader034/viewer/2022051614/551dd8bc49795950198b4f95/html5/thumbnails/16.jpg)
Acute Serous PulpitisSame as Hyperemia except more
Severe
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 16
![Page 17: 4 Oral Path Pulpal Disorders](https://reader034.fdocuments.net/reader034/viewer/2022051614/551dd8bc49795950198b4f95/html5/thumbnails/17.jpg)
Acute Serous PulpitisSame as Hyperemia except more
SevereProlonged
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 17
![Page 18: 4 Oral Path Pulpal Disorders](https://reader034.fdocuments.net/reader034/viewer/2022051614/551dd8bc49795950198b4f95/html5/thumbnails/18.jpg)
Acute Supportive Pulpitis
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 18
![Page 19: 4 Oral Path Pulpal Disorders](https://reader034.fdocuments.net/reader034/viewer/2022051614/551dd8bc49795950198b4f95/html5/thumbnails/19.jpg)
Acute Supportive PulpitisPP= PM PainUsually more of a dull ache than Serous
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 19
![Page 20: 4 Oral Path Pulpal Disorders](https://reader034.fdocuments.net/reader034/viewer/2022051614/551dd8bc49795950198b4f95/html5/thumbnails/20.jpg)
Acute Supportive PulpitisX-Rays
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 20
![Page 21: 4 Oral Path Pulpal Disorders](https://reader034.fdocuments.net/reader034/viewer/2022051614/551dd8bc49795950198b4f95/html5/thumbnails/21.jpg)
Acute Supportive PulpitisX-Rays
Everything Appears Normal (Caries)
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 21
![Page 22: 4 Oral Path Pulpal Disorders](https://reader034.fdocuments.net/reader034/viewer/2022051614/551dd8bc49795950198b4f95/html5/thumbnails/22.jpg)
Vitality Tests ComparisonSupportive SerousPercussionEPT Ice Heat
PercussionEPTIce Heat
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 22
![Page 23: 4 Oral Path Pulpal Disorders](https://reader034.fdocuments.net/reader034/viewer/2022051614/551dd8bc49795950198b4f95/html5/thumbnails/23.jpg)
Vitality Tests Comparison P 65 Syll)
Supporative SerousPercussion Tender Percussion Tender
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 23
![Page 24: 4 Oral Path Pulpal Disorders](https://reader034.fdocuments.net/reader034/viewer/2022051614/551dd8bc49795950198b4f95/html5/thumbnails/24.jpg)
Vitality Tests ComparisonSupporative SerousPercussion TenderEPT Exaggerated or
No Response
Percussion TenderEPT Exaggerated
(low number)
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 24
![Page 25: 4 Oral Path Pulpal Disorders](https://reader034.fdocuments.net/reader034/viewer/2022051614/551dd8bc49795950198b4f95/html5/thumbnails/25.jpg)
Vitality Tests ComparisonSupporative SerousPercussion TenderEPT Exaggerated or
No ResponseIce Relieves Pain
Percussion TenderEPT Exaggerated
(low number)Ice: Quick Pain
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 25
![Page 26: 4 Oral Path Pulpal Disorders](https://reader034.fdocuments.net/reader034/viewer/2022051614/551dd8bc49795950198b4f95/html5/thumbnails/26.jpg)
Vitality Tests ComparisonSupportive SerousPercussion TenderEPT Exaggerated or
No ResponseIce Relieves PainHeat Increases Pain
Percussion TenderEPT Exaggerated
(low number)Ice: Quick Pain Heat: No Response
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 26
![Page 27: 4 Oral Path Pulpal Disorders](https://reader034.fdocuments.net/reader034/viewer/2022051614/551dd8bc49795950198b4f95/html5/thumbnails/27.jpg)
Chronic PulpitisSymptoms:
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 27
![Page 28: 4 Oral Path Pulpal Disorders](https://reader034.fdocuments.net/reader034/viewer/2022051614/551dd8bc49795950198b4f95/html5/thumbnails/28.jpg)
Chronic PulpitisSymptoms:
Usually asymptomatic w/occasional sharp pain
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 28
![Page 29: 4 Oral Path Pulpal Disorders](https://reader034.fdocuments.net/reader034/viewer/2022051614/551dd8bc49795950198b4f95/html5/thumbnails/29.jpg)
Chronic PulpitisX-Rays:
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 29
![Page 30: 4 Oral Path Pulpal Disorders](https://reader034.fdocuments.net/reader034/viewer/2022051614/551dd8bc49795950198b4f95/html5/thumbnails/30.jpg)
Chronic PulpitisX-Rays:
Either Negative or Radiolucency at Apex, Depending on Stage of Pulpitis
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 30
![Page 31: 4 Oral Path Pulpal Disorders](https://reader034.fdocuments.net/reader034/viewer/2022051614/551dd8bc49795950198b4f95/html5/thumbnails/31.jpg)
Chronic PulpitisVitality Tests
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 31
![Page 32: 4 Oral Path Pulpal Disorders](https://reader034.fdocuments.net/reader034/viewer/2022051614/551dd8bc49795950198b4f95/html5/thumbnails/32.jpg)
Chronic PulpitisVitality Tests
Usually Negative
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 32
![Page 33: 4 Oral Path Pulpal Disorders](https://reader034.fdocuments.net/reader034/viewer/2022051614/551dd8bc49795950198b4f95/html5/thumbnails/33.jpg)
Chronic PulpitisTreatment
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 33
![Page 34: 4 Oral Path Pulpal Disorders](https://reader034.fdocuments.net/reader034/viewer/2022051614/551dd8bc49795950198b4f95/html5/thumbnails/34.jpg)
Chronic PulpitisTreatment
RCT
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 34
![Page 35: 4 Oral Path Pulpal Disorders](https://reader034.fdocuments.net/reader034/viewer/2022051614/551dd8bc49795950198b4f95/html5/thumbnails/35.jpg)
Pulp Stones
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 35
![Page 36: 4 Oral Path Pulpal Disorders](https://reader034.fdocuments.net/reader034/viewer/2022051614/551dd8bc49795950198b4f95/html5/thumbnails/36.jpg)
Pulp Polyp
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 36
![Page 37: 4 Oral Path Pulpal Disorders](https://reader034.fdocuments.net/reader034/viewer/2022051614/551dd8bc49795950198b4f95/html5/thumbnails/37.jpg)
Sequelea to PulpitisPeriapical Abscess
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 37
![Page 38: 4 Oral Path Pulpal Disorders](https://reader034.fdocuments.net/reader034/viewer/2022051614/551dd8bc49795950198b4f95/html5/thumbnails/38.jpg)
Sequelea to PulpitisPeriapical AbscessPeriapical Granuloma
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 38
![Page 39: 4 Oral Path Pulpal Disorders](https://reader034.fdocuments.net/reader034/viewer/2022051614/551dd8bc49795950198b4f95/html5/thumbnails/39.jpg)
Sequelea to PulpitisPeriapical AbscessPeriapical GranulomaRadicular Cyst
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 39
![Page 40: 4 Oral Path Pulpal Disorders](https://reader034.fdocuments.net/reader034/viewer/2022051614/551dd8bc49795950198b4f95/html5/thumbnails/40.jpg)
Sequelea to PulpitisPeriapical AbscessPeriapical GranulomaRadicular CystTooth Resorption (P 67 Syll)
External (Outside)
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 40
![Page 41: 4 Oral Path Pulpal Disorders](https://reader034.fdocuments.net/reader034/viewer/2022051614/551dd8bc49795950198b4f95/html5/thumbnails/41.jpg)
Sequelea to PulpitisPeriapical AbscessPeriapical GranulomaRadicular CystTooth Resorption (P 67 Syll)
External (Outside)Internal (Inside)
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 41
![Page 42: 4 Oral Path Pulpal Disorders](https://reader034.fdocuments.net/reader034/viewer/2022051614/551dd8bc49795950198b4f95/html5/thumbnails/42.jpg)
Sequelea to PulpitisPeriapical AbscessPeriapical GranulomaRadicular CystTooth Resorption (P 67
Syll)Condensing Osteitis
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 42