Male patient aged 54 years old .Male patient aged 54 years old .
He complains of pain in lower firstHe complains of pain in lower first
molar teeth #19. pain started one daymolar teeth #19. pain started one day
back which is agrivated by hot or coldback which is agrivated by hot or cold
Pain killers does not relief pain.Pain killers does not relief pain.
Past medical history :Past medical history :
Chronic cough with copious sputum &Chronic cough with copious sputum &
mild dyspnea.mild dyspnea.
He take MethylxanthineHe take Methylxanthine
Hospitalization in 1995 due to carHospitalization in 1995 due to car
accident and fracture of left wrist butaccident and fracture of left wrist but
he recoverd completely.he recoverd completely.
Family history:Family history:
Father has diabetes mellitus type 2 &Father has diabetes mellitus type 2 &
mother has osteoarthritis.mother has osteoarthritis.
Psycho social History:Psycho social History:
He is novelist . He smokes 2 packet ofHe is novelist . He smokes 2 packet of
cigarettes per day for more than25cigarettes per day for more than25
Dental History:Dental History:
Amalgum restoration on tooth #19Amalgum restoration on tooth #19
since 2 years back .since 2 years back .
He has gain of wt.He has gain of wt.
What is the suspected diagnosis of theWhat is the suspected diagnosis of the
Acute or chronic pulpits.Acute or chronic pulpits.
Periodontal disease.Periodontal disease.
Periapical infection.Periapical infection.
Other lesion.Other lesion.
Diseases induced by smokingDiseases induced by smoking::
Lung cancerLung cancer
Pregnancy and smoking effectsPregnancy and smoking effects
Precancerous lesions.Precancerous lesions.
What are the types of pulpitis?What are the types of pulpitis?
Acute suppurative pulpitis.Acute suppurative pulpitis.
Acute non suppuratice .Acute non suppuratice .
Chronic pupitisChronic pupitis
Chronic hyperplastic pulpitis .Chronic hyperplastic pulpitis .
Treatment planes.Treatment planes.
Non steriods Anti-inflammatory Drugs?Non steriods Anti-inflammatory Drugs?
Side effectsSide effects
Cox1 & cox2Cox1 & cox2
Mode of action.Mode of action.
Dental management of pt takingDental management of pt taking