This document discusses diseases of the dental pulp and surrounding tissues. It begins by describing the structure and function of normal pulp, then discusses causes and pathways of bacterial invasion which can lead to pulpal diseases. Reversible and irreversible pulpitis are summarized, as well as other pulpal conditions like necrosis, degeneration, and hyperplastic pulpitis. Diseases of the periradicular tissues are also covered, including acute apical periodontitis, granulomas, cysts, condensing osteitis, and external root resorption. Non-odontogenic lesions of the periradicular tissues are also mentioned.
This seminar contains a brief introduction followed by objectives of bahavior management,various definitions,classification,pedodontic triangle,parenting types,Non-pharmacological methods of behavior management in detail with modifications followed by conclusion.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Anomalies of tooth formation and eruption, MISSING TEETH, EXTRA TEETH, ABNORMALITY OF TOOTH SIZE, Crown size, Root size, Abnormality of crown form, ABNORMALITY OF ROOT FORM, All tissues, Cementum defects, Dentine defects, enamel defects, DISTURBANCES OF ERUPTION & EXFOLIATION,
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
This seminar contains a brief introduction followed by objectives of bahavior management,various definitions,classification,pedodontic triangle,parenting types,Non-pharmacological methods of behavior management in detail with modifications followed by conclusion.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Anomalies of tooth formation and eruption, MISSING TEETH, EXTRA TEETH, ABNORMALITY OF TOOTH SIZE, Crown size, Root size, Abnormality of crown form, ABNORMALITY OF ROOT FORM, All tissues, Cementum defects, Dentine defects, enamel defects, DISTURBANCES OF ERUPTION & EXFOLIATION,
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Physio of stomatognathic system /certified fixed orthodontic courses by Indi...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
General anesthesia in pediatric dentistry , Kids DentistryDr. Rajat Sachdeva
To keep your child safe and comfortable during a dental procedure, your child’s dentist might decide to use general anesthesia in the operating room. General anesthesia also may be used if your child needs extensive or complicated procedures that will take a long time to complete, or needs several procedures done all at the same time.
For more information contact :-
Dr Sachdeva's Dental Aesthetic And Implant Institute,
I 101, Ashok Vihar Phase 1, Delhi- 110052
Contact us at
• Phone : +919818894041,01142464041
• Our Websites:
• www.sachdevadentalcare.com
• www.dentalclinicindelhi.com
• www.dentalimplantindia.co.in
• www.dentalcoursesdelhi.com
• www.facialaestheticsdelhi.com
• Google+ link: https://goo.gl/vqAmvr
• Facebook link: https://goo.gl/tui98A
• Youtube link: https://goo.gl/mk7jfm
• Linkedin link: https://goo.gl/PrPgpB
• Slideshare link : http://goo.gl/0HY6ep
• Twitter Page : https://goo.gl/tohkcI
• Instagram page : https://goo.gl/OOGVig
Is a phenomenon of reflex sequence of muscle contractions that propels the ingested materials and pooled saliva from the mouth to the stomach.
PATTERNS
Infantile (visceral) swallow
Adult/mature swallow
ADULT SWALLOWING
Is composed of 4 stages
Voluntary
Preparatory phase
Oral or buccal
Involuntary: Controlled By Medulla and Lower Pons
Pharyngeal
b. Oesophageal
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Normal Pulp
Reversible Pulpitis (Hyperaemia Of Pulp)
Symptomatic Irreversible Pulpitis
Total Necrosis Of Pulp
Suppurative Pulpitis
Apical Periodontitis Of Vital Teeth
Apical Periodontitis Of Non Vital Teeth
Acute Apical Abscess Relieved By Clenching Of Teeth
Chronic Apical Abscess
This presentation contains the detailed description about the courses, branches and supply of the Trigeminal Nerve, contains variations of maxillary nerve & Mandibular Nerve, and the detail about trigeminal Neurolgia and its managements
Physio of stomatognathic system /certified fixed orthodontic courses by Indi...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
General anesthesia in pediatric dentistry , Kids DentistryDr. Rajat Sachdeva
To keep your child safe and comfortable during a dental procedure, your child’s dentist might decide to use general anesthesia in the operating room. General anesthesia also may be used if your child needs extensive or complicated procedures that will take a long time to complete, or needs several procedures done all at the same time.
For more information contact :-
Dr Sachdeva's Dental Aesthetic And Implant Institute,
I 101, Ashok Vihar Phase 1, Delhi- 110052
Contact us at
• Phone : +919818894041,01142464041
• Our Websites:
• www.sachdevadentalcare.com
• www.dentalclinicindelhi.com
• www.dentalimplantindia.co.in
• www.dentalcoursesdelhi.com
• www.facialaestheticsdelhi.com
• Google+ link: https://goo.gl/vqAmvr
• Facebook link: https://goo.gl/tui98A
• Youtube link: https://goo.gl/mk7jfm
• Linkedin link: https://goo.gl/PrPgpB
• Slideshare link : http://goo.gl/0HY6ep
• Twitter Page : https://goo.gl/tohkcI
• Instagram page : https://goo.gl/OOGVig
Is a phenomenon of reflex sequence of muscle contractions that propels the ingested materials and pooled saliva from the mouth to the stomach.
PATTERNS
Infantile (visceral) swallow
Adult/mature swallow
ADULT SWALLOWING
Is composed of 4 stages
Voluntary
Preparatory phase
Oral or buccal
Involuntary: Controlled By Medulla and Lower Pons
Pharyngeal
b. Oesophageal
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Normal Pulp
Reversible Pulpitis (Hyperaemia Of Pulp)
Symptomatic Irreversible Pulpitis
Total Necrosis Of Pulp
Suppurative Pulpitis
Apical Periodontitis Of Vital Teeth
Apical Periodontitis Of Non Vital Teeth
Acute Apical Abscess Relieved By Clenching Of Teeth
Chronic Apical Abscess
This presentation contains the detailed description about the courses, branches and supply of the Trigeminal Nerve, contains variations of maxillary nerve & Mandibular Nerve, and the detail about trigeminal Neurolgia and its managements
In this presentation, it describes about the periapical diseases, for dental students.
very useful for endodontic purpose.
remember it does not include the pulpal diseases.
Seminar of U.V. Spectroscopy by SAMIR PANDASAMIR PANDA
Spectroscopy is a branch of science dealing the study of interaction of electromagnetic radiation with matter.
Ultraviolet-visible spectroscopy refers to absorption spectroscopy or reflect spectroscopy in the UV-VIS spectral region.
Ultraviolet-visible spectroscopy is an analytical method that can measure the amount of light received by the analyte.
THE IMPORTANCE OF MARTIAN ATMOSPHERE SAMPLE RETURN.Sérgio Sacani
The return of a sample of near-surface atmosphere from Mars would facilitate answers to several first-order science questions surrounding the formation and evolution of the planet. One of the important aspects of terrestrial planet formation in general is the role that primary atmospheres played in influencing the chemistry and structure of the planets and their antecedents. Studies of the martian atmosphere can be used to investigate the role of a primary atmosphere in its history. Atmosphere samples would also inform our understanding of the near-surface chemistry of the planet, and ultimately the prospects for life. High-precision isotopic analyses of constituent gases are needed to address these questions, requiring that the analyses are made on returned samples rather than in situ.
Richard's entangled aventures in wonderlandRichard Gill
Since the loophole-free Bell experiments of 2020 and the Nobel prizes in physics of 2022, critics of Bell's work have retreated to the fortress of super-determinism. Now, super-determinism is a derogatory word - it just means "determinism". Palmer, Hance and Hossenfelder argue that quantum mechanics and determinism are not incompatible, using a sophisticated mathematical construction based on a subtle thinning of allowed states and measurements in quantum mechanics, such that what is left appears to make Bell's argument fail, without altering the empirical predictions of quantum mechanics. I think however that it is a smoke screen, and the slogan "lost in math" comes to my mind. I will discuss some other recent disproofs of Bell's theorem using the language of causality based on causal graphs. Causal thinking is also central to law and justice. I will mention surprising connections to my work on serial killer nurse cases, in particular the Dutch case of Lucia de Berk and the current UK case of Lucy Letby.
Multi-source connectivity as the driver of solar wind variability in the heli...Sérgio Sacani
The ambient solar wind that flls the heliosphere originates from multiple
sources in the solar corona and is highly structured. It is often described
as high-speed, relatively homogeneous, plasma streams from coronal
holes and slow-speed, highly variable, streams whose source regions are
under debate. A key goal of ESA/NASA’s Solar Orbiter mission is to identify
solar wind sources and understand what drives the complexity seen in the
heliosphere. By combining magnetic feld modelling and spectroscopic
techniques with high-resolution observations and measurements, we show
that the solar wind variability detected in situ by Solar Orbiter in March
2022 is driven by spatio-temporal changes in the magnetic connectivity to
multiple sources in the solar atmosphere. The magnetic feld footpoints
connected to the spacecraft moved from the boundaries of a coronal hole
to one active region (12961) and then across to another region (12957). This
is refected in the in situ measurements, which show the transition from fast
to highly Alfvénic then to slow solar wind that is disrupted by the arrival of
a coronal mass ejection. Our results describe solar wind variability at 0.5 au
but are applicable to near-Earth observatories.
Comparing Evolved Extractive Text Summary Scores of Bidirectional Encoder Rep...University of Maribor
Slides from:
11th International Conference on Electrical, Electronics and Computer Engineering (IcETRAN), Niš, 3-6 June 2024
Track: Artificial Intelligence
https://www.etran.rs/2024/en/home-english/
Professional air quality monitoring systems provide immediate, on-site data for analysis, compliance, and decision-making.
Monitor common gases, weather parameters, particulates.
(May 29th, 2024) Advancements in Intravital Microscopy- Insights for Preclini...Scintica Instrumentation
Intravital microscopy (IVM) is a powerful tool utilized to study cellular behavior over time and space in vivo. Much of our understanding of cell biology has been accomplished using various in vitro and ex vivo methods; however, these studies do not necessarily reflect the natural dynamics of biological processes. Unlike traditional cell culture or fixed tissue imaging, IVM allows for the ultra-fast high-resolution imaging of cellular processes over time and space and were studied in its natural environment. Real-time visualization of biological processes in the context of an intact organism helps maintain physiological relevance and provide insights into the progression of disease, response to treatments or developmental processes.
In this webinar we give an overview of advanced applications of the IVM system in preclinical research. IVIM technology is a provider of all-in-one intravital microscopy systems and solutions optimized for in vivo imaging of live animal models at sub-micron resolution. The system’s unique features and user-friendly software enables researchers to probe fast dynamic biological processes such as immune cell tracking, cell-cell interaction as well as vascularization and tumor metastasis with exceptional detail. This webinar will also give an overview of IVM being utilized in drug development, offering a view into the intricate interaction between drugs/nanoparticles and tissues in vivo and allows for the evaluation of therapeutic intervention in a variety of tissues and organs. This interdisciplinary collaboration continues to drive the advancements of novel therapeutic strategies.
Earliest Galaxies in the JADES Origins Field: Luminosity Function and Cosmic ...Sérgio Sacani
We characterize the earliest galaxy population in the JADES Origins Field (JOF), the deepest
imaging field observed with JWST. We make use of the ancillary Hubble optical images (5 filters
spanning 0.4−0.9µm) and novel JWST images with 14 filters spanning 0.8−5µm, including 7 mediumband filters, and reaching total exposure times of up to 46 hours per filter. We combine all our data
at > 2.3µm to construct an ultradeep image, reaching as deep as ≈ 31.4 AB mag in the stack and
30.3-31.0 AB mag (5σ, r = 0.1” circular aperture) in individual filters. We measure photometric
redshifts and use robust selection criteria to identify a sample of eight galaxy candidates at redshifts
z = 11.5 − 15. These objects show compact half-light radii of R1/2 ∼ 50 − 200pc, stellar masses of
M⋆ ∼ 107−108M⊙, and star-formation rates of SFR ∼ 0.1−1 M⊙ yr−1
. Our search finds no candidates
at 15 < z < 20, placing upper limits at these redshifts. We develop a forward modeling approach to
infer the properties of the evolving luminosity function without binning in redshift or luminosity that
marginalizes over the photometric redshift uncertainty of our candidate galaxies and incorporates the
impact of non-detections. We find a z = 12 luminosity function in good agreement with prior results,
and that the luminosity function normalization and UV luminosity density decline by a factor of ∼ 2.5
from z = 12 to z = 14. We discuss the possible implications of our results in the context of theoretical
models for evolution of the dark matter halo mass function.
3. DISEASES OF DENTAL PULP
• INTRODUCTION
• CAUSES OF PULPAL DISEASES
• PATHWAYS OF BACTERIAL INVASION
OF PULP
• REACTION OF PULP TO INVASION
• CLASSIFICATION OF PULPAL
DISEASES
4. INTRODUCTION
• Pulp is the formative organ of tooth
• The pulp responses to heat and cold stimuli
which are perceived as pain. Pulp can tolerate
temperatures between 60°f and 130°f.
• A normal pulp is asymptomatic within normal
limits and produces a mild to moderate transient
responses to thermal and electrical stimuli, when
stimulus is removed the pain subsides almost
immediately.
• Radiographs show an intact lamina dura.
5. PATHWAYS OF BACTERIAL
INVASION OF PULP
A) Direct invasion by way of the dentin such as
• Caries
• Fracture of crown or root
• Exposure during cavity preparation
• Attrition, abrasion ,erosion
• Crack in crown
B) Invasion through open blood vessels or lymphatics –
periodontal diseases, an accessory canal in furcation
area, gingival infection.
C) Invasion trough blood such as during infectious
diseases or transient bacteremia.
7. REVERSIBLE PULPITIS
• Definition:
Reversible pulpitis is a mild to
moderate inflammatory condition of pulp caused
by noxious stimuli in which the pulp is capable of
returning to un inflamed state following removal
of stimulus.
• Histopathology:
Reparative dentine, disruption of
odontoblastic layer, dilated blood vessels,
extravasations of oedema fluid ,chronic
inflammatory cells.
8. • Cause:
Trauma
Disturbed Occlusal relationship
Thermal shock
Overheating during polishing a filling
Excessive dehydration of a cavity
• Symptoms:
Sharp pain lasting for a moment which is
mainly caused by cold beverages than hot
foods.
9. • Diagnosis:
By the study of patients symptoms and
by clinical tests, pain is sharp, lasts for few
seconds and disappears when stimulus is
removed.
• Differential diagnosis:
Irreversible pulpitis.
• Treatment:
Periodic care to prevent development of
caries, early insertion of filling, desensitization of
necks of teeth, use of cavity varnish or base.
10. IRREVERSIBLE PULPITIS
• Definition:
Irreversible pulpitis is a persistent
inflammatory condition of pulp,
symptomatic or asymptomatic caused by a
noxious stimulus.
• Cause:
Caries
Chemical ,thermal or mechanical irritation
11. • Histopathology :
Microscopically we can see
Areas of abscesses
Zone of necrotic tissue
Micro organisms
Lymphocytes
Plasma cells
Macrophages
12. Symptoms:
• A paroxysm of pain is caused by sudden
temperature change, pressure from packing
foods into a cavity .
• Pain continues on removal of cause has been
removed.
• Pain comes spontaneously without apparent
cause.
• Pain is of sharp piercing type. it may be
continuous or intermittent.
• Change of position may increase intra pulpal
pressure which may exacerbate the pain.
14. CHRONIC HYPERPLASTIC
PULPITIS
Definition:
Chronic hyperplastic pulpitis or pulp polyp is a
productive pulpal inflammation due to an extensive
carious exposure of a pulp.
Histopathology:
It consists of granulation tissue and is covered by
stratified squamous epithelium. Polymorphonuclear
neutrophils. lymphocytes, and plasma cells are also
seen.
15. Cause:
• Slow ,progressive carious exposure of the
pulp is the cause.
Symptoms:
• This condition is symptom less, except
during mastication when pressure of food
bolus may cause discomfort.
16.
17. Diagnosis:
Fleshy reddish pulpal mass fills
most of pulp chamber or extends beyond
the confines of tooth .This is characteristic
feature of pulp polyp which is seen mostly
in teeth of children ad young adults .
Radiographs show a large open
cavity with direct access to pulp.
More current than normal is required
to elicit response by means of electric pulp
tester.
19. INTERNAL RESORPTION
Definition:
Internal resorption is an idiopathic
slow or fast progressive resorptive process
occurring in the dentin of the pulp chamber
or root canals of the teeth.
Cause:
Cause is not known.
Often history of trauma present.
20. Histopathology:
Resorptive process leads to lacunae
formation which may be filled with
• Osteoid tissue
• Granulation tissue is present
• Multinucleated giant cells
• Metaplasia of the pulp is also seen.
Symptoms:
Internal resorption in root is asymptomatic.
In crown it is seen as pink spot.
21. .
Diagnosis:
Internal resorptions are usually diagnosed during
routine radiographic examination.
Radiographically there will be a change in the wall of
root canal or pulp chamber with a round or ovoid
radiolucent area .
Differential diagnosis:
External root resorption.
Treatment:
Extirpation of pulp.
Routine endodontic treatment.
Obturation with plasticized guttapercha technique.
22.
23. PULP DEGENERATION
• It seen mostly in older people.
Symptoms:
• Early stages of pulpal degenerations are
clinically asymptomatic.
• In later stages tooth becomes discolored
and pulp will not respond to stimulation.
24. Cause:
• Persistent and mild irritation in the younger
people.
• The various pulpal degenerations are:
Calcific degeneration
Atrophic degeneration
Fibrous degeneration
25. • Calcific degeneration:
In calcific degeneration part of pulp tissue
is replaced by calcific material, that is pulp
stones or denticles are formed.
• Atrophic degeneration:
In atrophic degeneration fewer stellate
cells are present in pulp and intercellular fluid is
increased.
• Fibrous degeneration:
In this type of degeneration pulp is
characterized by replacement of cellular
elements y fibrous connective tissue
27. NECROSIS OF PULP
Definition:
Necrosis is death of the pulp.
• It may be partial or total, depending on
whether part of or entire pulp is involved.
Cause:
Caused by any noxious insult injurious
to the pulp.
28. • Necrosis is of 3 types -
Coagulation necrosis
Liquefaction necrosis
Cessation necrosis
Symptoms:
• Discoloration of teeth-Greyish or brownish
discoloration.
• No painful symptoms.
• Partial necrosis responds to thermal changes.
29. Diagnosis:
• Radiograph shows thickening of periodontal
ligament.
• Necrosed pulp does not respond to thermal test
Histopathology:
• Necrotic pulp tissue
• Cellular debris
• Microorganisms
Treatment:
• Endodontic treatment
31. INTRODUCTION
• Because of the relationship between the pulp and the
periradicular tissues, pulpal inflammation causes
inflammatory changes in the periodontal ligament even
before the pulp becomes totally necrotic.
• Bacteria and their toxins reach periradicular tissues from
pulp through various foramina of root canals and give
rise to inflammatory changes.
• Various other causes which lead to periradicular
diseases -
Neoplastic disorders
Periodontal conditions
Developmental factors
Trauma
32. CLASSIFICATION:
1)Acute periradicular disease
• Acute alveolar abscess
• Acute apical periodontitis
• Vital
• Non vital
2)Chronic periradicular diseases with areas of rarefaction
• Chronic alveolar abscess
• Granuloma
• Cyst
3)Condensing osteitis
4)External root resorption
5)Diseases of the periradicular tissues of non odontogenic
origin
33. ACUTE ALVEOLAR ABSCESS
• Synonyms:
Acute abscess, acute apical abscess, acute
dentoalveolar abscess, acute periapical
abscess, acute radicular abscess.
• Definition:
It is a localized collection of pus in the
alveolar bone at the apex of tooth following
death of pulp with extension of infection trough
the apical foramen into periradicular tissues.
34. • Cause:
Trauma
Chemical or mechanical irritation
Symptoms:
• First mere tenderness of tooth that may be
relieved by continued slight pressure on the
extruded tooth to push it back into alveolus.
• Later severe throbbing pain with swelling seen
on adjacent tissues near the affected tooth.
• Temperature raise will be present.
35. Diagnosis:
• By clinical examination and history given by
patient.
• Radiographs may show a cavity , defective
restoration .
• Thickened periodontal ligament
• Does not show any alveolar bone changes
• Evidence of breakdown of bone in the region of
root apex.
• Does not respond to electric or thermal test
• Tooth is not tender on percussion
• Tooth is mobile or extruded.
36.
37. Differential diagnosis:
Periodontal abscess
Irreversible pulpitis
Histopathology:
Polymorphonuclear leukocytes
Microorganisms, Debris, Accumulation of
inflammatory exudates, suppuration spaces.
Treatment:
Establishing drainage.
Controlling systemic reaction.
After that endodontic treatment.
38. ACUTE APICAL PERIODONTITIS
Definition:
It is a painful inflammation of periodontium as a
result of trauma, irritation or infection through the root
canal ,regardless of whether the pulp is vital or non vital.
Cause:
Occlusal disturbance.
Restorations with high points.
Wedging of foreign object.
As a sequel of pulpal disease.
Forcing of bacteria or irritating medicaments into
periradicular area during endodontic treatment.
Over instrumentation
39. Symptoms:
• Pain and tenderness of tooth
• Tooth may be slightly to extremely painful during
percussion and chewing tests.
• If the tooth is vital ,a simple occlusal adjustment will
often relieve the pain. If the pulp is necrotic and left
untreated it may advances to acute periapical abscess.
Diagnosis:
• BY
-history given by the patient
- clinical examination
- Radiographs may show thickened periodontal
ligament.
40.
41. • Differential diagnosis
Acute alveolar abscess.
• Histopathology:
Blood vessels are dilated
leukocytes
Accumulation of serous exudate
• Treatment:
Determining the cause and relieving
symptoms when the acute phase is subsided
toot is treated conservatively.
42. Acute exacerbation of chronic lesion
Synonyms:
• Phoenix abscess
Definition:
• Acute inflammatory reaction superimposed on an
existing chronic lesion, such as a cyst or granuloma.
Cause:
• Influx of necrotic products from diseased pulp may cause
dormant lesions to react and cause an acute
inflammatory response.
43. Symptoms:
• Tooth may be tender to touch.
• Tooth is elevated in its socket.
• Adjacent area become red and swollen.
Diagnosis:
• In asymptomatic tooth well defined periradicular lesion is
present.
• History of traumatic accident is present.
Differential diagnosis:
• Acute pulpitis.
• Acute alveolar abscess.
44. Histopathology:
In granuloma or cyst adjacent periradicular
tissues are areas of liquefaction necrosis with
Polymorphonuclear neutrophils and cellular
debris.
Treatment:
Establishing drainage.
Controlling systemic reaction.
Endodontic treatment.
46. Chronic alveolar abscess
Synonyms:
Chronic suppurative apical periodontitis
Definition:
It is a long standing, low grade infection of
periradicular alveolar bone.
Cause:
Natural sequel of death of pulp.
47. Symptoms:
• Asymptomatic
• Sinus tract is present
• Large open cavities
Diagnosis:
• Radiographs show diffused rarefaction of bone
• Discoloration of tooth
• Does not react to electric pulp test
• Patient ha a sudden sharp pain tat subsided and
not recurred
51. Differential diagnosis:
• Abscess, Granuloma, Cyst
Histopathology:
• Destruction of periodontal fibers and cementum
• Lymphocytes and plasma cells are seen
• Polymorphonuclear neutrophils, mononuclear
cells, fibroblasts are present.
• Microorganisms.
Treatment:
• Elimination of infection in the root canal
52. GRANULOMA
[PERIAPICAL GRANULOMA]
Definition:
It is a growth of granulomatous tissue
continuous with the periodontal ligament
resulting from death of pulp and diffusion of
bacteria and bacterial toxins from root canal into
surrounding periradicular tissues through apical
and lateral foramina.
Cause:
• Death of pulp followed by a mild infection or
irritation of periapical tissue that stimulates a
productive cellular reaction.
53.
54. Symptoms:
Asymptomatic
Diagnosis:
1)Routine radiographic examination –shows a well defined
area of rarefaction wit lack of continuity in the lamina
dura.
2) Sinus tract may be present .
3)Tooth does not respond to thermal or electric pulp tests.
Differential diagnosis:
Periapical cyst, Cementoma.
55.
56. Histopathology:
• It consists of an outer, fibrous capsule which is
continuous with the periodontal ligament and an
inner , or central portion made up of looser
connective tissue and blood vessels and
characterized by presence of lymphocytes ,
plasma cells, leukocytes.
Treatment:
Root canal therapy
Resorption of granulomatous tissue and repair
with trabeculated bone.
57. RADICULAR CYST
Definition:
A cyst is a closed cavity or sac internally
lined with epithelium the center of which is filled
with fluid or semi solid material.
Symptoms:
• Initially asymptomatic.
• Once it becomes large it produces huge
swelling and causes movement of affected teeth.
• Teeth become mobile.
• If untreated cyst grow at expense of the root.
58. Cause:
• Physical chemical or bacterial injury.
Diagnosis:
• Tooth does not responds to thermal or electrical
pulp tests.
• Radiographs show loss of continuity in the
laminadura with an area of rarefaction which is a
well defined radiolucency. This area may round
or oval and is larger in size than granuloma.
59.
60. Differential diagnosis:
Periapical abscess
Periapical granuloma
Histopathology:
Microscopically cyst is a granuloma
covered with stratified squamous epithelium and
is filled with eosinophilic material, debris.
Lymphocytes, leukocytes are also seen.
Treatment:
Enucleation of the cyst.
61. CHRONIC PERIRADICULAR DISEASE
WITH AREAS OF CONDENSATION
Condensing osteitis
Definition:
Condensing osteitis is the response to a low grade,
chronic inflammation of periradicular area as a result of a
mild irritation through the root canal.
Cause:
Mild irritation
Symptoms:
Asymptomatic
62. Diagnosis:
• Made from radiographs which is seen as
localized area of radiopacity surrounding the
affected tooth.
Histopathology:
• Areas of dense trabecular bone, Plasma cells,
lymphocytes.
Treatment:
• Endodontic treatment.
63.
64. EXTERNAL ROOT RESORPTION
• Definition:
It is a lytic process occurring in the cementum
or cementum and dentin of the roots of teeth.
• Cause:
Trauma, excessive forces,
Granuloma, cyst, jaw tumors,
Replantation of teeth,
Bleaching and impaction of teeth,
Systemic diseases.
Idiopathic.
66. Histopathology:
• osteoclastic cells are seen which leads to areas
of resorption.
Symptoms:
• Asymptomatic.
• If the root is completely resorbed the tooth may
become mobile.
67. Diagnosis:
• By radiographs
Appears as concave or ragged areas on the
root surface or blunting of the apex is seen.
Differential diagnosis:
• Internal resorption
Treatment:
• Cause is removed and treated endodontically.
68. DISEASES OF PERIRADICULAR
TISSUE OF NON ODONTOGENIC
ORIGIN
• Such lesions may be manifestations of
A) Systemic diseases (NUERO FIBROMATOSIS)
B) Periodontal diseases
• In these type of lesions pulp is vital.
• E.g. Cementoma, cementoblastoma, Fissural
cysts, central giant cell granuloma.
69. BIBILOGRAPHY
• Path ways of Pulp - Cohen
• Endodontic practice - Grossman
• Oral Pathology - Shafer’s