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Revista de La Federacion Odontologica... May 1968
Topics: Pulpitis; Toothache
PubMed: 5256810
DOI: No ID Found -
Primary Dental Journal May 2016Inflammatory reaction in the periapical tissues is induced by microbial infection in the root canal system. The aim of root canal treatment is to preserve healthy... (Review)
Review
Inflammatory reaction in the periapical tissues is induced by microbial infection in the root canal system. The aim of root canal treatment is to preserve healthy periapical tissues or to provide healing of them in restorable teeth, which have sufficient periodontal support. The amount of microbial cells in the root canal system and their virulence as well as host responses influence on the degree of periapical inflammation and symptoms. Microbial biofilm formation is typically seen on root canal walls but some microbial species are able to invade the dentine tubules to varying depth. In prolonged and complicated infections, or in case of risk of systemic spread of infection, root canal sampling for microbiological diagnostics is recommended. Anaerobic gram-negative rods are commonly isolated organisms in primary infections. In post-treatment disease, the microflora is dominated by facultatively anaerobic gram-positive cocci and rods such as Streptococcus, Enterococcus, Peptostreptococcus and Actinomyces species. Instrumentation, disinfection and interappointment medication in strict aseptic conditions are essential steps for eradication of microbial species from the infected root canal system. During past decades, Enterococcus faecalis and Candida albicans have been commonly associated organisms in treatment-resistant infections. Novel microbial detection methods are giving increasing knowledge about microbial species associated with endodontic infections and their roles in them.
Topics: Bacteria; Biofilms; Dental Pulp Cavity; Humans; Periapical Periodontitis; Pulpitis; Risk Factors; Root Canal Therapy; Virulence
PubMed: 28826437
DOI: 10.1308/205016816819304231 -
Oral Surgery, Oral Medicine, and Oral... Jul 1974
Topics: Animals; Calcium Hydroxide; Dental Caries; Dental Materials; Dental Pulp; Dentin; Disease Models, Animal; Haplorhini; Pulpitis; Wound Healing; Zinc Oxide-Eugenol Cement
PubMed: 4209973
DOI: 10.1016/0030-4220(74)90322-3 -
Pediatric Dentistry Jan 2023The purpose of this study was to assess the outcome of coronal pulpotomy using mineral trioxide aggregate (MTA) in mature and immature teeth with symptoms indicative of...
PURPOSE
The purpose of this study was to assess the outcome of coronal pulpotomy using mineral trioxide aggregate (MTA) in mature and immature teeth with symptoms indicative of irreversible pulpitis.
METHODS
Fifty permanent molars with symptomatic irreversible pulpitis were divided into two groups according to complete or incomplete radicular growth (25 teeth in each group). Coronal pulpotomy was performed with MTA. Clinical follow-up evaluations were scheduled at the third, sixth, ninth, 12th, 18th, and 24th months. Follow-up radiographs were taken at the sixth, 12th, 18th, and 24th months. Pain levels were scored preoperatively and two days post-treatment.
RESULTS
At two years of recall, 10 patients were lost to follow-up and the success of molars with complete or incomplete radicular growth were 100 percent and 95 percent, respectively. All teeth with periapical rarefaction were present preoperatively and showed complete radiographic healing. Radiographic evidence of dentin bridge formation was discernable in 31 of 38 cases.
CONCLUSIONS
Full coronal pulpotomy using mineral trioxide aggregate was successful in controlling pain and any infections after two years in 39 of 40 teeth regardless of whether they had immature or mature roots.
Topics: Humans; Pulpitis; Pulpotomy; Molar; Mental Recall; Pain
PubMed: 36879376
DOI: No ID Found -
Journal of Biological Regulators and... 2011Pulpitis is a typical inflammatory disease of dental pulp, characterized by the local accumulation of inflammatory mediators, including cytokines and chemokines. In... (Review)
Review
Pulpitis is a typical inflammatory disease of dental pulp, characterized by the local accumulation of inflammatory mediators, including cytokines and chemokines. In addition to serving as intercellular messengers mediating the inflammatory response, cytokines and chemokines induce the expression and stimulate the activity of molecular and cellular agents which participate actively in destructive and reparative processes in the pulp. It is the balance between these processes which eventually determines the extent of pulp inflammation and the viability of the affected tooth. Over the last decade, a number of studies have attempted to correlate cytokine gene expression in the pulp with various stages of inflammation, with possible diagnostic applications in mind. A small survey of relevant information is presented in this paper.
Topics: Animals; Cytokines; Dental Pulp; Gene Expression Regulation; Humans; Inflammation; Pulpitis
PubMed: 22023754
DOI: No ID Found -
Journal of Dental Research 1971
Topics: Animals; Hypersensitivity, Delayed; Male; Nitrobenzenes; Pulpitis; Rabbits
PubMed: 5288915
DOI: 10.1177/00220345710500066101 -
Journal of Periodontology 1967
Topics: Animals; Bicuspid; Dental Cavity Preparation; Dental Pulp Capping; Dogs; Haplorhini; Molar; Periodontal Diseases; Pulpitis; Pulpotomy
PubMed: 4960220
DOI: 10.1902/jop.1967.38.2.124 -
Journal of Endodontics Nov 1999
Topics: Diagnosis, Differential; Humans; Male; Mandible; Middle Aged; Molar; Pulpitis; Root Canal Therapy
PubMed: 10744485
DOI: No ID Found -
Practical Procedures & Aesthetic... May 2007
Topics: Dental Restoration, Permanent; Humans; Pulpitis; Root Canal Therapy; Toothache
PubMed: 17601335
DOI: No ID Found -
Compendium of Continuing Education in... Oct 2021Foundational to the diagnosis of endodontic disease is the ability for clinicians to replicate a patient's pain via clinical testing. Patients experiencing degenerative... (Review)
Review
Foundational to the diagnosis of endodontic disease is the ability for clinicians to replicate a patient's pain via clinical testing. Patients experiencing degenerative pulp diseases, like an acutely symptomatic irreversible pulpitis,may present with poorly localized pain that cannot be clinically replicated. Selective anesthesia techniques can aid clinicians in the accurate diagnosis of these patients' symptoms. This article reviews the application of selective anesthesia and presents cases in which these techniques were used to facilitate the accurate diagnosis of endodontic disease.
Topics: Anesthesia, Dental; Anesthetics, Local; Dental Pulp; Double-Blind Method; Humans; Mandibular Nerve; Nerve Block; Pain; Pulpitis
PubMed: 34555909
DOI: No ID Found