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Dental Pulp Necrosis
Gangrene Pulpal

Presentation

The authors recently examined a patient who underwent this type of surgery and presented with discoloration of both upper canine teeth that was diagnosed as pulp necrosis. [ncbi.nlm.nih.gov]

One half alone of the original loading is present in the aged pulp. [austinpublishinggroup.com]

The sequence considered here encompasses problems presenting before, during and after dental treatment. Various diagnostic aids are considered, and some unusual presenting conditions discussed. [nature.com]

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. [en.wikipedia.org]

Irreversible pulpitis can also present as an asymptomatic condition. Internal resorption and hyperplastic pulpitis (pulp polyp) are examples of asymptomatic irreversible pulpitis. Pulpal necrosis. [tri-cityendo.com]

Treatment

Treatment Completed NCT02681276 Not Applicable 50 Direct Pulp Capping With MTA and Calcium Hydroxide. [malacards.org]

Treatment would be excavation of the caries, followed by placement of a permanent restoration. If the pulp is exposed, treatment would be nonsurgical endodontic treatment, followed by a permanent restoration, such as a crown. Figure 4. [decisionsindentistry.com]

Root Canal Treatment (RCT) depends on the canal preparation, easier in young pulp compared to old pulp. Pulp healing and /or regeneration constitute two different facets of RCT treatment. [austinpublishinggroup.com]

The most basic treatment for teeth with pulpal necrosis is root canal treatment. [en.wikipedia.org]

Three available treatment options variably address these long term concerns. [oasisdiscussions.ca]

Prognosis

However, the prognosis for the long-term form and function of the tooth is dependent on the size of the lesion. [dentistryiq.com]

This study aimed to assess factors associated with occurrence of pulp necrosis (PN) in traumatized primary incisors, which may contribute to the prognosis of this outcome. [ncbi.nlm.nih.gov]

However, only a few methods have been evaluated for long term prognosis and unfortunately most methods are recommended and taught without any prognosis studies. [columbia.edu]

[…] usp.br Search for more papers by this author First published: 21 January 2013 Cited by: 4 Abstract Background This study aimed to assess factors associated with occurrence of pulp necrosis (PN) in traumatized primary incisors, which may contribute to the prognosis [doi.org]

However, if the fracture line is horizontal or diagonal and superficial to the alveolar crest, then the prognosis may be better. [nature.com]

Etiology

Year introduced: 1965 PubMed search builder options Subheadings: abnormalities analysis anatomy and histology blood supply chemistry cytology diagnosis diagnostic imaging drug effects embryology enzymology etiology growth and development immunology injuries [ncbi.nlm.nih.gov]

Resorption is a condition associated with either physiologic or a pathologic process resulting in a loss of dentin, cementum, and/or bone. (1) The etiology for resorption initiates from various injuries to the tooth, including thermal, mechanical, and [dentistryiq.com]

Common etiologies may include deep caries, extensive restorations, or fractures exposing the pulpal tissues. [decisionsindentistry.com]

Successful management of these infections depends on changing the environment through decompression, removal of the etiologic factor and by choosing the proper antibiotic. [1] Once enamel is dissolved, the infectious caries can travel through the dentinal [emedicine.medscape.com]

They are normal findings within the pulp whose etiology is unknown and observed radiographically. Their size varies from microscopic pulpoliths to concretions that occupy the entire pulp chamber. [onlinedentallearning.com]

Epidemiology

Odontogenic infections: An 8-year epidemiologic analysis in a dental emergency outpatient care unit. Acta Odontol Scand. 2013 May-Jul. 71(3-4):518-24. [Medline]. Igoumenakis D, Giannakopoulos NN, Parara E, Mourouzis C, Rallis G. [emedicine.medscape.com]

Duggal Chapter contents 12.1 Epidemiology 12.2 Aetiology 12.3 Classification 12.4 History and examination 12.4.1 Dental history 12.4.2 Medical history 12.4.3 Extra-oral examination 12.4.4 Intra–oral examination 12.4.5 Radiographic examination 12.4.6 Photographic [pocketdentistry.com]

Pathophysiology

Pathophysiology Odontogenic infection may be primary or secondary to periodontal, pericoronal, traumatic, or postsurgical infections. A typical odontogenic infection originates from caries, which decalcify the protective enamel. [emedicine.medscape.com]

Prevention

Pulp capping is a technique used in dental restorations to prevent the dental pulp from dying, after being exposed, or nearly exposed during a cavity preparation. [btydental.com]

A dentist who specializes in the prevention, diagnosis, and treatment of diseases of the dental pulp and the periradicular tissues. [quizlet.com]

There are 3 requirements for this procedure: a disinfected canal space, a matrix into which the tissue can grow and a tight coronal seal to prevent bacterial microleakage. [oasisdiscussions.ca]

Full coverage of a tooth with a crown can help prevent this (and is usually indicated after a root canal in the posterior teeth). [datgenius.com]

By using new 3T MRI sequences in children with TDI, we could demonstrate that RCT are not necessary in every case, and thus could prevent unnecessary treatment of children in the future. [ncbi.nlm.nih.gov]

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