PULPAL DISEASE

Dr. Mohamed El-Saeed

Lecturer of Endodontics
Modern University for Technology and Information
The connective tissue element of the pulp respond to external
stimulation as any other c.t in the body but there is some
environmental differences make the pulp tissue unique:

1- The pulp enclosed within a hard dentine chamber

2- lack of collateral circulation

CHARACTERISTIC
OF PULP TISSUE

3- low compliance environment.

Inflammation:

• It is a protective reaction of the living tissue to any type of

injuries.

1- swelling

What are the

2- redness
signs of
inflammation?
3- hotness

4- pain

5- loss of function
Classification of
pulpal diseases According to severity and
duration:

1- acute : Aggressive
stimulus and short
duration.
2- chronic : Mild stimulus
and long duration.
 According to presence
Classification of or absence of
pulpal diseases symptoms
• symptomatic
• Asymptomatic

According to the ability

to heal
• Reversible
• irreversible
According to histopathological features

Inflammatory changes Degenerative changes

Inflammatory changes
• hyperemia
• Acute pulpitis
• Subacute pulpitis
• Chronic pulpitis
• Pulp necrosis

degenerative
• atrophy
• Dystrophic calcification
• Internal resorption
Classification of inflammatory pulp diseases

Reversible Irreversible
Pulpal necrosis
pulpitis pulpitis

hyperemia Acute pulpitis Chronic pulpitis

Chronic Chronic
ulcerative hyperplastic
pulpitis pulpitis
Normal Pulp
Definition : It is either normal or vital
asymptomatic pulp or
healthy pulp .

Visual examination no evidence of resorption ,

deep caries or mechanical
pulp exposure .

S.S no spontaneous symptoms

Vitality tests The response is transient ,

mild and doesn`t cause
patient distress.

X ray normal

Treatment no endodontic