Hyperemia Acute Partial Serous Pulpitis Total acute serous pulpitis Partial pulpal abscess Total pulpal abscess

Characteristics
Only form of reversible pulpitis Vasodilatation is more important
histo: increase in diameter of
blood vessels
1.Moment of appearance when a stimulus is applied
S
2.Modality of appearance provoked
u
b 3. Localised yes
j
4. Irradiating NO
s 5. Provoking factors cold, (sweet, hot)
i
g 6. Factors releasing pain removal of the stimulus
n 7. Intensity high
s:
8. Character sharp, dull
P 9. Duration few sec- min after removal
A
I 10.Frequence when provoking factor applied
N 11. vegetative manifestations
Clinical Inspection Deep carious lesion without
exam opening of the pulp chamber
Amalgam restoration
Tooth prepared for a
crownPeriodontal curettage,
scaling + root planning
Palpation (probing) sharp pain
percu
Vit testing + (and +++ cold stim)
Resp :soon and pain lasts longer (hyperexcitability)
→ electrical one preferred
Treatment: Carious lesion:
indirect pulp capping
direct pulp capping
final restoration
Hypersensitivity: varnishes in
the cervical or exposed areas
coronal part coronal and radicular pulp coronal pulp Microabscesses (coro, rad)
In the pulp – microabscesses
Serous exudate occurs Exudate increased in volume Inf exudate – serous + PMN +
Increased pressure in the pulp Pressure higher in the pulp tissue leucocytes + bacteria = PUS Pressure increase by 5-6 times
Compression of pulp structures pressure – increased Pulp losses more the structure
pulp starts to loose is structure Evolution => necrosis
night night When a stimulus is applied continous
provoked, later - spontaneous spontaneous Provoked spontaneous
yes NO Yes NO
NO hemiarch or the opposed arch NO hemiarch or the opposed arch
cold - Hot hot
warm NONE COLD
extremly high Violent
sharp Pulsating (synchrone heartbeats)
a few hours after removal stim permanent hours permanent
In crises first in crises than continuous crises continuous
no
Deep carious lesion Deep carious lesion The base of the cavity – thin The base of the cavity – thin
The base of the cavity – high The base of the cavity – thin layer of infected dentine layer of infected dentine
amount of wet, infected dentine layer of infected dentine
sharp pain Explo deep areas of the cavity => Explo deep areas of the cavity => Explo deep areas of the cavity =>
opening of the pulp chamber + opening of the pulp chamber + opening of the pulp chamber +
violent pain + drop of blood violent pain + drop of pus violent pain + drop of pus
Temporary release of the pain
- + - +
+ at lower intensities than normal Hyperexcitability Hypoexcitability Hypoexcitability
→ Rx – no changes
Vital : pulpectomy = root canal Root canal treatment vital pulpectomy vital pulpectomy +
treatment root canal dressing until the
second appointment
Not vital pulpectomy = root canal
teratment