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Pulpitis: Reversible vs Irreversible Guide

There are two types of pulpitis: reversible and irreversible. Reversible pulpitis involves inflammation of the pulp in response to an irritant that is temporary. Irreversible pulpitis occurs when the pulp is irreversibly damaged, often from bacteria entering through decay. The key differences are that reversible pulpitis causes sharp but fleeting pain that goes away after removal of the stimulus, while irreversible pulpitis causes intense, prolonged pain that persists even after stimulus removal. Treatment for reversible pulpitis involves removing the irritant, while irreversible pulpitis requires root canal treatment or extraction.

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78 views11 pages

Pulpitis: Reversible vs Irreversible Guide

There are two types of pulpitis: reversible and irreversible. Reversible pulpitis involves inflammation of the pulp in response to an irritant that is temporary. Irreversible pulpitis occurs when the pulp is irreversibly damaged, often from bacteria entering through decay. The key differences are that reversible pulpitis causes sharp but fleeting pain that goes away after removal of the stimulus, while irreversible pulpitis causes intense, prolonged pain that persists even after stimulus removal. Treatment for reversible pulpitis involves removing the irritant, while irreversible pulpitis requires root canal treatment or extraction.

Uploaded by

DestinyGee
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PPTX, PDF, TXT or read online on Scribd

CLASSIFICATION OF

PULPITIS:
• REVERSIBLE PULPITIS
• IRREVERSIBLE PULPITIS
Reversible Pulpitis

Reversible
(transitory) pulpitis is
the condition where
the pulp is (only)
inflamed because it is
actively responding
to an irritant.
Irreversible Pulpitis
Irreversible pulpitis is
a condition where the
pulp is irreversibly
damaged. Most often,
the decay that has
reached the pulp of
the tooth introduces
bacteria into the pulp.
Nature of Pain:
REVERSIBLE IRREVERSIBLE

Sharp and fleeting Intense, prolonged


pain which and lingering pain
dissipates after the after removal of
removal of stimulus. stimulus.
Type of pain:
REVERSIBLE IRREVERSIBLE

Elicited ( stimulus: Spontaneous (No


hot, cold, sugar) external stimulus)
Duration of pain:
REVERSIBLE IRREVERSIBLE

Short duration ( pain Pain persists even after


disappears after the removal of
removal of stimulus) stimulus.
Postural variation:
REVERSIBLE IRREVERSIBLE

Unaffected by body Pain increases when


position. lying down and bending
over.
Referred pain:
REVERSIBLE IRREVERSIBLE

Pain is localized to the Commonly found,


affected tooth. radiating to the ear,
side of head
Electrical stimulation (EPT):
REVERSIBLE IRREVERSIBLE

Responds to lower Responds to higher


currents. voltage.
Color change:
REVERSIBLE IRREVERSIBLE

NO color change. Color change is seen in


affected tooth.
Treatment options:
REVERSIBLE IRREVERSIBLE
Root canal treatment
Caries excavation,
replace the defective
restoration, it is
advisable to place pulp-
capping agent (calcium
hydroxide) Tooth extraction

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