ASYMPTOMATIC PULPITIS
1. Chronic closed pulpitis:
- 1-Definition: Responses to vitality tests vary little from normal (except in cases of severe degeneration where they are non-existent).
- 2-Physical signs: the only physical sign is the preservation of the usual shade of the tooth and its translucency.
- 3-Functional signs: There are no functional signs: clinical silence, except for the possible dentin syndrome in the event of denudation of the dentin.
- 4-radiological signs: the X-ray reveals a narrowing at the level of the pulp chamber with disappearance of a pulp horn
2. Chronic open pulpitis:
a- ulcerative pulpitis :
- 1-Definition: parenchymal necrosis very commonly affects the entire coronal pulp, which is therefore insensitive to contact. On the other hand, the root filaments are still sensitive to probe exploration.
- 2-Physical signs: the pulp does not bleed on contact and the area is gray where the pulp is open.
- 3-Functional signs: the sensation due to the different tests is less violent and the pains are more provoked than spontaneous. b- Hyperplastic pulpitis:
- 1-Definition: It is a chronic inflammation of the exposed pulp which presents as an exuberant proliferation of the pulp tissue.
- 2- Physical signs: the widely opened hypertrophied pulp insinuates itself into the orifice created by the caries. The pulp ceiling is destroyed.
- 3-Functional signs:
- The pain caused is almost non-existent except for slight pain when chewing, due to contact with the polyp.
- Spontaneous pain is almost non-existent.
- The pulp polyp may be soft, bleeding easily, dark pink, or lighter, firm, smooth and bleeding little.
- percussion is little or not sensitive.
- Internal Granuloma
- 1-Definition: it is a granulomatous hyperplastic process accompanied by progressive resorption of hard tissues to the point of causing perforation and then fracture of the tooth.
- 2-Physical signs: its location is variable, it can be:
- Coronary; otherwise called “pink spot” in this case causes resorption of the dentin.
- Or radicular resulting in a fracture of the root discovered on X-ray.
- 3-Functional signs:
- Before the stadium
- of externalization, the symptomatology is zero.
- After exteriorization, there are signs of acute pulpitis.
- Pulp atrophy and degeneration:
- Often associated with calcium degeneration, it does not present any specific clinical symptoms.
- We do not make a diagnosis, we only presume its existence after establishing the radiological assessment of the endodontic cavity.
ASYMPTOMATIC PULPITIS
Wisdom teeth can be painful if they are misplaced.
Composite fillings are aesthetic and durable.
Bleeding gums can be a sign of gingivitis.
Orthodontic treatments correct misaligned teeth.
Dental implants provide a permanent solution for missing teeth.
Scaling removes tartar and prevents gum disease.
Good dental hygiene starts with brushing twice a day.