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In some cases of pulp necrosis there is a yellow, grey or brown crown discolouration. Dark coronal discoloration is believed to be an early sign of pulp degeneration. [16] Teeth with said discolouration need to be treated with special care and further investigations are required before pulp necrosis can be diagnosed. [11]
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b) Pulp Necrosis: The pulp tissue dies as a result of untreated pulpitis or direct trauma. Tooth discoloration; Infection: If bacteria penetrate the dentin and reach the pulp, it can lead to abscess formation or other periapical (around the root tip) infections. This can result in swelling, pain, and possible tooth loss if left untreated.
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Occlusion, restoration, pulp and periapex assessment should be done every 3–4 months until the apex matures. [4] When there are signs of adequate pulp recession, tubercle can be removed and tooth can be restored. [4] For teeth with inflamed pulp and mature apex, conventional root canal treatment could be carried out and restored accordingly. [4]
This condition occurs in association with denture wearing, and so those affected tend to be middle aged or older adults. 66-75% are estimated to occur in women. [1] Epulis fissuratum is the third most common reactive lesion that occurs in the mouth, after peripheral giant cell granuloma and pyogenic granuloma .
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