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Dental pulpal testing is a clinical and diagnostic aid used in dentistry to help establish the health of the dental pulp within the pulp chamber and root canals of a tooth. Such investigations are important in aiding dentists in devising a treatment plan for the tooth being tested.
The health of the dental pulp can be established by a variety of diagnostic aids which test either the blood supply to a tooth (Vitality Test) or the sensory response of the nerves within the root canal to specific stimuli (Sensitivity Test). Although less accurate, sensitivity tests, such as Electric Pulp Tests or Thermal Tests, are more ...
b) Pulp Necrosis: The pulp tissue dies as a result of untreated pulpitis or direct trauma. 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. (Yu CY, Abbott PV, 2016)
Pulp necrosis is a clinical diagnostic category indicating the death of cells and tissues in the pulp chamber of a tooth with or without bacterial invasion. [1] It is often the result of many cases of dental trauma, caries and irreversible pulpitis.
Root canal treatment is a dental procedure used to treat infected tooth pulp which would be otherwise extracted. The pulp is the soft tissue core of the tooth which contains nerves, blood supply and connective tissue necessary for tooth health. [4] This is usually caused when bacteria enter the pulp through a deep cavity or failed filling. [4]
Dental pulp, which is a richly vascularized and innervated tissue, is enclosed by tissues, such as dentin, which are incapable of expanding. It has terminal blood flow and possesses only small-gauge circulatory access at the apical foramen. All of these characteristics severely constrain the defensive capacity of the pulp tissue when faced with ...
Lack or response to pulp sensibility test (e.g. ethyl chloride, electric pulp test) [1] Lack of visible radiolucency where pulp system should be on radiographs (x-rays) Most of the time this condition is painless [1] and is managed conservatively by monitoring the tooth with routine radiographs. [1] There is a small risk of pulp necrosis. [2]
Pulp tests (test results of immature teeth can be misleading, as they are known to give unreliable results) [1] Check and see if there is an elevated, flat wear facet on the occlusal surface of the tooth [1] Test cavity which has an absence of pain sensation and has an empty pulp chamber/ canal. [1]