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Patients with symptomatic and asymptomatic irreversible pulpitis have been shown to have an almost 23-fold increase in the cytokine IL-8 in the pulp. Cytokines in the pulp interact with each other. The ultimate effect on pulpal inflammation and healing is dependent upon the integrated actions of these inflammatory mediators.
It is a likely outcome of untreated dental caries (tooth decay), and in such cases it can be considered a sequela in the natural history of tooth decay, irreversible pulpitis and pulpal necrosis. Other causes can include occlusal trauma due to 'high spots' after restoration work, extrusion from the tooth of root filling material, or bacterial ...
The test cavity technique is only used as a last resort when results produced by all other methods above are inconclusive. High-speed burs are used without anaesthetic, drilling through enamel, or restorations to dentine. Throughout the drilling process, the patient is asked whether a painful sensation is felt, which would indicate pulpal vitality.
Irreversible puplitis may be symptomatic or asymptomatic. Asymptomatic irreversible pulpitis results from transition of symptomatic irreversible pulpitis into an inactive/quiescent state. This is due to its aetiology; inflammatory exudate can be quickly removed, e.g. through a large carious cavity or previous trauma that caused painless pulp ...
Irreversible pulpitis is thought to be the most common reason that people seek emergency dental treatment. [50] Since dental caries associated with pulpitis is the most common cause, toothache is more common in populations that are at higher risk of dental caries.
This allows the endodontist to choose the most appropriate treatment option, allowing preservation and longevity of the tooth and surrounding tissues. Treatment options for an irreversibly inflamed pulp (irreversible pulpitis) include either extraction of the tooth or removal of the pulp. Partial pulp amputation (pulpotomy) is the treatment of ...
Cracked tooth syndrome could be considered a type of dental trauma and also one of the possible causes of dental pain.One definition of cracked tooth syndrome is "a fracture plane of unknown depth and direction passing through tooth structure that, if not already involving, may progress to communicate with the pulp and/or periodontal ligament."
Periapical true cysts - cysts containing cavities entirely surrounded in epithelial lining. Resolution of this type of cyst requires surgical treatment such as a cystectomy. [10] Periapical pocket cysts - epithelium lined cavities that have an opening to the root canal of the affected tooth. Resolution may occur after traditional root canal ...