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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.
Teeth may turn grey following trauma-induced pulp necrosis (death of the pulp). [2] This discoloration typically develops weeks or months after the injury and is caused by incorporation of pigments released during the breakdown of the pulpal tissue and blood into the dentin. [2]
Dental avulsion is a type of dental trauma, and the prevalence of dental trauma is estimated at 17.5% and varies with geographical area. [36] Although dental trauma is relatively low, dental avulsion is the fourth most prevalent type of dental trauma. [37] Dental avulsion is more prevalent in males than females.
Teeth that have multiple traumatic events also showed to have higher chance of pulp necrosis (61.9%) compared to teeth that experienced a single traumatic injury (25.3%) in the studies (1) [41] Image shows a grey discoloured upper right front incisor, usually indicating that the tooth is non-vital
Removal of the necrotic pulp and the inflamed tissue as well as proper sealing of the canals and an appropriately fitting crown will allow the tooth to heal under uninfected conditions. [2] Surgical options for previously treated teeth that would not benefit from root canal therapy include cystectomy [12] and cystostomy. [12]
Occurs due to a localized and limited injury to the root surface or periodontium. It is a transient, self-limiting process of resorption that ceases after removal of the traumatic stimulus and is followed by healing of root surface, cementum, and periodontal ligament. [16]
For growing patients, decoronation is used. Decoronation is the removal of tooth crown. [5] It serves as an alternative surgery for tooth extraction. It is recommended over extraction because it limits bone resorption and therefore maintains a sufficient growth of alveolar bone to enable tooth implantation [citation needed]. Decoronation can be ...
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 ...