The common pulpal and periapical lesion sign and symptom normal pulp



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THE COMMON PULPAL AND PERIAPICAL LESION SIGN AND SYMPTOM

NORMAL PULP:

RESPONSE:

HEAT ; INTENSITY OF HEAT FEELING INCREASE WHEN INCREASE TEMPRATURE.

COLD; PAIN PERCEPTION TO COLD DECREASE WITH TIME AND STOP AFTER REMOVAL OF COLD SOURCE.

E.P.T ; HIGH CURRENT LEVEL TO CAUSE RESPONSE.


REVESIBLE PULPITIS ;
COLD OR HEAT : SHARP TRNSIENT PAIN RELIFE IMMEDIATELLY AFTER REMOVAL OF SOURE.
NOTE; SOMETIMES LOWER LEVEL RESPONSE OF E.P.T INDICATE REVERSIBLE AND IRREVERSIBLE PULPITIS.

IRREVERSIBLE PULPITIS ;

PAIN; INERMITTENT, CONTINOUS, SPONTANEOUS.

MAYBE SHARP, DULL , DIFFUSE.

LINGRING PAIN.
COLD MAY RELIFE PAIN (VASOCONSTRICTION OF VESSEL).

E.P.T : LOW THRESHOLD RESPONSE.


NECROTIC PULP ;
E.P.T NO RESPONSE.
HEAT AND COLD NO RESPONSE.
HEAT PROVOK PAIN DUE TO GAS PRESSURE EXPANSION.

PERIAPICAL LESION

SYMPTOMATIC APICAL PERIODONTITIS (ACUT APICAL PERIODONTITIS) ;
IT COME WITH IIREVRSIBLE PULPITIS AND NECROTIC PULP AND OVERINSTRUMENTATION.
PAIN ON PERCUSSION (BITING)

MAY OR MAY NOT HAS RADIOGRAPHIC CHANGE.

THIKENING OF PDL USUALLY FEATUER OF SAP.
ASYMPTOMATIC APICAL PERIODONTITIS (CHRONIC APICAL PERIODONTITIS).
COME WITH NECROTIC PULP.
PERCUSSION LITTLE OR NO PAIN.
RADIOGRAPH CHANGE ; INTERRUPTION OF PDL TO OBVIOUS DESTRUCTION OF PERIAPICAL TISSUE.

CONDENSING OSTEITIS ;
COME WITH NECROTIC AND IRREVERSIBLE PULPITIS.
ASYMPTOMATIC OR PAINFULL.
MAY OR MAY MOT HAVE PAIN ON PERCUSSION AND PALPATION.


ACUTE APICAL ABSCESS ;
RAPID ONSET MAYBE SPONTANEOUS PAIN.

THERE IS USUALLY DISCOMFORT DUE TO SWELLING.

SYSTEMIC MANIFESTATION MALAISE, TEMPRATURE.

PAINFULL TO PALPATION AND PERCUSSION.

RADIOGRAPHIC CHANGE RANGE FROM NO CHANGE TO OBVIOUS RADIOLUCENT.


CHRONIC APICAL ABSCESS;
USUALLY ASYMPTOMATIC LESION.
DRAINING SINUS TRACT.
THERE IS PAIN WHEN FISTULA CLOSE.
RADOGRAPHIC CHANGE RANGE FROM NOTHING TO OBVIOUS RADIOLUCENT.

THANK YOU



MY REFERENCE IS ENDODONTICS PRINCILES AND PRACTICE 4TH EDITION BY MOHAMMED TRABINEJAD


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