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    PPDGS Konservasi Lecture4a Pulp Necrotic

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    Debora Natalyna
    Pulpal necrosis can be caused by both living (microbial) and non-living (non-microbial) irritants. Microorganisms primarily enter the root canal through open cavities caused by trauma, procedures, or caries. Non-microbial irritants include mechanical factors like accidental trauma or dentist-induced pulpitis as well as thermal factors such as large fillings without liners or prolonged cooling/heating of teeth. Chemical irritants that may diffuse through dentin include acids, alkalies, and poisons. Aeronautical odontalgia can occur in vital pulps with caries or fillings due to nitrogen bubble or fat emboli formation from changes in atmospheric pressure.

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    PPDGS Konservasi Lecture4a Pulp Necrotic

    Uploaded by

    Debora Natalyna
    52 views22 pages
    Pulpal necrosis can be caused by both living (microbial) and non-living (non-microbial) irritants. Microorganisms primarily enter the root canal through open cavities caused by trauma, procedures, or caries. Non-microbial irritants include mechanical factors like accidental trauma or dentist-induced pulpitis as well as thermal factors such as large fillings without liners or prolonged cooling/heating of teeth. Chemical irritants that may diffuse through dentin include acids, alkalies, and poisons. Aeronautical odontalgia can occur in vital pulps with caries or fillings due to nitrogen bubble or fat emboli formation from changes in atmospheric pressure.

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    Pulpal necrosis can be caused by both living (microbial) and non-living (non-microbial) irritants. Microorganisms primarily enter the root canal through open cavities caused by trauma, procedures, or caries. Non-microbial irritants include mechanical factors like accidental trauma or dentist-induced pulpitis as well as thermal factors such as large fillings without liners or prolonged cooling/heating of teeth. Chemical irritants that may diffuse through dentin include acids, alkalies, and poisons. Aeronautical odontalgia can occur in vital pulps with caries or fillings due to nitrogen bubble or fat emboli formation from changes in atmospheric pressure.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    52 views22 pages

    PPDGS Konservasi Lecture4a Pulp Necrotic

    Uploaded by

    Debora Natalyna
    Pulpal necrosis can be caused by both living (microbial) and non-living (non-microbial) irritants. Microorganisms primarily enter the root canal through open cavities caused by trauma, procedures, or caries. Non-microbial irritants include mechanical factors like accidental trauma or dentist-induced pulpitis as well as thermal factors such as large fillings without liners or prolonged cooling/heating of teeth. Chemical irritants that may diffuse through dentin include acids, alkalies, and poisons. Aeronautical odontalgia can occur in vital pulps with caries or fillings due to nitrogen bubble or fat emboli formation from changes in atmospheric pressure.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
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    Pulpal Necrosis

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    Pathway of entry for microorganisms into the root canal
    How to indentify of endodontic microorganisms
    Etiological factors of pulp diseases :
    - Most changes in the pulp are caused by irritation.
    -The main irritants to the pulp belong to two groups :
    Group I : living irritants (microbial )
    Group II : non-living irritants (non-microbial )
    1) physical : mechanical , thermal , electrical , aeronautical & irradiation.
    2) chemical : acids , alkalies & poisons.
    I- living irritants (microbial irritation )
    The principal pathways by which microorganisms may gain enterance into
    the pulp or periodontal areas are :
    a) through an open cavity that may be caused by trauma , operative dental
    procedures or dental caries.
    b) Via the gingival cervice & by invasion along the periodontal ligament in
    several forms of periodontal disease.
    c) By extension of periapical infection from adjacent infected teeth.
    d) Through the blood stream during bacteraemia or septicemia
    ( hematogenous infection)
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    II- Non-living irritants ( non-microbial irritation)
    A)Mechanical irritaion such :
    1- Accidental
    2- Odontoiatrogenic ( dentist induced pulpitis).
    B) Thermal irritation such as :
    1- odontogenic
    2- large metallic filling without an efficient lining .
    3- prologed cooling of teeth.
    4- rapid olishing of teeth or restorations.
    5- prolonged contact of thermal pulp testers , whether hot or cold .
    6- using of Laser for tissue ablation.
    C) Electrical irritation :
    When metal fillings of different electromotive potential (gold vs amalgam) are placed
    so that they occasionally come in contact with each other , an intermittent electrical
    current may be set up which is of sufficient intensity to irritate the pulp.
    D) Aeronautical irritation :
    - Aeronautical odontalgia (Aerodontalgia) denoting toothach occuring to persons of air
    crews when flying at high altitudes or when entering the low pressure chamber

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    -This condition may occur in a vital pulp with caries or a filling .
    -This pain has been attributed to the formation of nitrogen bubbles in the
    pulp tissues or vessels. It may due to fat emboli from altered lipoprotein &
    platelet thrombi.
    -Aerodontalgia is a marker of inadequate pulp protection from the
    atmosphere & this usually means caries.
    -So it is not a direct cause of pulpitis , rather than an exacerbation factor.
    -This condition is also seen in divers subjected to rapid decomposition
    following deep sea diving.
    2) Chemical irritation :
    Irritant substances may be applied directly to an exposed pulp or may diffuse
    through the dentine after the insertion of a restorative material.

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