Chronic Pulpitis: Causes, Symptoms, and Treatment
Question. Write a short note on pulpitis.
Answer.
Chronic pulpitis
It is a condition characterized by a low-grade fever, often a persistent inflammatory reaction in pulpal tissue with litte or no constitutional symptoms.
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Clinical Features
- The tooth with chronic pulpitis may remain asymptomatic for long time.
- There may be an intermittent dull and throbbing pain in the tooth.
- Tooth is less sensitive to hot and cold stimuli.
- Tooth responds to a higher level of current when electric pulp tester is used.
- Exposed pulp tissue may be manipulated by small instrument but bleeding can occur.
Histopathology
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“Common challenges in diagnosing chronic pulpitis effectively: FAQs provided”
- Chronic inflammatory response in the pulp is characterized by cellular infiltration by the lymphocytes, plasma cells, and macrophages.
- Prolong chronic inflammation may encourage fibroblast activity in pulp with formation of collagen bundle and in some cases leads to internal resorption of the tooth.
- Blood capillaries are prominent and few microorganisms are found in the pulpal tissue.
- Persisting chronic pulpitis may cause diffuse or solitary areas of calcification in the pulp.
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Treatment
- Extraction of tooth
- Root canal therapy
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