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ES OF THE
PULP
Prepared by:
Dr. Rea Corpuz
Pulp Calcification
may be located
pulp chamber
OR
root canals
Pulp Calcification
Cause
no clear-cut etiology
no relation between
inflammation + irritation
since pulp calcification
can be found in unerupted
teeth
Sundell Schematic
Presentation
Local
Metabolic
Dysfunction
Growth
Pulp Stones
Trauma
Mineralization
Hyalinization
of injured cell
Fibrosis
Vascular
Damage
Thrombosis
Vessel Wall
Damage
Classification
Three types :
(1) Denticles
(2) Pulp stones
(3) Diffuse linear calcifications
(1) Denticles
believed to form as a result
of epitheliomesenchymal
interaction within
developing pulp
Clinical Significance:
Clinical Significance:
discovered on radiograph
only as radioopacity
Clinical Significance:
result of progressive
resorption of roots
resorption of permanent is
always pathological
Idiopathic Resorption
(1) Internal Resorption
(2) External Resorption
Idiopathic Resorption
Internal Resorption
pink spot
curious + uncommon
condition
Idiopathic Resorption
(1) Internal Resorption
tends to be localized
well-defined rounded area
of rediolucency in crown
Idiopathic Resorption
(1) Internal Resorption
may be detected by chance
in routine radiograph
Idiopathic Resorption
(1) Internal Resorption
Idiopathic Resorption
(1) Internal Resorption
Idiopathic Resorption
(2) External Resorption
may be localized or
generalized
unkown cause
mild degree of inflammation
is often suspected
Idiopathic Resorption
(2) External Resorption
Idiopathic Resorption
(2) External Resorption
Heithersay Classification
Idiopathic Resorption
(2) External Resorption
usually a limited area of
root is attacked from
external surface near
amelocemental junction
Idiopathic Resorption
(2) External Resorption
often preferentially
Idiopathic Resorption
(2) External Resorption
Idiopathic Resorption
(2) External Resorption
Pathology
vascular granulation
tissue replaces part
or periodontal ligament
or pulp
osteoclasts border the
affected dentin or enamel
Idiopathic Resorption
(2) External Resorption
Treatment
usually untreatable
if a pink spot in an incisor
tooth is noticed at an early
stage
endodontic treatment should
be carried out before
Idiopathic Resorption
(2) External Resorption
Treatment
resorption of teeth may
result from pressure
exerted by impacted teeth
indication for removal
of unerupted teeth
DISEASES OF
PERIAPICALTISSU
ES
Prepared by:
Dr. Rea Corpuz
originates in an area of
chronic infection
acute inflammation of
apical peridontium
no roentgenographic
osteomyelitis
cellulitis
bacterimia
formation of fistulous
tract opening on skin
or oral mucosa
response to infection
sensitivity is due to
hyperemia
edema
inflammation of apical
periodontal ligament
proliferation of granulation
tissue
circumscribed lesion
definitely demarcated
from surrounding bone
induce resorption
of supporting bone
adjacent to this area
undergo transformation
into an apical periodontal
cyst
proliferation of epithelial
rests in the area
common
not inevitable sequela of
proliferation of epithelial
rest in the periapical
area involved by granuloma
epithelial proliferation
follows an irregular pattern of
growth
sensitive to percussion
inflammatory process
develops only over
a long period of time
hyperemia
infiltration of leucocytes
tooth extraction
antibiotics may be indicated
to control a spreading or
systemic infection
commonly affected is
radiopaque mass of
sclerotic bone surrounding
References:
Books
Cawson, R.A: Cawsons Essentials of Oral
Oral Pathology and Oral Medicine,
8th Edition
(page 70-72)
Ghom, Ali & Mhaske, Shubhangi: Textbook of
Oral Pathology
(pages 429-433)
Neville, et. al: Oral and Maxillofacial Pathology
3rd Edition
(pages 127-138)
Shafer, et al: A textbook of Oral Pathology,
3rd Edition