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3.1 Classification of Diseases of the Pulp and Apical Periodontal Tissues

Оглавление
Disease Description
Reversible pulpitis A clinical diagnosis based upon subjective and objective findings indicating that the inflammation should resolve and the pulp return to normal
Symptomatic Irreversible pulpitis A clinical diagnosis based on subjective and objective findings indicating that the vital inflamed pulp is incapable of healing. Additional descriptors: lingering thermal pain, spontaneous pain, referred pain
Asymptomatic irreversible pulpitis A clinical diagnosis based on subjective and objective findings indicating that the vital inflamed pulp is incapable of healing. Additional descriptors: no clinical symptoms but inflammation produced by caries, caries excavation, trauma, etc.
Pulp necrosis A clinical diagnostic category indicating death of the dental pulp. The pulp is usually nonresponsive to pulp testing
Symptomatic apical periodontitis Inflammation, usually of the apical periodontium, producing clinical symptoms including a painful response to biting and/or percussion or palpation. It may or may not be associated with an apical radiolucent area
Asymptomatic apical periodontitis Inflammation and destruction of apical periodontium that is of pulpal origin, appears as an apical radiolucent area, and does not produce clinical symptoms
Acute apical abscess An inflammatory reaction to pulpal infection and necrosis characterized by rapid onset, spontaneous pain, tenderness of the tooth to pressure, pus formation and swelling of associated tissues
Chronic apical abscess An inflammatory reaction to pulpal infection and necrosis characterized by gradual onset, little or no discomfort, and the intermittent discharge of pus through an associated sinus tract
Condensing osteitis Diffuse radiopaque lesion representing a localized bony reaction to a low‐grade inflammatory stimulus, usually seen at apex of tooth

Source: Based on ENDODONTICS: Colleagues for Excellence, Endodontic Diagnosis, Fall 2013. American Association of Endodontists (2012 update)

Handbook of Oral Pathology and Oral Medicine

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