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3.1 Classification of Diseases of the Pulp and Apical Periodontal Tissues
ОглавлениеDisease | 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)