Heidi Emmerling, RDH, PhDDHYG 138 Oral Pathology
Fall 2009
Pulpitis (P 63 Syll)
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 2
General InformationIrritants:
Microorganisms
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 3
General InformationIrritants:
MicroorganismsTrauma
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 4
General InformationIrritants:
MicroorganismsTraumaIatrogenic Dentistry
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 5
General InformationIrritants:
MicroorganismsTraumaIatrogenicChemical
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 6
General InformationIrritants:
MicroorganismsTraumaIatrogenicChemicalSystemic Disorders
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 7
General InformationIrritants:
MicroorganismsTraumaIatrogenicChemicalSystemic Disorders
Diabetes
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 8
General InformationIrritants:
MicroorganismsTraumaIatrogenicChemicalSystemic Disorders
DiabetesSickle Cell Anemia
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 9
Hyperemia SymptomsPain (Temp and
Sweet/Sour)Usually sharp pain
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 10
Hyperemia SymptomsPain (Temp and
Sweet/Sour)X-Rays (Normal
w/poss caries)
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 11
Hyperemia SymptomsPain (Temp and
Sweet/Sour)X-Rays (Normal w/poss
cariesVitality Test (Readings
Lower than Normal)
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 12
Hyperemia SymptomsPain (Temp and
Sweet/Sour)X-Rays (Normal w/poss
cariesVitality Test (Readings
Lower than Normal)Pain after irritant is
removed?
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 13
Hyperemia SymptomsPain (Temp and
Sweet/Sour)X-Rays (Normal w/poss
cariesVitality Test (Readings
Lower than Normal)Pain after irritant is
removed? It’s Ser(i)ous
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 14
Acute Serous PulpitisSame as Hyperemia except more…
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 15
Acute Serous PulpitisSame as Hyperemia except more
Severe
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 16
Acute Serous PulpitisSame as Hyperemia except more
SevereProlonged
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 17
Acute Supportive Pulpitis
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 18
Acute Supportive PulpitisPP= PM PainUsually more of a dull ache than Serous
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 19
Acute Supportive PulpitisX-Rays
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 20
Acute Supportive PulpitisX-Rays
Everything Appears Normal (Caries)
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 21
Vitality Tests ComparisonSupportive SerousPercussionEPT Ice Heat
PercussionEPTIce Heat
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 22
Vitality Tests Comparison P 65 Syll)
Supporative SerousPercussion Tender Percussion Tender
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 23
Vitality Tests ComparisonSupporative SerousPercussion TenderEPT Exaggerated or
No Response
Percussion TenderEPT Exaggerated
(low number)
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 24
Vitality Tests ComparisonSupporative SerousPercussion TenderEPT Exaggerated or
No ResponseIce Relieves Pain
Percussion TenderEPT Exaggerated
(low number)Ice: Quick Pain
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 25
Vitality Tests ComparisonSupportive SerousPercussion TenderEPT Exaggerated or
No ResponseIce Relieves PainHeat Increases Pain
Percussion TenderEPT Exaggerated
(low number)Ice: Quick Pain Heat: No Response
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 26
Chronic PulpitisSymptoms:
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 27
Chronic PulpitisSymptoms:
Usually asymptomatic w/occasional sharp pain
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 28
Chronic PulpitisX-Rays:
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 29
Chronic PulpitisX-Rays:
Either Negative or Radiolucency at Apex, Depending on Stage of Pulpitis
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 30
Chronic PulpitisVitality Tests
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 31
Chronic PulpitisVitality Tests
Usually Negative
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 32
Chronic PulpitisTreatment
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 33
Chronic PulpitisTreatment
RCT
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 34
Pulp Stones
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 35
Pulp Polyp
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 36
Sequelea to PulpitisPeriapical Abscess
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 37
Sequelea to PulpitisPeriapical AbscessPeriapical Granuloma
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 38
Sequelea to PulpitisPeriapical AbscessPeriapical GranulomaRadicular Cyst
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 39
Sequelea to PulpitisPeriapical AbscessPeriapical GranulomaRadicular CystTooth Resorption (P 67 Syll)
External (Outside)
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 40
Sequelea to PulpitisPeriapical AbscessPeriapical GranulomaRadicular CystTooth Resorption (P 67 Syll)
External (Outside)Internal (Inside)
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 41
Sequelea to PulpitisPeriapical AbscessPeriapical GranulomaRadicular CystTooth Resorption (P 67
Syll)Condensing Osteitis
Fall 2009DHYG 138 Oral Path Heidi Emmerling, RDH, PhD 42