Pulpitis: Difference between revisions
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*Reversible Pulpitis | *Reversible Pulpitis | ||
**Duration of pain is short (seconds) | **Duration of pain is short (seconds) | ||
**Associated with noxious stimuli (cold or heat) | **Associated with noxious stimuli (usually cold or heat, can also be elicited by sweat and sour) | ||
*Irreversible Pulpitis | *Irreversible Pulpitis | ||
**Duration of pain is long (hours) and intense | **Duration of pain is long (hours) and intense | ||
Revision as of 15:49, 27 November 2017
Background
Clinical Features
- Reversible Pulpitis
- Duration of pain is short (seconds)
- Associated with noxious stimuli (usually cold or heat, can also be elicited by sweat and sour)
- Irreversible Pulpitis
- Duration of pain is long (hours) and intense
- Associated with noxious stimuli or may occur spontaneously
Differential Diagnosis
Dentoalveolar Injuries
Odontogenic Infections
- Acute alveolar osteitis (dry socket)
- Acute necrotizing ulcerative gingivitis (trench mouth)
- Dental abscess
- Periapical abscess
- Periodontal abscess
- Ludwig's angina
- Pulpitis (dental caries)
- Pericoronitis
- Peritonsillar abscess (PTA)
- Retropharyngeal abscess
- Vincent's angina - tonsillitis and pharyngitis
Other
Evaluation
Management
- Root canal or extraction (for irreversible pulpitis)
Disposition
- Discharge with dental follow-up