Oral Path - Pulp Disease

Front 1

pulpitis

Back 1

inflammation of the pulp from any cause

Front 2

what may cause necrosis of pulp due to pulpitis

Back 2

inflammation causes strangulation of arterial inflow

Front 3

inflammation leads to increased _________________ and ____________________________

Back 3

- intrapulpal pressure
- secondary compression of venous return

Front 4

how does inflammation affect blood flow in the pulp

Back 4

it can diminish or even stop blood flow

Front 5

name 4 types of noxious stimuli that may cause pulpitis

Back 5

- mechanical damage
- thermal injury
- chemical irritation
- bacterial effects

Front 6

what is the most important classification of pulpitis

Back 6

reversible vs. irreversible

Front 7

describe pain associated with reversible pulpitis

Back 7

sudden, mild to moderate pain

Front 8

what stimuli cause pain in reversible pulpitis

Back 8

- extremes in temperature
- possibly sweet or sour foods or beverages

Front 9

in reversible pulpitis, pain is most dramatic in response to __________________

Back 9

cold stimuli

Front 10

in reversible pulpitis, pain does not occur without __________________

Back 10

a stimulus - and subsides rapidly after it is removed

Front 11

contrast the response of a tooth to electrical stimulation in reversible vs irreversible pulpitis

Back 11

- reversible: tooth responds at low threshold
- irreversible: early response at low level, then later at higher threshold or not at all

Front 12

describe the mobility of a tooth in reversible pulpitis

Back 12

no mobility in reversible pulpitis

Front 13

t/f: in reversible pulpitis, percussion of the tooth will elicit extreme pain

Back 13

false - sensitivity to percussion is absent

Front 14

describe pain of irreversible pulpitis

Back 14

sharp, severe, continues after stimulus is removed

Front 15

what is the main stimulation of irreversible pulpitis

Back 15

thermal stimulation

Front 16

in early stages of irreversible pulpitis _____________ is especially uncomfortable

Back 16

cold

Front 17

in later stages of irreversible pulpitis ____________ intensifies pain while _____________ relieves pain

Back 17

heat, cold

Front 18

in early irreversible pulpitis, pain is ________________, later on it is more _________________

Back 18

easily localized, diffuse - patient cannot tell which is the offending tooth

Front 19

in irreversible pulpitis, the pain is exacerbated when _________________

Back 19

lying down

Front 20

describe the location of white and red blood cells in reversible pulpitis

Back 20

WBC's - displaced to periphery
RBC's - in the center of the pulp

Front 21

what is chronic hyperplastic pulpitis

Back 21

inflammatory hyperplasia extrudes to fill a large cavity in the crown - pulp is often pushed out of the tooth and can become epithelialized

Front 22

chronic hyperplastic pulpitis is most commonly seen in

Back 22

children, young adults

Front 23

what teeth are most commonly involved in chronic hyperplastic pulpitis

Back 23

deciduous or permanent mandibular molars

Front 24

describe the apex of the affected tooth in chronic hyperplastic pulpitis

Back 24

often incompletely formed

Front 25

another name for chronic hyperplastic pulpitis

Back 25

pulp polyp

Front 26

describe pain of chronic hyperplastic pulpitis

Back 26

usually not painful

Front 27

what is secondary dentin

Back 27

dentin formed after completion of the tooth

Front 28

describe the tubular structure of secondary dentin

Back 28

regular, organized

Front 29

the deposition of secondary dentin is ______________________ but increases around the age of _________________________.

Back 29

slow and gradual, 35-40

Front 30

what happens to the pulp chambers and canals as secondary dentin is laid down

Back 30

they become smaller

Front 31

deposition of secondary dentin begins in the __________ portions and continues to the ___________ areas

Back 31

coronal, apical

Front 32

another name for secondary dentin

Back 32

physiologic secondary dentin

Front 33

where is secondary dentin deposition the greatest and least

Back 33

greatest - pulpal floor
least - lateral walls

Front 34

the process of secondary dentin deposition is more advanced in _________

Back 34

males

Front 35

name 6 disease states associated with deposition of secondary dentin

Back 35

1- arthritis
2- gout
3- renal stones
4- gallstones
5- atherosclerosis
6- hypertension

Front 36

with age, pulp chambers decrease in _____________________

Back 36

height, but not much in width

Front 37

what is localized secondary dentin

Back 37

secondary dentin laid down in areas of focal injury or insult

Front 38

give 3 other names for localized secondary dentin

Back 38

- secondary reparative dentin
- irregular dentin
- tertiary dentin

Front 39

describe the tubular structure of localized secondary dentin

Back 39

haphazardly organized, irregular, disorganized

Front 40

significant traumatic injury can lead to _______________________________

Back 40

accelerated early pulp obliteration, termed calcific metamorphisis (or yellow crown)

Front 41

name 8 possible stimuli for deposition of localized secondary dentin

Back 41

- attrition
- fracture
- erosion
- abrasion
- caries
- periodontal disease
- mechanical injury from dental procedures
- irritation of dental materials

Front 42

name 3 types of pulpal calcifications

Back 42

- denticles
- pulp stones
- diffuse linear calcifications

Front 43

what are denticles

Back 43

epithelial remnants thought to induce odontoblastic differentiation

Front 44

diffuse linear calcifications parallel

Back 44

pulp vasculature

Front 45

what types of pulpal calcifications can be seen radiographically

Back 45

denticles and pulpstones. not diffuse linear calcifications

Front 46

pulpal calcifications can be associated with:

Back 46

- dentin dysplasia II
- pulp dysplasia
- tumoral calcinosis
- calcinosis universalis
- ehler-danlos syndromes