Pulp & Periapical Pulp & Periapical

Disease Disease
PULPITIS Reversible pulpitis
Reversible Sensitive to heat extremes
Pain disappears when thermal
Irreversible stimulus is removed
Chronic hyperplastic No spontaneous pain
Diminished response to EPT

Pulp & Periapical Pulp & Periapical

Disease Disease
Irreversible pulpitis Irreversible pulpitis
Severe pain to heat extremes Localized abscess within pulp
Pain continues when thermal Irreversible means irreversible
stimulus is removed Treatment
SPONTANEOUS pain Endodontics
Response to EPT erratic Sunshine

Periapical Abscess Periapical Abscess

Dorlands 30th edition
Why does Rohrer disagree with Abscess: a localized collection of pus
the text on x-ray appearance? buried in tissues, organs, or confined
spaces
Apical (periapical) abscess: an apical
abscess of a tooth characterized by
rapid onset, acute pain, tenderness of
the tooth to touch, pus formation, and
swelling of tissues in a later stage

1
 Periapical Abscess Radiopaque Lesions Near
Dorlands 30th edition the Apices of Teeth
Abscess: a localized collection of pus Condensing Osteitis
buried in tissues, organs, or confined Reactive
Non-vital pulp
spaces Posterior mandible

Apical (periapical) abscess: an apical Focal Osteosclerosis (Idiopathic)

abscess of a tooth characterized by Vital pulp

rapid onset, acute pain, tenderness of Periapical Cemento-osseous

the tooth to touch, pus formation, and Dysplasia
Vital pulp
swelling of tissues in a later stage Black females
Anterior mandible

Non-vital =
Condensing Osteitis

Cause = ?????

Vital =
(Idiopathic)
Focal
Osteosclerosis

2
Vitality Test! Cellulitis
Vitality Test!
Ludwigs angina
Vitality Test!
Cavernous sinus
Vitality Test!
thrombosis
Vitality
Test!

Osteomyelitis
Acute
Chronic
Diffuse sclerosing