Reversible acute pulpitis
Reversible acute pulpitis
History:
- Recent dental scaling
- Recent restoration
- Deep restoration
- Deep caries
- History of trauma
Symptoms:
- Unilateral sharp stabbing pain recognized as tooth ache
- Pain is intermittent and of immediate onset of hot,cold,sweet stimuli
- The tooth is not painful unless stimulated and may respond more too cold than hot stimuli
- Pain on stimulation is of very short duration and it does not linger for more than 10-15 seconds after stimulus has been removed.
- The painful tooth is difficult to localized.
Signs:
- May include a large intra or extra coronal restoration
- Large carious lesion involving the pulp
- A pin placed close to the pulp
Diagnostic test:
1.Percussion: no tenderness or dullness on percussion
2.Vitality test: gives an exaggerated response
- Heat test
- Cold test
- Elective pulp test
- exaggerated prolong
- exaggerated brief
3.colour: normal
4.radiograph:
- radiolucent lesions
- restoration
- remove the cause, dress deep cavity using Ca(OH)2 lining, selective temporary filling e.g ZnO euginal
- follow up the patient- review and repeat vitality test and serial radiograph(3,6,12 months)are also required to monitor the apical condition and identify any sclerosis.
Category: Dental, Endodontics
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