牙体牙髓6-1（Dental pulp 6-1）.doc

牙体牙髓6-1（Dental pulp 6-1） Oral medicine qualification examination, oral medicine - intensive sprint class (teacher Bais lecture) There is no effective collateral circulation in the pulp tissue, which is in the absence of space, and it is difficult to recover once the obvious inflammation occurs. Age-related change in dental pulp: Histological apical foramen: Etiology and pathogenesis (1) bacterial infection is a major factor Dentinal tubules: dental caries is the most common cause Dental Pulp Exposure Periodontal pathway Blood borne infection (two) physical factors Acute / chronic trauma: affecting the blood supply of dental pulp Temperature: iatrogenic operation, thermogenesis Current: galvanic effect (three) chemical factors Filling material: zinc phosphate cement Etching agent, adhesive Disinfectant: chemical periapical periodontitis (four) immune factors Methods of examination and diagnosis (a) collect medical history; Complaint: location + symptom + time History of Present Illness： (two) clinical examination Pulp temperature test: lower than 10 degrees, higher than 60 degrees. Cold diagnosis: small ice rod, cold water, ethyl chloride and so on. Hot diagnosis: Hot gutta percha, hot water, etc.. Temperature test notes Temperature test result recording method Normal (compared with control teeth): transient mild sensory response Sensitive: a sensitive: a mild pain and reversible pulpitis Stimulate the pain: continued severe pain, acute pulpitis Hot cold, pain relief: acute suppurative pulpitis Slow response delay / weak / slow reaction of reactive pain, chronic pulpitis / necrosis No response: pulp necrosis / endodontic treatment of unmyelinated teeth Dental pulp vitality test Use an electrical activity test apparatus Significance: judgment of dead pulp / vital pulp Contraindications: pacemakers are disabled Causes of false positive reactions: Current flowing to the gums: metal restorations, inadequate dampness. Current flowing to periapical: pulp liquefaction necro