د. زهراء الحمداني ( المرحلة الخامسة )

أقروها أنتم وراح أنزل إلكم ملخص إلها كامل تراجعون عليه وأنزل إلكم المهمات بيها 🫶🏻

🔺Total Necrosis of the Pulp 🔆Coagulation Necrosis: The cell shape is still recognizable under a microscope, but the internal details are gone. Liquefaction Necrosis: The entire cell structure has disappeared, leaving a liquefied area. 🔆Treatment: The only options are root canal treatment or tooth extraction. 🔺 Acute Pulpitis Superimposed on Chronic Pulpitis 🔆 This occurs when a long-standing chronic condition suddenly flares up into an acute, painful attack. 🔆 Severe pain, particularly at night. 🔆 Relief Mechanism: Pain decreases slightly once an abscess forms, but full relief only occurs through drainage and Antibiotics followed by a root canal or extraction.

🔺 Chronic Partial Pulpitis with Partial Necrosis 🔆 The Cause: Occurs when an irritant persists, leading to "liquefaction" or "coagulation" necrosis in the deeper pulp. 🔆 Spontaneous pain. Can last for about 30 minutes,does not respond to painkillers (analgesics). 🔆 Diagnosis: Requires a radiograph (X-ray). It can be "open" (visible caries) or "closed" (caused by toxins). 🔆 Treatment: Either a root canal or tooth extraction. 🔺Chronic Total Pulpitis with Partial Necrosis 🔆 The Cause: The inflammation spreads to involve the entire pulp (both the crown and the root portions). 🔆 Severe pain that can last for several hours. Throbbing pain that worsens when the patient lies down to sleep due to increased internal pressure. 🔆 Treatment: Like the partial form, this is irreversible and requires a root canal or extraction.

🔺Chronic Partial Pulpitis (Without Necrosis ) 🔆 Causes: Deep caries, pulp exposure, operative procedures, deep periodontal lesions, or orthodontic movement. 🔆 Location: The inflammation is confined to the coronal portion. 🔆 Pulp Polyp (Chronic Hyperplastic Pulpitis) Who gets it: Primarily children and young adults due to their rich blood supply and strong immune response. Appearance: A specific type of tissue growth that bleeds easily when touched. 🔆 Diagnosis: It can be distinguished from a gum polyp by using a dental probe. 🔆 Conservative: Vital pulpotomy (removing only the top pulp) can be successful if there is no necrosis Or Root canal therapy or extraction. 🔆 Classification: Reversible: If no partial necrosis exists. Irreversible: If partial necrosis has begun.

🔺Acute Pulpitis هذا ملخص للمعلومات حتى يصير الحفظ أسهل : 🔆 Cell Damage: Odontoblast cells may rupture due to edema (swelling). Timeline: This reaction typically lasts 3 days. 🔆Pain: Patients experience mild pain triggered by hot or cold stimuli. 🔆 Duration: The pain lasts only as long as the stimulus is present. 🔆 Classification: This is categorized as reversible pulpitis.