How can you test the vitality of tooth?
“Vitality testing” assesses the blood supply to the tooth, whilst “sensitivity testing” tests the sensory supply….Vitality testing
- Laser-Doppler Flowmetry. Laser-Doppler Flowmetry is able to assess blood flow within the dental pulp directly.
- Pulse Oximetry.
- Dual Wavelength Spectrophotometry.
What is the purpose of vitality testing?
Vitality testing is an impor- tant aid in the diagnosis of pulp disease and apical periodontitis. If the pulp is deemed to be severely compromised as a result of the diagnostic testing, then endodontic treatment, or indeed extraction, may be indicated.
How is asymptomatic irreversible Pulpitis diagnosed?
In such cases, dental history and thermal testing are the primary tools for assessing pulpal status. Asymptomatic Irreversible Pulpitis is a clinical diagnosis based on subjective and objective findings indicating that the vital inffamed pulp is incapable of healing and that root canal treatment is indicated.
What is asymptomatic apical periodontitis?
Introduction. Asymptomatic apical periodontitis (AAP) is defined as a chronic inflammation and destruction of apical periodontium caused in response to bacterial infection of the root canal system, which appears as an apical radiolucent area, and does not produce clinical symptoms (1).
How is apical periodontitis treated?
Teeth with post-treatment apical periodontitis can be managed by either nonsurgical endodontic retreatment or periradicular surgery; both of which have high chances of restoring health of the periradicular tissues and maintaining the tooth functional in the oral cavity.
What is the main cause of apical periodontitis?
Periapical periodontitis or apical periodontitis (AP) is an acute or chronic inflammatory lesion around the apex of a tooth root, most commonly caused by bacterial invasion of the pulp of the tooth.
How do you know if you have apical periodontitis?
By far, most cases of apical periodontitis are asymptomatic. Pain, tenderness to biting pressure, percussion or palpation as well as swellings are typical clinical expres- sions of symptomatic apical periodontitis (Fig. 7.2a,b). The symptoms may vary from mild to severe.
How is Periradicular periodontitis diagnosed?
A Clinician’s Guide to Clinical Endodontics Periradicular Diagnosis
- Cold Test, EPT, and/or Heat Test for Pulp Sensibility.
- Percussion Tests for Determining the Status of the Periodontal Ligament.
- Palpation of the Buccal and Lingual/Palatal Gingival Tissue of the Tooth.
How is gum disease caused?
Gum disease is caused by a build-up of plaque on the teeth. Plaque is a sticky substance that contains bacteria. Some bacteria in plaque are harmless, but some are harmful for the health of your gums. If you do not remove plaque from your teeth by brushing them, it builds up and irritates your gums.
How do dentists treat periodontal disease?
If you have advanced periodontitis, treatment may require dental surgery, such as: Flap surgery (pocket reduction surgery). Your periodontist makes tiny incisions in your gum so that a section of gum tissue can be lifted back, exposing the roots for more effective scaling and root planing.
What can you not do after a periodontal treatment?
Deep Cleaning Teeth Aftercare Tips
- Don’t eat until the numbness has left your mouth.
- Avoid certain foods after a deep cleaning.
- Over-the-counter medication can be used for pain and swelling.
- Take antibiotics if prescribed.
- Some swelling or discomfort is normal.
- Minor bleeding is also normal.
- Rinse with saltwater.
What will strengthen my gums?
Vitamin C. Vitamin C strengthen your gums and the soft tissue in your mouth. It can protect against gingivitis, the early stage of gum disease, and can prevent your teeth from loosening.