Pulpal changes associated with advanced periodontal disease: A histopathological study
| Autor: | Sushama R Galgali, H S Sheethal, Siddharth Gautam, N S Priya |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Gingival and periodontal pocket
Root canal H&E stain Dentistry histopathological study Severe periodontitis Pathology and Forensic Medicine 03 medical and health sciences 0302 clinical medicine stomatognathic system Edema Medicine Endo-perio lesion General Dentistry business.industry 030206 dentistry medicine.disease Chronic periodontitis stomatognathic diseases medicine.anatomical_structure Otorhinolaryngology 030220 oncology & carcinogenesis Pulp (tooth) Original Article medicine.symptom dental pulp business Calcification |
| Zdroj: | Journal of Oral and Maxillofacial Pathology : JOMFP |
| ISSN: | 0973-029X |
| Popis: | Introduction: Over the past century, the dental literature has consistently reflected a controversy related to the effect of periodontal disease on the dental pulp. Nonetheless, practitioners are of the opinion that teeth having deep periodontal pockets show variable pulpal response, which may necessitate root canal treatment. Thus, this study aimed to evaluate the changes in pulp due to advanced periodontal disease. Materials and Methods: Forty caries-free teeth affected with severe periodontitis were collected from patients aged between 18 and 55 years. The collected teeth were stored in formalin for 24 h and were then decalcified and examined histologically after staining with hematoxylin and eosin to note the changes that occurred in pulp. Results: Pulpal calcification (52.62%) and partial necrosis of pulp (52.62%) were found to be the most common findings. Inflammation, which was found in 47.38% of the cases, ranged from mild to severe in most sections and was always chronic. Pulp with complete necrosis was seen in 26.32% of cases. Fibrosis and pulpal edema were seen in 36.84% of cases. Conclusion: In the presence of moderate to severe chronic periodontitis, degenerative changes such as inflammation, fibrosis, edema, calcification and necrosis were observed to variable degree. |
| Databáze: | OpenAIRE |
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