 Hello everyone, welcome back to another session in dentistry and more today we have a simple topic pulpitus so most of you will be knowing the Details of the tooth that is the outermost covering enamel Then there will be a inner covering which is known as dentin and the innermost part is pulp. So pulp is Where the nerves blood vessels and all other vital structures are? lying so when the carries starts from enamel Then it reaches to dentin Then it goes to pulp. So when it touches pulp or When it is very closer to pulp the symptoms arises symptoms means the sensitivity or pain So pulpitus is nothing but The itis means inflammation The inflammation of this pulp So let's learn pulpitus in detail So inflammation of pulp which can be two types one is acute and chronic acute means sudden and Chronic is over a period of time okay So what could be the etiology so etiology the most common one is dental carries then the traumatic exposure or the fracture of the crown or thermal changes chemical irritation and even cracked tooth syndrome so anything could be the reason for pulpitus cracked tooth syndrome also could be a reason for pulpitus So we have two types one is acute It can be divided into reversible and irreversible The chronic one closed and open open Chronic pulpitus it's all so known as hyperplastic pulpitus So we'll start with acute reversible pulpitus So etiology as expected dental carries or cavity preparation or the thermal changes So when we have a large metallic Filling so if we have a metallic filling silver amalgam filling here when there is thermal changes heat cold So if such things are eliciting a response mostly it will be a reversible pulpitus So pain will be always mild to moderate we can withstand the pain. It is not very severe mild to moderate pain So the basic difference is the pain response That is this is a mild to moderate pain. We can withstand the pain But in irreversible pulpitus there will be severe lancinating and spontaneous in nature which is continuous which increases when patient lies down and In histopathological features, there will be inflammation involves the whole dental pulp Pascua dilation and edema and again granular cell inflammatory infiltration and The odendoblast near to the course are destroyed formation of minute pulp abscess and There will be a pulp In few days of time pulp undergoes liquefaction and necrosis So that is irreversible pulpitus and the treatment is As expected root canal treatment once the pulp is infected. It is irreversible So we cannot do anything to save the tooth We need to go for a root canal treatment That is we remove the pulp and fill it up with a rubber-based material the tapacha and save the tooth by placing a crown But reversible pulpitus we can reverse the condition we can bring back the tooth to normal of removing the irritant Now let's move on to the chronic pulpitus. The etiology could be previous acute pulpitus So the acute pulpitus becomes chronic and chronic dental caries So clinical features pain will be mostly absent or will be mild to moderate very dull type and Intermittent okay intermittent type or dull, okay the acute we know it was very severe spontaneous in case of irreversible and Reaction to thermal changes is reduced in comparison to acute pulpitus when we apply heat or cold The reaction is comparatively low compared to this acute pulpitus and In histopathology, there will be mono nuclear inclementary cell infiltration and evidence of fibroblastic activity and minute abscess If exist it is localized by granulation tissue and again the treatment is root canal treatment Whereas the hyperplastic one is also known as pulp Polyp Okay, so it will be seen in an open cavity It starts as a chronic or acute, but there will be a wide apical foramen in case of children In clinical features what we see is a red pinkish soft in a duel protruding into the cavity from the particular tooth so almost in children and young adults it will be like that a Pink reddish mass which is protruding Towards the occlusion surface and it is relatively insensitive to manipulation most common in deciduous molars But we need to differentiate it from the gin chival polyp We need to check for the stock where the stock whether it is originating from the pulp or whether it is originating from the gin chival polyp So we need to roll out the gin chival polyp where the stock will be Starting from the gin chival, but pulp polyp the stock will be starting from the pulp itself. Okay So in histopathology it consists of basically granulation tissue and contains Delicative connective tissue fibers and blood vessels also the mono nuclear inflammatory cell infiltration and The polyp is covered with a epithelium and The treatment is nothing but our city or sometimes we need to go for extraction and lastly guys We have started the channel membership in dentistry and more channel So you can explore our various Exclusive perks for the channel members So you can explore various options by clicking on the join button adjacent to subscribe button So we have options of Personal whatsapp help. So you can ask any doubts. 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