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Pulp Canal Obliteration
Pulp canal obliteration (also termed pulp chamber obliteration or root canal obliteration) is a condition which can occur in teeth where hard tissue is deposited along the internal walls of the root canal and fills most of the pulp system leaving it narrowed and restricted. The exact causes of pulp obliteration are unclear but it typically occurs in response to dental trauma, especially following luxation injuries involving displacement, particularly if a tooth is replanted after being completely avulsed (knocked out) This response is common in this scenario and typically starts to occur several months after replantation. In other cases obliteration can occur if the tooth is drilled down extensively during dental treatment, e.g. during crown preparation. Signs and symptoms of obliteration include: * Yellow tooth discoloration * Lack or response to pulp sensibility test (e.g. ethyl chloride, electric pulp test) * Lack of visible radiolucency where pulp system should be on radiogra ...
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Hard Tissue
Hard tissue, refers to "normal" calcified tissue, is the tissue which is mineralized and has a firm intercellular matrix. The hard tissues of humans are bone, tooth enamel, dentin, and cementum. The term is in contrast to soft tissue. Bone Bone is a rigid organ that constitutes part of the vertebral skeleton. Bones support and protect the various organs of the body, produce red and white blood cells, store minerals and also enable mobility. Bone tissue is a type of dense connective tissue. Bones come in a variety of shapes and sizes and have a complex internal and external structure. They are lightweight yet strong and hard, and serve multiple functions. Mineralized osseous tissue or bone tissue, is of two types – cortical and cancellous and gives it rigidity and a coral-like three-dimensional internal structure. Other types of tissue found in bones include marrow, endosteum, periosteum, nerves, blood vessels and cartilage. Bone is an active tissue composed ...
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Dental Trauma
Dental trauma refers to trauma (injury) to the teeth and/or periodontium (gums, periodontal ligament, alveolar bone), and nearby soft tissues such as the lips, tongue, etc. The study of dental trauma is called dental traumatology.''Textbook and Color Atlas of Traumatic Injuries to the Teeth'', Fourth Edition, edited by Andreason J, Andreasen F, and Andersson L, Wiley-Blackwell, Oxford, UK, 2007 Types Dental injuries Dental injuries include: * Enamel infraction * Enamel fracture * Enamel-dentine fracture * Enamel-dentine fracture involving pulp exposure * Root fracture of tooth Periodontal injuries * Concussion (bruising) *Subluxation of the tooth (tooth knocked loose) * Luxation of the tooth (displaced) **Extrusive ** Intrusive **Lateral * Avulsion of the tooth (tooth knocked out) Injuries to supporting bone This injury involves the alveolar bone and may extend beyond the alveolus. There are five different types of alveolar fractures: * Communicated fracture of ...
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Crown (dentistry)
In dentistry, a crown most commonly refers to a dental cap, a type of dental restoration that completely caps or encircles a tooth or dental implant. A crown may be needed when a large cavity threatens the health of a tooth. A crown is typically bonded to the tooth by dental cement. They can be made from various materials, which are usually fabricated using ''indirect methods''. Crowns are used to improve the strength or appearance of teeth and to halt deterioration. While beneficial to dental health, the procedure and materials can be costly. The most common method of crowning a tooth involves taking a dental impression of a tooth prepared by a dentist, then fabricating the crown outside of the mouth. The crown can then be inserted at a subsequent dental appointment. This ''indirect method'' of tooth restoration allows use of strong restorative material requiring time-consuming fabrication under intense heat, such as casting metal or firing porcelain, that would not be po ...
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Tooth Discoloration
Tooth discoloration is abnormal tooth color, hue or translucency. External discoloration is accumulation of stains on the tooth surface. Internal discoloration is due to absorption of pigment particles into tooth structure. Sometimes there are several different co-existent factors responsible for discoloration. Normal tooth shade The appearance and perception of a tooth is the result of a complex interaction of factors such as lighting conditions, translucency, opacity, light scattering, gloss and the human eye and brain. Of these, the intrinsic pigmentation of a tooth is the most influential, which in turn is determined by genetic and natural factors. Light hitting a tooth undergoes reflection, absorption and transmission by varying degrees in each tissue layer of the tooth substance. Reflected light detected by the human eye determines the perceived appearance of a tooth. Teeth have a thin enamel layer on the outer surface. The enamel layer is whiter and semitransparent, a ...
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Pulp Sensibility Test
Dental pulpal testing is a clinical and diagnostic aid used in dentistry to help establish the health of the dental pulp within the pulp chamber and root canals of a tooth. Such investigations are important in aiding dentists in devising a treatment plan for the tooth being tested. There are two major types of dental pulp tests. Vitality testing assesses the blood supply to the tooth, whilst sensitivity testing tests the sensory supply. Clinical application Dental pulp tests are valuable techniques used to establish the pulpal health status of a tooth in dentistry. The diagnostic information obtained from pulpal testing is then used alongside a patient's history, clinical and radiographic findings to determine a diagnosis and prognosis of the tooth. Pulp tests are useful for the following procedures in dentistry: * diagnosis of endodontic pathology, * localisation of tooth pain, * differentiating between odontogenic and non-odontogenic pain, * assessing pulpal status following ...
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Ethyl Chloride
Chloroethane, commonly known as ethyl chloride, is a chemical compound with chemical formula CH3CH2Cl, once widely used in producing tetraethyllead, a gasoline additive. It is a colorless, flammable gas or refrigerated liquid with a faintly sweet odor. Production Chloroethane is produced by hydrochlorination of ethylene: :C2H4 + HCl → C2H5Cl At various times in the past, chloroethane has also been produced from ethanol and hydrochloric acid, from ethane and chlorine, or from ethanol and phosphorus trichloride, but these routes are no longer economical. Some chloroethane is generated as a byproduct of polyvinyl chloride production. Uses Chloroethane is an inexpensive ethylating agent. It reacts with aluminium metal to give ethylaluminium sesquichloride, a precursor to polymers and other useful organoaluminium compounds. Chloroethane is used to convert cellulose to ethylcellulose, a thickening agent and binder in paints, cosmetics, and similar products. Like other chlori ...
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Pulp Necrosis
Pulp necrosis is a clinical diagnostic category indicating the death of the pulp and nerves of the pulp chamber and root canal of a tooth which may be due to bacterial sequelae, trauma and chemical or mechanical irritation. It is often the end result of many cases of dental trauma, caries and irreversible pulpitis. In the initial stage of the infection, the pulp chamber is partially necrosed for a period of time and if left untreated, the area of cell death expands until the entire pulp necroses. The most common clinical signs present in a tooth with a necrosed pulp would be a grey discoloration of the crown and/or periapical radiolucency. This altered translucency in the tooth is due to disruption and cutting off of the apical neurovascular blood supply. Sequelae of a necrotic pulp include acute apical periodontitis, dental abscess or radicular cyst and discolouration of the tooth. Tests for a necrotic pulp include: vitality testing using a thermal test or an electric pulp test ...
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Root Canal Treatment
Root canal treatment (also known as endodontic therapy, endodontic treatment, or root canal therapy) is a treatment sequence for the infected pulp of a tooth which is intended to result in the elimination of infection and the protection of the decontaminated tooth from future microbial invasion. Root canals, and their associated pulp chamber, are the physical hollows within a tooth that are naturally inhabited by nerve tissue, blood vessels and other cellular entities. Together, these items constitute the dental pulp. Endodontic therapy involves the ''removal'' of these structures, disinfection and the subsequent shaping, cleaning, and decontamination of the hollows with small files and irrigating solutions, and the ''obturation'' (filling) of the decontaminated canals. Filling of the cleaned and decontaminated canals is done with an inert filling such as gutta-percha and typically a zinc oxide eugenol-based cement. Epoxy resin is employed to bind gutta-percha in some ro ...
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Internal Resorption
Resorption of the root of the tooth, or root resorption, is the progressive loss of dentin and cementum by the action of odontoclasts. Root resorption is a normal physiological process that occurs in the exfoliation of the primary dentition. However, pathological root resorption occurs in the permanent or secondary dentition and sometimes in the primary dentition. Causes While resorption of bone is a normal physiological response to stimuli throughout the body, root resorption in permanent  dentition and sometimes in the primary dentition is pathological. The root is protected internally (endodontium) by pre-dentin and externally on the root surface by cementum and the periodontal ligament. Chronic stimuli that damage these protective layers expose underlying dentin to the action of osteoclasts. Root resorption most commonly occurs due to inflammation caused by: pulp necrosis, trauma, periodontal treatment, orthodontic tooth movement and tooth whitening. Less common causes ...
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