Elektrovozoremontnij teeth when pulpitis

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The problem of diagnostics and treatment of pulpitis is as alive today as it was many years ago.
Needless to say that without accurate diagnosis cannot be and speeches about the correct and effective treatment. For those doctors who are still used for the treatment of any pulpitis arsenious acid, differential diagnosis are Pro forma. Regardless of the severity and length of the process they condemn the pulp to death. It is now well developed method depulpation tooth with diathermocoagulation. The latter has a number of advantages: treatment ends at the first visit, is without pain.
However, it is not enough to have a modern methods of treatment of pulpitis. In equal measure, you need to know when to use them: in what cases you can save the entire pulp when to resort to the vital amputation and save radicular pulp and when to put the question on polipektomii. For those who want to use all possible, to save all or at least the root pulp, differential diagnosis of pulpitis are of great importance. For such doctors problem of classification of pulpitis has purely practical importance.
It is well known that all proposed so far classification suffer from a significant shortcomings.
This explains the huge percentage discrepancy between clinical and postmortem diagnoses: according to all the authors involved in this matter, the difference reaches 85-90%. All this is because defined in the pulp morphological changes not found clinical expression. The same morphological changes can give different clinical picture, and Vice versa, with different morphological changes may be identical clinical picture. This is because the main clinic of pulpitis is pain syndrome, for which there is no morphological equivalent. For example, if in the clinic, in some cases, there are mild and short bouts of pain, while others, on the contrary, attacks strong, long lasting, often following each other, it is logical to assume that the former have a place with limited pulpitis, and the second - in diffuse. However, the first attempts to match the nature of the attacks with morphological pattern in the pulp has shown that under very limited foci of acute inflammation in the pulp can be painful and frequent bouts of pain, and diffuse processes may be accompanied by mild severe pain.
It is considered that the presence of irradiation of pain is a sign of diffuse pulpitis. On the contrary, according to our observations, the radiation of pain is an expression not of the length and presence or absence of opportunities for retention of fluid. With increase inflammation in the pulp, when the pain attacks become more intense, longer and more often (which, according to some authors reflects the shift serous in purulent inflammation), and the output for exudate out there, and with limited pulpitis pain can irrationality not only within relevant, but also other branches of the trigeminal nerve. The radiation of pain, according to our observations, can take place not only at the pulpit, but also in dental caries. Examining the reaction of teeth with decay on some chemical irritants, we have repeatedly observed expressed radiation of pain when introduced into carious cavity drops saturated solution of table salt or sugar.
Painful percussion, according to many authors reflects the shift of the inflammatory process on the periodontium. However, our studies in this area do not confirm this perspective. Tenderness on percussion not always due to the involvement of periodontal in the inflammatory process; it may be caused by the concussion (concussion) inflamed pulp (like, for example, how when meningitis light percussion on the zygomatic arch may cause or intensify headache). On the involvement of periodontal in the inflammatory process it is possible to speak with confidence only in case, if the pain occur when namazyvanii or pressure in the vertical direction on the tooth. In favour of this point of view, the fact that necrotization pulp addresses these pain at percussion. Especially defiantly this is manifested by electrocoagulation: immediately after coagulation percussion pain caused by shaking of pulp, disappear.