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Chapter-28 Pulpal Response to Caries and Dental Procedure

BOOK TITLE: Textbook of Endodontics

Author
1. Garg Nisha
2. Garg Amit
ISBN
9789380704234
DOI
10.5005/jp/books/11355_28
Edition
2/e
Publishing Year
2010
Pages
12
Author Affiliations
1. Ex-Resident, Government Dental College, Patiala, Presently at, Manav Rachna Dental College, Faridabad, Haryana, India, Manav Rachna Dental College, Faridabad, Haryana, India, Government Dental College, Patiala, Sri Sukhmani Dental College and Hospital, Dera Bassi, Mohali, Punjab, India, Bhojia Dental College and Hospital, Baddi, Himachal Pradesh, India
2. Government Dental College, PGIMS, Rohtak, Haryana, India, Manav Rachna Dental College, Faridabad, Haryana, India, Sri Sukhmani Dental College and Hospital, Dera Bassi, Mohali, Punjab, India, Fortis Escorts Heart Institute, New Delhi, India, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, New Hyde Park, New York, USA
Chapter keywords

Abstract

Pulp is a connective tissue with several factors making it unique and altering its ability to respond to irritation. Normal pulp is a coherent soft tissue, dependent on its normal hard dentin shell for protection and hence, once exposed, extremely sensitive to contact and temperature but this pain does not last for more than 1-2 seconds after the stimulus removed. Dental caries is the most common route for causing irritation to the pulp. The bacterial toxins, enzymes, organic acids and the products of tissue destruction show inflammatory response in the pulp. The degree of pulpal inflammation beneath a carious lesion depends on closeness of carious lesions with pulp and permeability of underlying dentin. Pulpal inflammation resulting from the operative procedures is often termed as Dentist Ogden pulpitis.

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