Evaluation of Effect of Moderate to Severe Chronic Periodontitis on Pulp of Teeth: A Histopathological Study

JOURNAL TITLE: Journal of Health Sciences & Research

Author
1. Rithesh Kulal
2. Mysore S Nalini
3. Poorna Prakash
4. Remya Nath
ISSN
2229-3655
DOI
10.5005/jp-journals-10042-1066
Volume
9
Issue
2
Publishing Year
2018
Pages
3
Author Affiliations
    1. Department of Periodontology, RajaRajeswari Dental College and Hospital, Bengaluru, Karnataka, India
    1. Department of Periodontology, Mysore Road Kumbalgodu, Bengaluru, Karnataka, India
    1. Department of Periodontology, Mysore Road Kumbalgodu, Bengaluru, Karnataka, India
    1. Department of Periodontology, Mysore Road Kumbalgodu, Bengaluru, Karnataka, India
  • Article keywords
    Dental pulp, Histopathologic changes, Inflammation, Periodontitis

    Abstract

    Introduction: The periodontitis affected teeth and the observed changes in the dental pulp have been controversial area of debate. The reason being the close communication between the periodontium and the pulp through the apical foramina and accessory lateral canals postulating the spread of infection between the tissue areas. Aim: Evaluation of the histopathologic changes in dental pulp of teeth with moderate and severe chronic periodontitis. Materials and methods: Human dental pulp was obtained using vital pulpectomy technique from 20 permanent teeth extracted due to hopeless periodontal prognosis. Pulp tissue samples were processed for histological examination and grading of changes observed. Result: Inflammation was usual finding in the samples; however, only 8% of the teeth showed no inflammation. Pulp with moderate fibrosis was seen commonly in many sections. About 44% of samples showed edematous pulp. Conclusion: Periodontitis can induce changes in the dental pulp considerations have to be given to the involved teeth for the depth of pocket and severity of periodontal involvement for proper treatment planning and management.

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