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Amazing images of Acute Pulpitis - Courtesy ROOTS

The opinions and photographs within this web page are not ours. Authors have been credited
for the individual posts where they are -
From: Jeremy Rourke
Sent: Wednesday, 9 September 2009 6:11 PM
To: 'ACEsthetics'; 'ROOTS'
Subject: Amazing images of Acute Pulpitis

Patient today 09-09-2009 presented complaining of pain on biting. 
I  did my standard rebound tenderness test Bite down hard on a 
cotton roll and suddenly release Lower Right Second molar was 
positive (LR7  47)

Transillumination showed a crack on the mesial and distal  on either 
side of the occlusal amalgam The patient is a smoker with mild to 
moderate perio bone loss

I suggested an extraction as the preferred option During the procedure 
the crown broke down the middle and the buccal fragment came out as 
shown in the images In the past 39 years I have often told patients that 
this is what is happening with their pulp but I never expected
to see it so clearly

Even though the patient had two broken roots I stopped to capture 
these images with my camera You can see the necrotic pulp in the pulp 
chamber while the distal pulp tissue is clearly still vital and looks
just like the thread of root canal pulp tissue you would remove with a 
barbed broach when doing a vital root treatment I am sending this email 
out in the hope the images will find their way into University Dental 
school teaching material If you want to send it on to University 
teaching staff please DO -  Jeremy Rourke

Nice Pic! hope the academicians here take note. - Sanjay Jamdade

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