4.2 Diagnosis of the pulp status
1. Diagnosis of the pulp status of primary and immature permanent teeth
Diagnosis of the pulp status of primary and immature permanent teeth
1. Medical history
2. Dental history
3. Chief complaint and current symptoms
4. Extra-oral and intra-oral examinations
The soft tissue manifestation with a tooth with a deep caries lesion/restoration, trauma or dysplasia is an obvious clinical sign of an irreversibly pulp disease.
5. Radiographic evaluation
① Extent of decay, the relationship between the decay and pulp chamber.
② The relationship between the restoration and the pulp chamber, and whether there is secondary caries.
③The thickening of the periodontal ligament or rarefaction of the supporting bone.
④ If there is some absorption in the pulp chamber and root canal.
⑤ Physiologic or pathologic root absorption.
⑥ Existence and the status of permanent successor.
⑦ The growth status of immature permanent teeth.
2. Summary
Pulpitis:
Acute Pulpitis
Chronic Pulpitis
Pulp Necrosis
Pulp Calcification
Internal Resorption of Teeth
Periapical Periodontitis:
Acute Periapical Periodontitis
Chronic Periapical Periodontitis

