Clinical manifestations and diagnosis of pulp necrosis

Pulp necrosis may occur partial or total. Partial type may exhibit signs of irreversible pulpitis. Total necrosis, prior to the periodontal ligament usually has no symptoms. Not respond to the test temperature or electrically. Sometimes the front of the tooth crown will go black.Radiographic appearance of the bone destruction or in part mengalkami fracture is the best indicator of pulp necrosis and may mnembuthkan few months for development. Lack of response to temperature and electrical test without radiographic evidence of bone destruction of the fracture does not warrant should odontotik therapy.At the root of the tooth pulp necrosis suggests going from 20% -40%. incidence of pulp necrosis seen not related to the location of fractures in the tooth root apical, middle or insisial field but is more related to the oral cavity insisial taupun some dislocation segments. If there is evidence in portiokoronal pulp, it is generally believed that the apical segment will continue to function. Edontotik treatment as for the segment is usually performed on the coronal root canal.Diagnostic ability of physicians actually tested when there are several canals in the tooth. For example, a molar tooth has 3 channels, with the first channel remains intact and healthy, both channels suffered an acute inflammation, and since all three had anal necrosis.Pulp has a unique environment compared to the soft tissues of the body. Because the pulp has a neighborhood "non compliant" which causes inflammation of products removed more slowly than the soft tissues of the body. This situation leads to local destruction of the pulp tissue.Anamnesis in the form of pulp necrosis had no symptoms of pain, complaining of pain occurs when there is a periapical inflammation. Examination found no percussion pain on palpation and also there is no swelling and normal tooth mobility. Dental x-rays are usually normal unless there are abnormal changes in the form of periapical radiolucent lesions.