Browse > Article

The effect of advanced periodontitis on the dental pulp tissue  

Kim, Byung-Ock (Dept. of Periodontology, College of Dentistry, Chosun University, Oral Biology Research Institute, Chosun University)
Park, Young-Ran (Dept. of Periodontology, College of Dentistry, Chosun University)
Yoon, Jung-Hoon (Dept. of Oral Pathology, College of Dentistry, Chosun University, Oral Biology Research Institute, Chosun University)
Jang, Hyun-Seon (Dept. of Periodontology, College of Dentistry, Chosun University, Oral Biology Research Institute, Chosun University)
Publication Information
Journal of Periodontal and Implant Science / v.35, no.2, 2005 , pp. 311-319 More about this Journal
Abstract
In order to examine the effects of advanced periodontitis on the dental pulps, 38 extracted human teeth were examined histologically. The 38 teeth had a positive or negative state in the electric pulp test(EPT). In addition, almost of the 38 teeth had a deep pocket and severe mobility, and floating state. A medical and dental history was elicited. The extracted teeth fixed in 10% neutral formalin solution. The general tissue processing method was followed. The tissue block including the teeth was prepared for optical microscopy using hematoxillin-eosin staining. Among the 38 periodontally involved teeth, the dental pulps were respectively intact in 12(31%), and a pulp stone(or linear calcifications) was found in 18 teeeth(47%). In addition, 17 teeth(44%) had pulps exhibiting inflammatory reactions with varying intensities, such as hyperemia, pulp abscess, pulp necrosis. Among the 38 periodontally involved teeth, 37 teeth tested a positive to the EPT, and 7 teeth tested negative. The EPT positive 37 teeth had various histological features such as 7 normal pulp(18%), 17 pulp stone(44%), 1 hyperemia (2%), 9 pulpitis(23%), 5 root resorption(13%), 3 pulp abscess(7%), and 3 pulp necrosis(7%), In conclusion, it is suggested that in the EPT positive teeth, advanced periodontally involved teeth can cause inflammation of the dental pulp.
Keywords
advanced periodontitis; dental pulp;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Smulker M. Tagger M. Vital root amputation. A clinical and histologic study. J Periodontol 1976;47:324-330   DOI   PUBMED
2 Kitchings SK, del Rio CE. Aufdemorte TB. Meffert RM. Lane JJ. The pulpal response to topically applied citric acid. Oral Surg Oral Med Oral Pathol 1984;58(2): 199-206   DOI   ScienceOn
3 Cortellini P. Tonetti MS. Evaluation of the effect of tooth vitality on regenerative outcomes in infrabony defects. Clin Periodontol 2001;28(7):672-679   DOI   ScienceOn
4 Langeland K, Rodrigues H. Dowden W. Periodontal disease, bacteria and pulpal histology. Oral Surg 1974;37:257-270   DOI   ScienceOn
5 Harrington GW. The perio-endo question: Differential diagnosis. Dent Clin North Am 1979;23:673-690   PUBMED
6 DeDeus QD. Frequency, location and direction of the lateral, secondary and accessory canals. J Endol 1975;1:361-366
7 Simon JS, Glick DH. Frank AL. The relationship of endodontic- eriodontics lesions. J Periodontol 1972;43:202-208   DOI   PUBMED   ScienceOn
8 Bergenholtz G. Lindhe J. Effect of soluble plaque factors on inflammatory reactions in the dental pulp. Scand. J Dent Res 1975;83:151-158
9 Hildebrand CN. Morse DR. Peridontic-endodontic interrelationships. Dent Clin Noth Am 1980:24:797-782
10 Stalled RE. Periodontal disease and its relationship to pulpal pathology. Paradontologie and Acad Rev 1968;2:80-86
11 Rubach WC. Mitchell DF. Periodontal disease. accessory canals and pulp pathosis. J Periodontol 1965;36:34-38   PUBMED
12 치주과교수협의회, 치주과학, 군자출판사. 4판. 2004
13 Hiatt WH. Johansen E. Root preparation. I. Obturation of dentinal tubules in treatment of root thpersensitivity. J Periodontol 1972;43:373-380   DOI   PUBMED
14 Bergenholtz G, Lindhe J. Effect of experimentally induced marginal periodontitis and periodontal scaling on the dental pulp. J Clin Periodontol. 1978:5(1):59-73   DOI   PUBMED
15 한 수부, 손 한기, 중증치주염이 치수에 미치는 영향. 대한치과의사협회지 1987:25(7) :665-672
16 Gutmann JL. Prevalence. location and patency of accessory canals in the furcation region of permanent molars. J Periodontol 1978;49:21-26   DOI   PUBMED
17 Seltzer S, Bender IB, Ziontz M. The interrelationship of pulp and periodontal disease. Oral Surg Oral Med Oral Pathol 1963;16:1474-90   DOI   ScienceOn
18 Bender IB, Seltzer S. The effect of periodontal disease on the pulp. Oral Surg Ora Med Oral Pathol 1972;33(3):458-474   DOI   ScienceOn
19 Chacker FM. The endodontic-periodontic continum. Dent Clin North Am 1974; 18:393
20 Mazur B. Massler M. Influence of periodontal disease on the dental pulp. Oral Surg 1964:17:592-603   DOI   ScienceOn