P L Michaelson1, G R Holland. 1. Division of Endodontics, School of Dentistry, University of Michigan, Ann Arbor, MI, USA.
Abstract
AIM: To determine whether inflamed dental pulps progress to necrosis without pain. METHODOLOGY: Records of 2,202 maxillary anterior teeth endodontically treated at the University of Michigan were collected. Records of teeth presenting with periapical radiolucencies but no response to vitality tests were examined further to determine, from the history, whether the patient had experienced pain or no pain from the involved tooth. RESULTS: Approximately 40% of the teeth included gave no history of spontaneous or prolonged pain to a thermal stimulus. No statistically significant differences in the incidence of 'painless pulpitis' were related to either gender or tooth type. Patients aged >53 years experienced 'painless pulpitis' more often than patients <33 years. CONCLUSIONS: Many teeth appear to progress to pulpal necrosis without the patient experiencing pain attributable to the pulp.
AIM: To determine whether inflamed dental pulps progress to necrosis without pain. METHODOLOGY: Records of 2,202 maxillary anterior teeth endodontically treated at the University of Michigan were collected. Records of teeth presenting with periapical radiolucencies but no response to vitality tests were examined further to determine, from the history, whether the patient had experienced pain or no pain from the involved tooth. RESULTS: Approximately 40% of the teeth included gave no history of spontaneous or prolonged pain to a thermal stimulus. No statistically significant differences in the incidence of 'painless pulpitis' were related to either gender or tooth type. Patients aged >53 years experienced 'painless pulpitis' more often than patients <33 years. CONCLUSIONS: Many teeth appear to progress to pulpal necrosis without the patient experiencing pain attributable to the pulp.
Authors: Dan-Krister Rechenberg; Ulrike Held; Jakob M Burgstaller; Gabriel Bosch; Thomas Attin Journal: BMC Oral Health Date: 2016-05-27 Impact factor: 2.757
Authors: Talita Ribeiro Tenório de França; Flávia Maria de Moraes Ramos-Perez; José Divaldo Prado; Danyel Elias da Cruz Perez Journal: Ann Dermatol Date: 2014-02-17 Impact factor: 1.444