The effect of advanced periodontitis on the dental pulp tissue

중증치주염이 치수조직에 미치는 영향

  • 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)
  • 김병옥 (조선대학교 치과대학 치주과학 교실, 조선대학교 치과대학 구강생물학연구소) ;
  • 박영란 (조선대학교 치과대학 치주과학 교실) ;
  • 윤정훈 (조선대학교 치과대학 구강병리학 교실, 조선대학교 치과대학 구강생물학연구소) ;
  • 장현선 (조선대학교 치과대학 치주과학 교실, 조선대학교 치과대학 구강생물학연구소)
  • Published : 2005.06.30

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

References

  1. 치주과교수협의회, 치주과학, 군자출판사. 4판. 2004
  2. 한 수부, 손 한기, 중증치주염이 치수에 미치는 영향. 대한치과의사협회지 1987:25(7) :665-672
  3. Simon JS, Glick DH. Frank AL. The relationship of endodontic- eriodontics lesions. J Periodontol 1972;43:202-208 https://doi.org/10.1902/jop.1972.43.4.202
  4. Seltzer S, Bender IB, Ziontz M. The interrelationship of pulp and periodontal disease. Oral Surg Oral Med Oral Pathol 1963;16:1474-90 https://doi.org/10.1016/0030-4220(63)90385-2
  5. Smulker M. Tagger M. Vital root amputation. A clinical and histologic study. J Periodontol 1976;47:324-330 https://doi.org/10.1902/jop.1976.47.6.324
  6. Bender IB, Seltzer S. The effect of periodontal disease on the pulp. Oral Surg Ora Med Oral Pathol 1972;33(3):458-474 https://doi.org/10.1016/0030-4220(72)90476-8
  7. Hiatt WH. Johansen E. Root preparation. I. Obturation of dentinal tubules in treatment of root thpersensitivity. J Periodontol 1972;43:373-380 https://doi.org/10.1902/jop.1972.43.6.373
  8. 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 https://doi.org/10.1111/j.1600-051X.1978.tb01907.x
  9. Chacker FM. The endodontic-periodontic continum. Dent Clin North Am 1974; 18:393
  10. Mazur B. Massler M. Influence of periodontal disease on the dental pulp. Oral Surg 1964:17:592-603 https://doi.org/10.1016/0030-4220(64)90363-9
  11. 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 https://doi.org/10.1016/0030-4220(84)90137-3
  12. Cortellini P. Tonetti MS. Evaluation of the effect of tooth vitality on regenerative outcomes in infrabony defects. Clin Periodontol 2001;28(7):672-679 https://doi.org/10.1034/j.1600-051x.2001.028007672.x
  13. Harrington GW. The perio-endo question: Differential diagnosis. Dent Clin North Am 1979;23:673-690
  14. Rubach WC. Mitchell DF. Periodontal disease. accessory canals and pulp pathosis. J Periodontol 1965;36:34-38
  15. Gutmann JL. Prevalence. location and patency of accessory canals in the furcation region of permanent molars. J Periodontol 1978;49:21-26 https://doi.org/10.1902/jop.1978.49.1.21
  16. DeDeus QD. Frequency, location and direction of the lateral, secondary and accessory canals. J Endol 1975;1:361-366
  17. Bergenholtz G. Lindhe J. Effect of soluble plaque factors on inflammatory reactions in the dental pulp. Scand. J Dent Res 1975;83:151-158
  18. Stalled RE. Periodontal disease and its relationship to pulpal pathology. Paradontologie and Acad Rev 1968;2:80-86
  19. Langeland K, Rodrigues H. Dowden W. Periodontal disease, bacteria and pulpal histology. Oral Surg 1974;37:257-270 https://doi.org/10.1016/0030-4220(74)90421-6
  20. Hildebrand CN. Morse DR. Peridontic-endodontic interrelationships. Dent Clin Noth Am 1980:24:797-782