Clinical examination of acute pulpitis

Clinical examination of acute pulpitis

1. Visible tooth defects or deep periodontal blind pockets

Acute pulpitis is clinically more common in acute attacks of chronic pulpitis. When a patient presents with typical acute symptoms, 

the chronic inflammation has actually existed for a long time. Usually, the affected tooth can be found very deep and close to the pulp cavity. 

Caries or dental hard tissue diseases can also show the presence of fillings in the crown of the tooth, or deep periodontal pockets in the affected tooth.

2. No response or high sensitivity to electrical energy

When clinically conducting pulp electrical vitality tests on the affected tooth, if the pulp of the affected tooth is in the early stage of inflammation, its response may be sensitive; if it is in the late stage of inflammation, it may be slow or unresponsive.

3. Some affected teeth may have percussion pain

When the inflammation of the pulp is in the early stage, the affected tooth has no obvious discomfort to percussion. However, in the late stage of inflammation, the peripheral area of pulp inflammation has spread to the periodontal ligament at the root tip, and mild percussion may occur in the vertical direction. pain.

4. Thermal stimulation experiment can be used to determine the tooth position

During the temperature test, the reaction of the affected tooth is extremely sensitive or manifests as provoking pain, especially it is very sensitive to thermal stimulation, which can be used to determine the position of the affected tooth.