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PULP AND PERIAPICAL DISEASE :
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==Introduction==
Trauma to a tooth (mechanical, chemical, thermal, infective) often results in pulpal inflammation (pulpitis). (pic E1)
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Trauma to a [[:Category:Teeth - Anatomy & Physiology|tooth]] (mechanical, chemical, thermal, infective) often results in pulpal inflammation (pulpitis). <font color="red">(pic E1)</font color>
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Depending on the type of trauma, its severity or duration, the pulpitis may be reversible, but often this is not the case and the inflammation becomes irreversible. The result of untreated irreversible pulpitis is pulp necrosis, followed by the spread of inflammation to affect the apical periodontium (apical periodontitis) and the periapical bone, resulting in bone destruction around the apex of the root (periapical disease).
 
Depending on the type of trauma, its severity or duration, the pulpitis may be reversible, but often this is not the case and the inflammation becomes irreversible. The result of untreated irreversible pulpitis is pulp necrosis, followed by the spread of inflammation to affect the apical periodontium (apical periodontitis) and the periapical bone, resulting in bone destruction around the apex of the root (periapical disease).
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A tooth affected by pulp and periapical diseases should always be treated, it cannot just be ignored. There are two available treatment options, namely to extract the tooth or to perform endodontic treatment and retain the tooth.  
 
A tooth affected by pulp and periapical diseases should always be treated, it cannot just be ignored. There are two available treatment options, namely to extract the tooth or to perform endodontic treatment and retain the tooth.  
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Tooth fractures
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<big><b>
Classification of tooth fractures:
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:[[Tooth Fractures|Tooth fractures]]
Class A1 – involves the enamel only
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:[[Tooth Abrasion and Attrition]]
Class A2a – involves the enamel and dentine but has not exposed the pulp chamber
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</b></big>
Class A2b – involves the enamel and dentine but has also exposed the pulp cavity
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Fractures may also be classified as crown only, crown-root fractures or root fracture.
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Causes of tooth fractures :  
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Chewing hard objects should be avoided. Stones, bones and certain toys are harder than the tooth substance and can result in fracture of the tooth. A slab fracture of the carnassial tooth usually results from dogs chewing, whilst trauma to the anterior teeth (canines and incisors) results from catching a hard object for eg. Stones/Frisbees. Trauma to the front teeth can also result from an anterior collision – with a stationary object or another dog. External head trauma from RTAs or external blows/kicks can also result in tooth fractures.
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Tooth abrasion and attrition
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Wear on tooth surfaces that are in contact with one another or an abrasive surface. This usually results from tooth on tooth contact in certain malocclusions, chewing on fibrous chew toys and balls eg. Tennis balls. (picE2) Occasionally dogs with chronic skin allergies will get abrasion on the incisors from constantly chewing fur/hair. (picE3)
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Often these conditions result from abnormal excessive behaviour. Dogs should be prevented from cage biting, excessive play with textured balls and chewing stones.
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Excessive wear will often result in exposure of the pulp cavity. If the wear is gradual, the pulp may respond by laying down more dentine –reparative dentine (also known as tertiary dentine).
      
Non Vital teeth
 
Non Vital teeth
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