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1、牙髓病和根尖周病牙髓病的分類、臨床表現(xiàn)及診斷根尖周病的臨床表現(xiàn)及診斷參考書目EndodonticsIngle（the5thedition）PathwayofthePulpStephenCohen（the8thedition）DentalPulpSelzerandBender（the2thedition）Clinicalclassification、symptoms anddiagnosisofpulpaldiseaseClassificationDiagnosticproceduresHistologicdiag
2、nosisClinicaldiagnosisClassificationofpulpaldiseaseHistologicexaminationRemovingthepulpImpossibleandunrealisticLackofcorrelationbetweenclinicalsignsandsymptomsandtheactualhistologicstatusofthepulpHistologicdiagnosisClinicalclassificationBasedonthepatient’ssym
3、ptomsandtheresultsofclinicaltestsDescribetheextentofpulpaldiseaseHelptheclinicianstoselectingthecorrecttreatmentmethodsClinicalclassificationReversiblepulpitisIrreversiblepulpitisPulpnecrosisPulpcalcificationInternalresorptionReversiblepulpitis(Hyperemia)nota
4、disease,butasymptompulpstate:vasodilator/hyperaemiaasymptomaticthermalstimuli(usuallycold)quick,harp,hypersensitiveresponsesubsidesassoonasthestimulusremovedvasodilatornotadisease,butasymptompulpstate:vasodilator/hyperaemiaasymptomaticthermalstimuli(usuallyco
5、ld)quick,harp,hypersensitiveresponsesubsidesassoonasthestimulusremovedReversiblepulpitisIrritantscariesperiodontalscalingrootplaningmicroleakageunbasedrestorationsReversiblepulpitisPrognosisirritantremovedfurtherappropriatelytreated—pulpwillreverttoanasymptom
6、aticuninflamedstateirritantremains—symtomspesist/morewidespread—irreversiblepulpitisReversiblepulpitisDistinguishedfromirreversiblepulpitis---thermaltestreversiblepulpitismomentary,painfulresponsesubsidesassoonasthestimulusremovedirreversiblepulpitispainful,l
7、ingerafterthestimulusremovedReversiblepulpitisDistinguishedfromirreversiblepulpitis---complaintofspontaneous(unprovoked)painreversiblepulpitisno!irreversiblepulpitisyes!IrreversiblepulpitisAcutepulpitisChronicpulpitischronicpulpitiswithaclosedpulpchamberchron
8、iculceredpulpitishyperplasticpulpitisresidualpulpitisretrogradepulpitisAcutepulpitisThepatientisexperiencingoneofthemostexcruciatingacutepainsknowntohumanity，comparabletooticabscess,renal
