Chronic Pulpitis: Symptoms, Diagnosis, Etiology, Types, Treatment Stages and Preventive Measures
Keywords:
Chronic Pulpitis, Dental Caries, Root Canal Therapy, Electroodontometry, Radiographic Diagnosis, Biological Treatment, Tooth Preservation, Dental Inflammation, Pulp Vitality, Preventive DentistryAbstract
Chronic pulpitis is a persistent inflammatory condition of the dental pulp, typically caused by untreated dental caries or trauma, and remains a significant contributor to tooth morbidity. Despite its prevalence, early diagnosis and timely intervention are often delayed due to asymptomatic remission phases, contributing to disease progression and increased risk of tooth loss. This study investigates the pathophysiology, diagnostic approaches, and treatment outcomes of chronic pulpitis, emphasizing early-stage management and prevention. A retrospective cohort of 100 patients treated for pulpitis between 2018 and 2022 was examined using clinical records, radiographic imaging, and electroodontometry. Patients were categorized into acute, chronic, and gangrenous pulpitis based on diagnostic findings. Results revealed that 45% of cases were chronic pulpitis, often preceded by neglected acute stages. Conservative treatment, primarily root canal therapy, showed 85% success in symptom resolution, while biological approaches in early inflammation stages yielded 90% efficacy in halting progression. In contrast, advanced gangrenous cases required surgical interventions, with mixed long-term outcomes. Radiographic imaging demonstrated 95% sensitivity in detecting pulp damage, highlighting its diagnostic importance. The study underscores the need for improved awareness, preventive care, and early detection strategies. It advocates integrating conservative and biological treatments tailored to inflammation severity, while promoting regular dental check-ups to mitigate risks. These findings support the development of minimally invasive therapeutic models and refined diagnostic protocols to enhance patient outcomes and preserve oral health.
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