2007
DOI: 10.1111/j.1834-7819.2007.tb00522.x
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A clinical classification of the status of the pulp and the root canal system

Abstract: Many different classification systems have been advocated for pulp diseases. However, most of them are based on histopathological findings rather than clinical findings which leads to confusion since there is little correlation between them. Most classifications mix clinical and histological terms resulting in misleading terminology and diagnoses. This in turn leads to further confusion and uncertainty in clinical practice when a rational treatment plan needs to be established in order to manage a specific pat… Show more

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Cited by 133 publications
(155 citation statements)
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“…Human pain is difficult to measure because it is a sensorial and personal experience modified by several factors (8). Clinical symptoms do not permit the evaluation of the extension of pulpal and periapical injuries (7) and neither associate it with the microscopic characteristics (1,2,6,7,(9)(10)(11)(12). The evaluation of pain perception by qualitative and quantitative methods has been carefully discussed (2,8).…”
Section: Introductionmentioning
confidence: 99%
“…Human pain is difficult to measure because it is a sensorial and personal experience modified by several factors (8). Clinical symptoms do not permit the evaluation of the extension of pulpal and periapical injuries (7) and neither associate it with the microscopic characteristics (1,2,6,7,(9)(10)(11)(12). The evaluation of pain perception by qualitative and quantitative methods has been carefully discussed (2,8).…”
Section: Introductionmentioning
confidence: 99%
“…The clinical investigation of dental pulp status normally is make by indirect methods, being thermal (heat and cold) and electric stimuli testing the most commons. The pulpal response to these tests has been considered to determine its actual status (1)(2)(3).…”
Section: Introductionmentioning
confidence: 99%
“…As pulp necrosis causes loss of the tooth's sensory apparatus, the dental pain associated with the initial inflammation completely subsides. Many patients at this point will assume the problem has improved or healed itself, but infection of the dental pulp may continue to spread through the apex of the pulp canal/s into the supporting structures, causing periapical periodontitis (Abbott & Yu, 2007). This may result in severe pain and often systemic effects (e.g.…”
Section: Cariesmentioning
confidence: 99%
“…Pulpal inflammation is one of the most common reasons for attendance at the dentist (Williams et al, 2011). It can be reversible up until the carious lesion reaches the pulp, but once it does it is more likely to be irreversible (Abbott & Yu, 2007). The treatment protocol for long-standing irreversible pulpal inflammation is root canal therapy or extraction (Yeng et al, 2007).…”
Section: Cariesmentioning
confidence: 99%