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An Official Publication of the Indian Association of Oral and Maxillofacial Pathologists


 
ORIGINAL ARTICLE Table of Contents   
Year : 2017  |  Volume : 21  |  Issue : 1  |  Page : 58-63
Pulpal changes associated with advanced periodontal disease: A histopathological study


1 Department of Periodontics, Sri Sai College of Dental Surgery, Vikarabad, Telangana, India
2 Department of Periodontics, V. S. Dental College, Bengaluru, Karnataka, India
3 Department of Oral Pathology, V. S. Dental College, Bengaluru, Karnataka, India

Correspondence Address:
Siddharth Gautam
H No 1-10-111, Ashok Nagar, Near Water Tank, Hyderabad - - 500 020, Telangana
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0973-029X.203795

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Introduction: Over the past century, the dental literature has consistently reflected a controversy related to the effect of periodontal disease on the dental pulp. Nonetheless, practitioners are of the opinion that teeth having deep periodontal pockets show variable pulpal response, which may necessitate root canal treatment. Thus, this study aimed to evaluate the changes in pulp due to advanced periodontal disease. Materials and Methods: Forty caries-free teeth affected with severe periodontitis were collected from patients aged between 18 and 55 years. The collected teeth were stored in formalin for 24 h and were then decalcified and examined histologically after staining with hematoxylin and eosin to note the changes that occurred in pulp. Results: Pulpal calcification (52.62%) and partial necrosis of pulp (52.62%) were found to be the most common findings. Inflammation, which was found in 47.38% of the cases, ranged from mild to severe in most sections and was always chronic. Pulp with complete necrosis was seen in 26.32% of cases. Fibrosis and pulpal edema were seen in 36.84% of cases. Conclusion: In the presence of moderate to severe chronic periodontitis, degenerative changes such as inflammation, fibrosis, edema, calcification and necrosis were observed to variable degree.


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