Subject

Pulp Physiopathology I.

  • code 09772
  • course 1
  • term Anual
  • type OB
  • credits 1

Main language of instruction: English

Other languages of instruction: Spanish

Teaching staff

Head instructor

Dra. Anaïs RAMÍREZ - annaisramses@uic.es

Office hours

Email annaisramses@uic.es (Anais Ramírez) to request an appointment. 

Introduction

In the event that the health authorities announce a new period of confinement due to the evolution of the health crisis caused by COVID-19, the teaching staff will promptly communicate how this may effect the teaching methodologies and activities as well as the assessment.

This course will introduce concepts related to histophysiology of the pulp.

Pre-course requirements

No previous requirements.

Objectives

To learn the different types of dentin and their characteristics.

To learn the morphological zones of dental pulp.

To learn the different types of cells that make up dental pulp and their characteristics.

To describe the characteristics of the pulpal interstitium and ground substance.

To learn how the pulpal nervous system works, its links to pain and the responses of sensitivity tests.

To learn how the pulpal blood flow is regulated.

To learn how pulp inflammation affects pulpal blood flow.

To describe the mechanics of pulpal repair.

To describe the characteristics of pulpal diseases.

To learn the characteristics of different types of dental resorption.

To learn the diagnostic techniques for differential diagnoses for different dental resorptions.

To learn how to treat different types of dental resorptions

To learn the mechanisms for regulating dental pain

To learn about inflammatory mediators and how they influence pulpal inflammation

To learn about the different medication that exists to control dental pain and hypersensitivity

Competences / Learning outcomes of the degree programme

Students will be expected to:

Argue and defend their own scientific ideas as well as to listen, analyse, evaluate and respond to the ideas of others.

Acquire learning skills that allow them to continue studying in a self-directed and autonomous manner.

Understand how to provide a basis or opportunity for originality in developing and/or applying ideas in a research context.

Apply acquired knowledge and develop a problem-solving ability in new environments within broader (or multidisciplinary) contexts related to the field of study in question.

Know how to communicate their knowledge, conclusions and the essential concepts that support them to specialised and non-specialised audiences in a clear and unambiguous way.

Know how to apply the appropriate diagnostic techniques and correctly interpret the results derived from them.

Integrate new knowledge acquired through research and study, and deal with complexity.

Diagnose and prevent pulpoperiapical diseases and keep up-to-date with the diagnostic and therapeutic advances that emerge during the course of their professional lives.

Be familiar with the general pathological characteristics of the illnesses and disorders that affect organic systems, specifically those which have dental repercussions.

Learning outcomes of the subject

Students will be expected to:

Understand the mechanisms that regulate the formation of distributed and reactive dentin.

Understand how the structural and cellular characteristics of the dental pulp influence external aggression.

Understand how pulp vascularity works and its response to aggression.

Understand the nervous response mechanism of the dental pulp as well as its response to pulpal inflammation.

Understand how the different mediators act and their importance in the inflammatory pulp response.

Understand the mechanisms of periapical response to pulpal pathology.

Relate all the knowledge acquired with the clinic.

Syllabus

Seminars
1. Pulpal physiopathology – Weine, chapter 3, page 85 to 110.
2. Pulpal physiopathology – Weine, chapter 3, page 111 to 136.
3. Pulpal physiopathology – Weine, chapter 3, page 136 to 161.
4. Pulpal physiopathology - Cohen (10th edition, English version) chapter 12, page 458 to 471.
5. Pulpal physiopathology – Cohen, chapter 12, page 471 to 483.
6. Pulpal physiopathology – Cohen, chapter 12, page 483 to 497.
7. Pulpoperiapical pathology - Chapter 4 of Weine, page 165 to 185.
8. Pulpoperiapical pathology – Chapter 14 of Cohen (10th edition, English version) page 529 to 537.
9. Pulpoperiapical pathology – Chapter 14 of Cohen (10th edition, English version) page 538 to 545.
10. Pulpoperiapical pathology – Chapter 14 of Cohen (10th edition, English version) page 546 to 555.
11. Diagnosis – First half of chapter 1 of Cohen (10th edition, English version).
12. Diagnosis – Second half of chapter 1 of Cohen (10th edition, English version).
13. Dental pulp diagnosis - Mejare IA, Axelsson S, Davidson T, Frisk F, Hakeberg M, Kvist T, Norlund A,
Petersson A, Portenier I, Sandberg H, Tranæus S, Bergenholtz G. Diagnosis of the condition of the dental
pulp: a systematic review. International Endodontic Journal, 45, 597–613, 2012.
14. Vertical root fractures - Aviad Tamse. Vertical root fractures in endodontically treated teeth: diagnostic signs and clinical management. Endodontic Topics 2006, 13, 84–94. Tsesis I, Rosen E, Tamse A, Taschieri S, Kfir A. Diagnosis of vertical root fractures in endodontically treated teeth based on clinical and radiographic indices: a systematic review. J Endod. 2010 Sep; 36(9):1455-8.
15. Internal resorption - Patel S, Riccuci D, Durak C, Franklin T. Internal root resorption: a review. Journal of Endodontics 2010; 36:1107–1121.
16. External cervical resorption. Patel S. External cervical resorption: a review. J Endod 2009; 35:616–625
17. External resorption. Martin Trope. Root resorption due to dental trauma. Endodontic Topics 2002, 1, 79–100.
18. Heat tests - Jafarzadeh H, Abbott PV. Review of pulp sensibility tests. Part I: general information and
thermal tests. International Endodontic Journal, 43, 738–762, 2010.
19. Electric pulp tests, doppler and test cavities - Jafarzadeh H, Abbott PV. Review of pulp sensibility tests.
Part II: electric pulp tests and test cavities. International Endodontic Journal, 43, 945–958, 2010. Jafarzadeh H. Laser Doppler flowmetry in endodontics: a review. International Endodontic Journal, 42, 476–490, 2009. Lin J, Chandler NP. Electric pulp testing: a review. International Endodontic Journal, 41, 365–374, 2008.
20. Pulp obliteration. 26/2/13. McCabe PS, Dummer PMH. Pulp canal obliteration: an endodontic diagnosis and treatment challenge. International Endodontic Journal, 45, 177–197, 2012.
21. Nonodontogenic pain. - First half of chapter 3 of Cohen (10th edition, English version).
22. Nonodontogenic pain. - Second half of chapter 3 of Cohen (10th edition, English version).
23. Reaction of pulp to dental pulp procedures. - Chapter 13 of Cohen (10th edition, English version).

 

Teaching and learning activities


In blended

Discussion of clinical papers and chapters of interest, prepared by the faculty and students.

Evaluation systems and criteria


In blended

Written exam consisting of 10 short questions (max 20 points). Minimum score to pass: 10 points

Bibliography and resources

-    Jafarzadeh H, Abbott PV. Review of pulp sensibility tests. Part I: general information and

-    thermal tests. International Endodontic Journal, 43, 738–762, 2010.

-    Jafarzadeh H, Abbott PV. Review of pulp sensibility tests. electric pulp tests and test cavities. International Endodontic Journal, 43, 945–958, 2010.

-    Jafarzadeh H. Laser Doppler flowmetry in endodontics: a review. International Endodontic

-     Journal, Lin J, Chandler NP. Electric pulp testing: a review. International Endodontic Journal, 41, 365–374, 2008.

-    Abbot PV. Classification, diagnosis and clinical manifestations of apical periodontitis. Endodontic Topics 2004,8,36-54.

-    Sigurdsson A. Pulpal diagnosis. Endodontic Topics 2003, 5,12-25.

-    Gutmann, Baumgartner, Gluskin, Hartwell, Walton. Identify and Define All Diagnostic Terms for Periapical/ Periradicular Health and Disease States. Journal of Endodontics 2009;35:1658–1674.

-    Levin, Law, Holland, Abbott, Roda. Identify and Define All Diagnostic Terms for Pulpal Health and Disease States. Journal of Endodontics 2009;35:1645– 1657.

-    Pitt Ford T and Patel S. Technical equipment for assessment of dental pulp status. Endodontic Topics 2004,7, 2-13.

-    S.K. Al-Salehia, K. Horner. Impact of cone beam computed tomography (CBCT) on diagnostic thinking in endodontics of posterior teeth: A before- after study. Journal of Dentistry 2016,53,57-63.

-    Patel S, Dawood A, Whaites E, Pitt Ford T. New dimensions in endodontic imaging: Part 1. Conventional and alterna- tive radiographic systems. International Endodontic Journal, 42, 447–462, 2009.

-    Patel S. New dimensions in endodontic imaging: Part 2. Cone beam computed tomography. International Endodontic Journal, 42, 463–475, 2009.

-    Zehnder M, Gold SI, Hasselgren G. Pathologic interactions in pulpal and periodontal tissues. J Clin Periodontol 2002; 29: 663–671.

-    The Relationship of Endodontic–Periodontic Lesions. James H.S. Simon, AB, DDS, Dudley H. Glick, BS, DDS and Alfred L. Frank, DDS. 2013;39:e41-e46.

-    Diagnosis, prognosis and decision-making in the treatment of combined periodontal- endodontic lesions. Rotstein I., Simon J. Periodontology 2000, Vol. 34, 2004, 165–203.

-    Dongari A, Lambrianidis T. Periodontally derived pulpal lesions. Endod Dent Traumatol 1988; 4: 49-54.

-    Strategies for the endodontic management of concurrent endodontic and periodontal diseases.  PV Abbott,J Castro Salgado. Australian Dental Journal 2009; 54:(1 Suppl): S70–S85.

-    Effect of Time Lapse between Endodontic and Periodontal Therapies on the Healing of Concurrent Endodontic-Periodontal Lesions without Communication: A Prospective Randomized Clinical Trial. Shilpi Gupta, Sanjay Tewari, Shikha Tewari, Shweta Mittal. Journal of Endodontics, Vol. 41, Issue 6, p785–790: 2015.

-    Vertical root fractures in endodontically treated teeth: diagnostic signs and clinical management. AVIAD TAMSE. Endod Topics 2006

-    Diagnosis and management of teeth with vertical root fractures. Moule and Kalher. Australian Dental Journal 1999;44:(2):75-87.

-    Dental pulp. Seltzer and Bender. Second edition.Chapter 2,4,5

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