Subject

Pulp Physiopathology I.

  • code 09705
  • 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

Dra. Anaïs Ramírez. Tuesday and Thursday 8.00 a 14.00. annaisramses@uic.es

Introduction

The basic concepts of the pathophysiology will be discussed

Pre-course requirements

DDS and to be a student of Master in Endodontics.

Objectives


- Know different types of dentine and their characteristics
- Know the morphological zones of dental pulp
- Know the different types of cells that make up dental pulp and their characteristics
- Describe the characteristics of the pulpal interstitium and ground substance
- Know how the pulpal nervous system works, its links to pain and the responses of sensitivity tests
- Know how the pulpal blood flow is regulated
- Know how pulpal inflammation affects pulpal blood flow
- Describe the pulpal repair mechanisms
- Describe the characteristics of pulpal diseases
- Describe the periapical immune response to an intraradicular infection
- Describe the characteristics of the different types of apical periodontitis
- Describe the stages in performing a correct diagnosis
- Know the different diagnostic tests
- Know what deterioration cold sensitivity tests cause to the tooth
- Know the different heat sensitivity tests and their methods, with their advantages and disadvantages
- Know the different types of dental resorption
- Know the characteristics of different types of dental resorption
- Know the diagnostic techniques for differential diagnoses for different dental resorptions
- Know the treatment for different types of dental resorptions

Competences / Learning outcomes of the degree programme

Be able to know the mechanisms of pulp.

Be able to know different types of dentine and their characteristics
Be able to know the morphological zones of dental pulp
Be able to know the different types of cells that make up dental pulp and their characteristics
Be able to describe the characteristics of the pulpal interstitium and ground substance
Be able to know how the pulpal nervous system works, its links to pain and the responses of sensitivity tests
Be able to know how the pulpal blood flow is regulated
Be able to know how pulpal inflammation affects pulpal blood flow
Be able to describe the pulpal repair mechanisms
Be able to describe the characteristics of pulpal diseases
Be able to describe the periapical immune response to an intraradicular infection
Be able to describe the characteristics of the different types of apical periodontitis
Be able to describe the stages in performing a correct diagnosis
Be able to know the different diagnostic tests
Be able to know what deterioration cold sensitivity tests cause to the tooth
Be able to know the different heat sensitivity tests and their methods, with their advantages and disadvantages
Be able to know the different types of dental resorption
Be able to know the characteristics of different types of dental resorption
Be able to know the diagnostic techniques for differential diagnoses for different dental resorptions
Be able to know the treatment for different types of dental resorptions

Learning outcomes of the subject

Be able to know the mechanism of the pulp.

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. 5/3/13 - First half of chapter 3 of Cohen (10th edition, English version).
22. Nonodontogenic pain. 12/3/12 - Second half of chapter 3 of Cohen (10th edition, English version).
23. Reaction of pulp to dental pulp procedures. 19/3/13- Chapter 13 of Cohen (10th edition, English version).

Teaching and learning activities

In person

The course will consist of theoretical classes. The theoretical sessions will consist of student expositions complemented by audio-visual aids.

Evaluation systems and criteria

In person

Written exam consisting of 30 short questions. 70% is required to pass the exam.

Bibliography and resources

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. 5/3/13 - First half of chapter 3 of Cohen (10th edition, English version).
22. Nonodontogenic pain. 12/3/12 - Second half of chapter 3 of Cohen (10th edition, English version).
23. Reaction of pulp to dental pulp procedures. 19/3/13- Chapter 13 of Cohen (10th edition, English version).

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