A histologic evaluation of dental pulp tissue of a patient with periodontal disease

By Torabinejad M & Kiger R.

Date: 01/1986
Journal: Oral surgery

Summary:  

Purpose: to present histologic findings from dental pulps of a patient who had no previous periodontal therapy and could provide a number of teeth for histologic evaluation with varying degrees of attachment loss resulting from periodontal disease. 

Materials/Methods: 

•Clinical and histologic examination of 25 teeth of 47-year-old white male patient with varying degrees of attachment loss resulting from periodontal disease, who had no previous periodontal therapy

•Clinical and radiographic findings indicated that all pulps responded within normal limits to vitality tests and patient had moderate to severe periodontal bone loss around most of his teeth.

•After consultation, patient chose to have all teeth extracted, which underwent histological examination, except # 18, 27, 28, 29, and 30.

•Upon extraction, the apical 2 to 3 mm of the roots was immediately sectioned and the pulp chamber was accessed.

•The teeth were coded and placed into 10% buffered formalin solution.

Most highlighted Results:  

1.Of the 25 teeth that were extracted, 18 had moderate periodontitis and 7 had severe periodontitis. 

2.According to the histologic criteria used by Czarnecki and Schilder, no histologic evidence of pathosis was found in any of the pulpal tissues of extracted teeth. 

3.In general, the pulp tissues were within normal limits, and most of them had foci of calcifications inside the pulp chambers or in the root canals 

Clinical significance:.

•No cause-and-effect relationship between the presence of periodontal disease and pulpal changes.