| Abstract | Pulpne bolesti klinički možemo klasificirati kao hiperemiju pulpe, reverzibilni i ireverzibilni pulpitis i nekrozu pulpe. Periradikularne bolesti, koje su posljedica pulpne patoze, su akutni i kronični (simptomatski i asimptomatski) apikalni parodontitis i apikalni apsces, koji može također imati akutni i kronični (simptomatski i asimptomatski) tijek bolesti. Glavna značajka pulpne boli jest duboka, visceralna, intenzivna bol, koja spontano ili nakon podražaja dulje traje, uglavnom je nejasno lokalizirana a može biti i iradirajuća. Druge bolesti, koje se pojavljuju u blizini stomatognatnog sustava (npr. sinusitis maksilaris, migrena, neuropatija moždanog živca) ili koje se odvijaju sistemski u organizmu (npr. infarkt miokarda, srpasta anemija, neoplazma) mogu oponašati pulpnu patozu i zato dovesti do pogrešne dijagnoze pulpne patoze, koja može biti uzrok ireverzibilnog terapeutskog zahvata, nepotrebnog endodontskog
zahvata, koji je štetan za pacijenta i koji u suštini ne riješava osnovni zdravstveni problem. Moguća diferencijalna dijagnostika pulpnih bolesti uključuje brojne periapikalne lezije najrazličitijih etiologija, koje se pojavljuju u periapikalnim tkivima i brojne bolesti općeg organizma, koje mogu dijagnostički postupak otežavati i terapeuta zbuniti. |
| Abstract (english) | Pulpal disease can be classified into pulpal hiperemia, reversible and irreversible pulpitis and pulpal necrosis. Periapical pathology which is a subsequent development of pulpal disease can be acute or chronic (symptomatic or asymptomatic) apical periodontitis or apical absces which can again have an acute or chronic (symptomatic or asymptomatic) character in its course of evolution. The main characteristics of pulpal pain is deep, dull, intense pain which is either spontaneous or lingering after an irritation, poorly localized and possibly irradiating. Other diseases, that arise in the vicinity of the stomatognathic system (e.g. maxillary sinusitis, migraine, neuropathy of the cranial nerves), or develop systemically (e.g.
miocardial infarction, sickle cell disease, neoplasm) can mimic pulpal disease and can lead to the faulty diagnosis of pulpal disease which can be the cause of an irreversible therapeutic measure, an unnecessary endodontic treatment that harms the patient and does not solve the basic health problem which has not yet been diagnosed. The differential diagnosis of pulpal disease includes periapical pathology with a broad spectrum of possible etiologies, which is precipitating in the periapical
tissues and numerous diseases of the organism. These diseases could cause difficulties in the diagnostic process and can lead to some confusion to the practitioner. |
