Diseases of the soft structures of the teeth and their treatment; a text-book for students and practitioners . ontoblasts disappear, hence the polypus does not respondpainfully on being touched except upon increasing pressure, whichcalls forth a reaction from the pulp proper. With the increasein its size the polypus may protrude from the cavity of the tooth,and by its close contact with the gum tissue may become covered 136 DISEASES OF THE DEh TAL PULP with epithelium, as a consequence of mechanical irritation. Itshould be remembered thai the normal pulp does not contain thislatter tissue, hen
Diseases of the soft structures of the teeth and their treatment; a text-book for students and practitioners . ontoblasts disappear, hence the polypus does not respondpainfully on being touched except upon increasing pressure, whichcalls forth a reaction from the pulp proper. With the increasein its size the polypus may protrude from the cavity of the tooth,and by its close contact with the gum tissue may become covered 136 DISEASES OF THE DEh TAL PULP with epithelium, as a consequence of mechanical irritation. Itshould be remembered thai the normal pulp does not contain thislatter tissue, hence the observed epithelial covering is the result ofa process of autotransplantation from the surrounding mucousmembrane. Chronic hyperplastic pulpitis is a comparatively rare disease; itis usually restricted to molar teeth with large crown cavities, andis most frequently observed in the neglected oral cavities of may be looked upon as an expression of a powerful defensiveprocess brought about by chronic irritation of a young growingpulp present in the mouth of an otherwise healthy Fig. Chronic hyperplastic pulpitis. Pulp polypus. Subjective Symptoms. Subjective symptoms manifest themselvesas an unpleasant sensation, which, however, i> not expressed asreal pain. Upon pressure from food crowded into the cavity orfrom other sources of irritation a painful response is obtained fromthe chronically inflamed pulp. Secondary symptoms are rarelyobserved. Diagnosis. Chronic hyperplastic pulpitis Is readily diagnosedby physical inspection; its principal diagnostic features are com-parative freedom from pain on slight pressure, very free bleedingwhen wounded and the presence of one or more peduncles whichattach the granulation tissue to one or more horn- of the explorer inserted into the pulp proper call- forth ;i very painfulreaction, as the pulp is always found in a chronic state of mildinflammation. The electric current verifies this latter diag
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Keywords: ., bookcentury1900, bookdecade1920, bookiddiseasesofso, bookyear1922
