Journal of Health Sciences & Research

Register      Login

VOLUME 9 , ISSUE 2 ( December, 2018 ) > List of Articles


Evaluation of Effect of Moderate to Severe Chronic Periodontitis on Pulp of Teeth: A Histopathological Study

Rithesh Kulal, Poorna Prakash, Mysore S Nalini, Remya Nath

Keywords : Dental pulp, Histopathologic changes, Inflammation, Periodontitis

Citation Information : Kulal R, Prakash P, Nalini MS, Nath R. Evaluation of Effect of Moderate to Severe Chronic Periodontitis on Pulp of Teeth: A Histopathological Study. J Health Sci Res 2018; 9 (2):35-37.

DOI: 10.5005/jp-journals-10042-1066

License: CC BY-NC 4.0

Published Online: 01-12-2018

Copyright Statement:  Copyright © 2018; The Author(s).


Introduction: The periodontitis affected teeth and the observed changes in the dental pulp have been controversial area of debate. The reason being the close communication between the periodontium and the pulp through the apical foramina and accessory lateral canals postulating the spread of infection between the tissue areas. Aim: Evaluation of the histopathologic changes in dental pulp of teeth with moderate and severe chronic periodontitis. Materials and methods: Human dental pulp was obtained using vital pulpectomy technique from 20 permanent teeth extracted due to hopeless periodontal prognosis. Pulp tissue samples were processed for histological examination and grading of changes observed. Result: Inflammation was usual finding in the samples; however, only 8% of the teeth showed no inflammation. Pulp with moderate fibrosis was seen commonly in many sections. About 44% of samples showed edematous pulp. Conclusion: Periodontitis can induce changes in the dental pulp considerations have to be given to the involved teeth for the depth of pocket and severity of periodontal involvement for proper treatment planning and management.

PDF Share
  1. Novak MJ. Classification of diseases and conditions affecting of periodontium. In: Newman MG, Takei H, Klokkevold PR, Carranza FA (eds), Carranza's clinical periodontology, 10th edition, Saunders, Philadelphia, 2006;100-109.
  2. Bender IB, Seltzer S. The effect of periodontal disease on the pulp. Oral Surg Oral Med Oral Pathol 1972; 33(3):458.474.
  3. Simon JH, Glick DH, Frank AL. The relationship of endodontic. periodontic lesions. J Periodontol 1972; 43(4):202.208.
  4. Colyer F. Bacteriological infection in pulps of pyorrhectic teeth. Br Dent J 1924; 45:558.
  5. Altman M, Guttuso J, Seidberg BH, Langeland K. Apical root canal anatomy of human maxillary central incisors. Oral Surg Oral Med Oral Pathol 1970;30(5):694-699.
  6. Sood M, A study of epidemiological factors influencing periodontal diseases in selected areas of District Ludhiana, Punjab, Indian J Community Med, 2005;30(2):70-71.
  7. Russell LH, Kramer IR. Observations of the vascular architecture of the dental pulp. J Dent Res 1956;35:957.
  8. Saunders RL. X-ray microscopy of the periodontal and dental pulp vessels in the monkey and in man. Oral Surg Oral Med Oral Pathol 1966;22(4):503-518.
  9. Rubach WC, Mitchell DF. Periodontal disease, age, and pulp status. Oral Surg Oral Med Oral Pathol 1965;19:482.493.
  10. Seltzer S, Bender IB, Ziontz M. The interrelationship of pulp and periodontal disease. Oral Surg Oral Med Oral Pathol. 1963;16:1474-1490.
  11. Ghoddusi J. Ultrastructural changes in feline dental pulp with periodontal disease. Microsc Res Tech 2003; 61(5):423.427.
  12. Nemec A, Pavlica Z, Stiblar-Martincic D, Petelin M, Erzen D, Crossley D. Histological evaluation of the pulp in teeth from dogs with naturally occurring periodontal disease. J Vet Dent 2007;4(24):212.223.
  13. Mazur B, Massler M. Influence of periodontal disease of the dental pulp. Oral Surg Oral Med Oral Pathol 1964; 17:592.603.
  14. Czarnecki RT, Schilder H. A histological evaluation of the human pulp in teeth with varying degrees of periodontal disease. J Endod 1979;5:242.253.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.