The study aims at evaluating the influence of deep periodontal pathology and of some etiological therapies (scaling and root planning) upon radicular pulp, through clinical and paraclinical modifications.
Materials and method: Clinical and paraclinical evaluations were performed on teeth with periodontal pathology subjected to various mechanical treatments, such as scaling, root planning and local drug treatment.
Results and discussion: Scaling and planning are indispensable manoeuvres in the treatment of the periodontal disease, even if some intempestive or too frequently repeated techniques also remove part of the radicular cementum and of dentin, thus opening the dentinary tubules to the oral environment, while microbial colonization of the exposed dentin favorizes bacterial invasion, which might cause pulp inflammation. Normally, pulp vitality is not at risk, even if such therapeutical techniques result in radicular dentinary hypersensitivity.
Conclusions: The results of the clinical and experimental studies performed indicate that correct scaling and root planning do not affect pulp vitality.
- dentinary hypersensitivity
- endo-periodontal syndrome
- root planning