Authors: Raluca Mihaela Rosca, A. Georgescu, P. Teodorovici, Maria Vataman, S. Andrian


Most clinicians are unanimously acknowledging the difficulty of establishing a precise clinical diagnosis of the pathological status of the pulpal-dentinary organ, if considering both the diversity of the etiological factors and especially the different histopatological forms that may characterize the same lesion. The scope of the present investigation is to identify and quantify the precision of the presumtive diagnosis established on the basis of clinical data and of paraclinical exams, comparatively with the results of the morphopathological work, which establishes the final diagnosis. There have been analyzed 45 teeth, 43 of which with various inflammatory pulpal problems, and 2 clinically-healthy teeth, extracted from orthodontic reasons. Taking advantage of the fact that, along with the development of the treatment, the dental pulp was also available, after its taking over, the surgical piece was prepared and microscopically examined, which permitted an undisputable morphopathological dignosis. To attain scientifically valid results, both the clinically and the morphopathologically obtained results were statistically interpreted by the non-parametric Wilcoxon test. If, from a clinical perspective, most of the cases were classified as mild hyperemia and partially serous acute pulpitis, the orphopathological examination viewed them as irreversible pulpitis, with major supurative and necrotic modifications. The actual diagnosis means cannot establish whether the pulpitis is a serous, a purulent or a combined manifestation in the various pulp sections

  • clinical exam
  • morphopathologicalexamination
  • pain
  • pulpopathies