BDS · Conservative Dentistry · TOPIC 02 Pulp & Periapical Pathology Why pulp inflammation is a one-way street, and what happens after the apex breaches The story of every endodontic patient is the same: an irritant — usually caries, sometimes trauma or a restorative procedure — reaches the pulp, the pulp inflames, and at some point inflammation crosses a threshold past which it can no longer recover. The dead pulp then leaks bacteria and bacterial products through the apical foramen into the periapical tissues, and a new disease begins outside the tooth. Understanding caries, pulpiti…
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