Diffuse acute pulpitis: diagnosis and treatment

Abstract

Background. In recent years, pulpal diseases, particularly diffuse acute pulpitis, have represented a frequently encountered problem in dental practice, characterized by rapid progression and intense painful symptomatology. Accurate diagnosis and the application of modern endodontic treatment techniques are essential for achieving favorable outcomes and preventing complications. Objective of the study. To analyze and evaluate diffuse acute pulpitis by highlighting the etiological factors and modern endodontic treatment methods in order to develop an effective therapeutic plan. Material and methods. The study included the examination and treatment of 13 patients, including 7 women and 6 men, aged between 18 and 45 years, at the Department of Odontology and Periodontology of the Nicolae Testemițanu State University of Medicine and Pharmacy. The diagnosis was established based on medical history, clinical examination, and paraclinical investigations (orthopantomography, retroalveolar radiography, and computed tomography). Endodontic treatment was performed using the vital extirpation method, applying modern techniques of chemo-mechanical preparation, irrigation, and three-dimensional obturation of the root canals. Results. According to the obtained data, treatment using the vital extirpation method was applied in all 13 cases, with favorable outcomes and no postoperative complications. The success rate was 100%, and patients showed satisfactory clinical evolution, confirming the effectiveness of the method and the importance of establishing a correct diagnosis and an appropriate therapeutic approach. Conclusions. The application of endodontic treatment using the vital extirpation method in diffuse acute pulpitis demonstrated the effectiveness of this technique in achieving favorable clinical outcomes, ensuring the elimination of the inflammatory process, prevention of complications, and maintenance of tooth functionality.