Necrosis Pulp and Periapical Disease

Pulp necrosis refers to when the pulp is dead, that is the result of an irreversible pulpitis that was untreated or is the result of trauma which caused the interruption of blood supply to the pulp.

The necrosis may be partial or complete, total necrosis is asymptomatic before affecting the periodontal ligament, this is because the nerve tissue is no longer working properly.

The pulp necrosis is accompanied by color change in the anterior teeth, but this should not be given for a definitive diagnosis but a warning.

Bacterial toxins and sometimes the same bacteria that caused pulp necrosis, follow the path of the slurry to the apical foramen, to the periodontal ligament that triggers an inflammatory reaction, this inflammation will cause the widening of tissue and It will manifest as sensitivity to percussion and chewing, if these irritants continue, it may cause periapical disease which symptoms may be absent, with the presence of a fistula or having severe pain.

In an X-ray the ligament can be seen within normal limits but slightly enlarged or show a dark spot at the end of the root.

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Plaza Pacífico Building - José Clemente Orozco Street #10122
4to floor office 411
Zona Río, Tijuana - Baja California.

Toothache?


Asymptomatic Patient

Pain is a symptom that we think should happen when something is wrong in our body...

Tooth sensitivity

Tooth sensitivity is a nuisance that develops over time due to the following facts...

Patient with Pain

The pain from dental pulp condition may be: Spontaneous, intermittent, continuous...

Dr. Perla Acevedo


Dr. Perla Noemi Acevedo Rivera a dentist and Root Canal Specialist who graduated from the Baja California University, studied dentistry in the faculty of the Tijuana Campus. 

Receiving the award for academic merit of this degree in 1989-1993 generation. 

Her graduate specializing in endodontic also took place at the UABC Tijuana Campus.