PATHOLOGY

PATHOLOGY MCQ

INFLAMMATION

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
Patient has a caries complicated with pulpitis. This condition is accompanied by unbearable pain. What is the main factor of pain appearing?
A
High pressure of the fluid in inflammatory area
B
Bradykinin
C
Histamine
D
Serotonin
E
Prostaglandins
Explanation: 

Detailed explanation-1: -Pulpitis occurs when the innermost tissue in your tooth becomes inflamed. Bacteria that enter your tooth through a cavity or crack cause the infection. Early pulpitis is reversible. Without treatment, the inflammation will get worse and you’ll need a root canal or tooth extraction.

Detailed explanation-2: -The periodontal tissues and alveolar bone react to the insult with an inflammatory response, most commonly by the formation of an apical granuloma. Healing can occur after pathogen removal, which is achieved by disinfection and obturation of the pulp space by root canal treatment.

Detailed explanation-3: -The extracellular levels of bradykinin are significantly elevated during irreversible pulpitis, contributing to the early stages of inflammation and pain [20]. Irritation of the dental pulp produced by bacteria, mechanical stimuli, or chemical stimuli can cause inflammation.

Detailed explanation-4: -When taken in normal doses, NSAIDs (nonsteroidal anti-inflammatory drugs) like ibuprofen or non-opioid analgesics like acetaminophen can help manage the pain of pulpitis. Higher doses may be needed to reduce inflammation. These drugs are a good option for most people.

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