Who coined the term ( Stressed Pulp ) ?

[Dr.Dohaithem]

Dr.Marwan Aburass did, and he classified the pulp condition into 4 status
- Healthy Pulp
- Diseased Pulp
- Necrotic Pulp
- Stressed Pulp

[al-nasser]

Does any one know what are the 4 criterias for any stressed pulp
& when to say that this tooth should have elective R.C.T :rolleyes:

Why Abou-rass published his article in journal of prosthodontics :rolleyes:

think :D

[Khaled Balto]

Dr. Abdulrahman please tell us the answeres to your very interesting qustions...:confused:

[al-nasser]

According to Abou-Rass
he stated that there are 4 criteria must come together on a stressed pulp:-
1- The patient is not having any pain on the stressed pulp tooth ( i.e he is not complaining from any pain on that tooth )
2- The radiograph must show pulp recession
3- CO2 test is delayed response
4- clinically the tooth should have either large restoration or defective large restoration or large caries
if all these 4 criteria came up tother then you must look what is your treatment plan of that tooth
if the tooth is going to receive simple restoration ( composite or amalgam ) then no need for R.C.T
if the tooth is going to have extensive procedure e.g ( 3 unit FPD ) then the tooth has to go for elective R.C.T
if the tooth is is going to recieve single unit crown or onlay ? here comes the controversy :) where you must re-evaluate the situation ( follow-up + pt. compliance e.t.c ...)

and the reason why he published the article in Journal of prostho
I think it clear to you now :) where if the tooth is going to serve as abutment & it is stressed by all 4 measures then at that time the prosthodontist should refer the tooth first to an endodontist .

:/ I hope it is clear now to every one

[Reham Khaled]

thanks doctor for the informations >> it is new for me the term ''stressed pulp'' :)

[Active_Dentist]

I think that I have patient has many teeth sharing this condition..what I've noticed is that she has large carious defects almost it seems the pulp exposed ..and she is not complaining of any pain..but her x-rays was normal no recisson was there ..she is African ..I think that because this race have high pain threshold! I must recheack the vitality test for any delay ..
thanks doctor for this information..

[Khaled Balto]

The term stressed pulp does not reflect the reality of the condition. The word " Stressed" means:
1 : to subject to physical or psychological stress <stressing the equipment> <this traffic is stressing me out>
2 : to subject to phonetic stress : accent
3 : to lay stress on : emphasize <stressed the importance of teamwork>

I do not know of Cellular or molecular stress that happens inside the dental pulp....they are rather kinetics characterizing the molecular patho-physiologic events taking place during the course of the disease or patho-physiologic process.

The use of the term "stressed" does not give an indication of the current status of the pulp.....I would rather use histologic terms or clinical terms to give better meaning to what I want to communicate with.

In the medical field we have not hared about a term "stressed lungs" or stressed heath !!!!