Interappointment pain: mechanisms, diagnosis, and treatment
Causes of interappointment pain. Presence of pathogenic bacteria. Presence of virulent clonal types. Microbial synergism or additism. Number of microbial cells. Apical extrusion of debris. Secondary intraradicular infections. Non-microbial causes.
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Mechanical irritants to the dental pulp, operative procedures, orthodontic movement. Chemical irritants to the dental pulp. Microbial irritants, bacteria colonize the cavity floor and the arrows depict aspirated odontoblasts in the dentinal tubules.
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