Name of the Condition

• Pulp Degeneration

Summary

Pulp degeneration refers to the breakdown of the dental pulp tissue, which is the innermost part of the tooth containing nerves and blood vessels. This condition can lead to tooth sensitivity, pain, and eventually, pulp necrosis if left untreated.

Causes

• Dental caries (tooth decay)
• Traumatic injury to the tooth
• Repeated dental procedures
• Excessive wear and tear of the teeth

Risk Factors

• Poor oral hygiene
• High intake of sugary foods and drinks
• Bruxism (teeth grinding)
• History of tooth trauma or injuries

Symptoms

• Tooth sensitivity, especially to hot or cold temperatures
• Persistent toothache
• Discoloration of the affected tooth
• Swelling and tenderness of the gums surrounding the affected tooth

Diagnosis

• Dental examination and history taking
• Radiographic imaging (X-rays) to assess the extent of degeneration
• Sensitivity tests to determine the vitality of the pulp

Treatment Options

• Root canal therapy to remove the degenerated pulp and seal the tooth
• Crown placement to restore the structure and function of the tooth
• In severe cases, tooth extraction may be necessary

Prognosis and Follow-Up

• With timely intervention, the prognosis is generally good, and the tooth can be preserved.
• Regular dental check-ups are important to monitor the condition and prevent further complications.

Complications

• Pulp necrosis leading to tooth abscess
• Spread of infection to surrounding tissues
• Tooth loss if untreated or improperly managed

Lifestyle & Prevention

• Maintain good oral hygiene by brushing and flossing regularly
• Limit intake of sugary foods and drinks
• Use protective gear during sports activities to prevent dental injuries
• Regular dental visits for early detection and management

When to Seek Professional Help

• Persistent toothache or sensitivity
• Noticeable swelling or pus discharge from gums
• Sudden change in tooth color

Additional Resources

• American Dental Association (ADA): https://www.ada.org/
• National Institute of Dental and Craniofacial Research (NIDCR): https://www.nidcr.nih.gov/

Tips for Medical Coders

• Verify clinical documentation to ensure accurate coding of K04.2 for pulp degeneration.
• Avoid confusion with similar dental conditions like pulpitis (K04.0) or pulp necrosis (K04.1).