<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN"> <HTML> <HEAD>  <SCRIPT LANGUAGE="JavaScript">  <!--  function ouvrefenetre(lapage,largeur,hauteur) { fenetre01=window.open(lapage,"hello","width="+largeur+",height="+hauteur+",status=1,scrollbars=0");  }   //    onClick="ouvrefenetre('explication.html',700,250)"  -->  </SCRIPT>  <TITLE>td1</TITLE> <META NAME="GENERATOR" CONTENT="Freeway 3.1"> <META HTTP-EQUIV="Content-Type" CONTENT="text/html; charset=ISO-8859-1"> <STYLE TYPE="text/css"> <!-- .txtpetit { font-family: Times,Times New Roman,serif; font-size: 12px; } .txtstd { font-family: Times,Times New Roman,serif; font-size: 14px; text-align: justify; margin-top: 0px; } .txtstd { font-family: Times,Times New Roman,serif; font-size: 14px; text-align: justify; margin-top: 0px; } .style290 { font-family: Times,Times New Roman,serif; font-size: 10px; } .style511 { font-family: Times,Times New Roman,serif; color: #f00; font-size: 10px; } .style434 { font-family: Times,Times New Roman,serif; font-size: 9px; } .style196 { font-family: Times,Times New Roman,serif; } .txtpetittitre { font-family: Times,Times New Roman,serif; font-weight: bold; text-decoration: underline; font-size: 14px; } .style438 { text-align: justify; margin-top: 0px; } .txtstdnonformate { font-family: Times,Times New Roman,serif; font-size: 14px; } .style261 { font-family: Times,Times New Roman,serif; color: #f00; font-size: 14px; } .txtstdcentre { font-family: Times,Times New Roman,serif; font-size: 14px; text-align: center; margin-top: 0px; } --> </STYLE> <SCRIPT LANGUAGE="javascript"><!--  var fwIsNetscape = navigator.appName == 'Netscape';  fwLoad = new Object; function FWLoad(image) { 	if (!document.images) 		return null; 	if (!fwLoad[image]) 	{ 		fwLoad[image]=new Image; 		fwLoad[image].src=image; 	} 	return fwLoad[image].src; }  fwRestore = new Object; function FWRestore(msg,chain)  { 	if (document.images)  		for (var i in fwRestore) 		{ 			var r = fwRestore[i]; 			if (r && (!chain || r.chain==chain) && r.msg==msg) 			{ 				r.src = FWLoad(r.old); 				fwRestore[i]=null; 			} 		} }  function FWLSwap(name,msg,newImg,layer,chain,trigger)  { 	var r = fwRestore[name]; 	if (document.images && (!r || r.msg < msg))  	{ 		var uselayers = fwIsNetscape && document.layers && layer != ''; 		var hld = (uselayers) ? 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Nimeskern<BR>validation par : Monsieur le Docteur B. Piot</SPAN></P></TD> 		<TD COLSPAN=3></TD> 		<TD ROWSPAN=3> 		<TABLE BORDER=0 CELLSPACING=0 CELLPADDING=0 WIDTH=86> 			<TR VALIGN=TOP> 				<TD ROWSPAN=3><IMG SRC="Resources/flechearr2a1a.gif" BORDER=0 WIDTH=32 HEIGHT=26 ALT="" USEMAP="#map3" NAME="img6"></TD> 				<TD COLSPAN=3></TD> 				<TD ROWSPAN=2><IMG SRC="Resources/flecheavt2a1a.gif" BORDER=0 WIDTH=31 HEIGHT=25 ALT="" USEMAP="#map4" NAME="img5"></TD> 				<TD HEIGHT=5></TD> 			</TR> 			<TR VALIGN=TOP> 				<TD></TD> 				<TD><IMG SRC="Resources/ptjaune1b.gif" BORDER=0 WIDTH=17 HEIGHT=20 ALT="" USEMAP="#map5" NAME="img4"></TD> 				<TD></TD> 				<TD HEIGHT=20></TD> 			</TR> 			<TR VALIGN=TOP> 				<TD COLSPAN=4></TD> 				<TD HEIGHT=1></TD> 			</TR> 			<TR> 				<TD WIDTH=32><IMG SRC="Resources/_clear.gif" BORDER=0 WIDTH=32 HEIGHT=1 ALT=""></TD> 				<TD WIDTH=2><IMG SRC="Resources/_clear.gif" BORDER=0 WIDTH=2 HEIGHT=1 ALT=""></TD> 				<TD WIDTH=17><IMG SRC="Resources/_clear.gif" BORDER=0 WIDTH=17 HEIGHT=1 ALT=""></TD> 				<TD WIDTH=3><IMG SRC="Resources/_clear.gif" BORDER=0 WIDTH=3 HEIGHT=1 ALT=""></TD> 				<TD WIDTH=31><IMG SRC="Resources/_clear.gif" BORDER=0 WIDTH=31 HEIGHT=1 ALT=""></TD> 				<TD WIDTH=1 HEIGHT=1><IMG SRC="Resources/_clear.gif" BORDER=0 WIDTH=1 HEIGHT=1 ALT=""></TD> 			</TR> 		</TABLE> 		</TD> 		<TD HEIGHT=2></TD> 	</TR> 	<TR VALIGN=TOP> 		<TD></TD> 		<TD> 		<P><SPAN CLASS="style290">webmaster:</SPAN><A HREF="mailto:nnimeskern@aol.com"  title="pour joindre le webmaster"><SPAN CLASS="style290"> </SPAN></A><A HREF="mailto:nnimeskern@free.fr"  title="pour joindre le webmaster"><SPAN CLASS="style290">nnimeskern@free.fr</SPAN></A></P></TD> 		<TD></TD> 		<TD HEIGHT=24></TD> 	</TR> 	<TR VALIGN=TOP> 		<TD COLSPAN=4></TD> 		<TD HEIGHT=1></TD> 	</TR> 	<TR> 		<TD WIDTH=502><IMG SRC="Resources/_clear.gif" BORDER=0 WIDTH=502 HEIGHT=1 ALT=""></TD> 		<TD WIDTH=5><IMG SRC="Resources/_clear.gif" BORDER=0 WIDTH=5 HEIGHT=1 ALT=""></TD> 		<TD WIDTH=149><IMG SRC="Resources/_clear.gif" BORDER=0 WIDTH=149 HEIGHT=1 ALT=""></TD> 		<TD WIDTH=5><IMG SRC="Resources/_clear.gif" BORDER=0 WIDTH=5 HEIGHT=1 ALT=""></TD> 		<TD WIDTH=86><IMG SRC="Resources/_clear.gif" BORDER=0 WIDTH=86 HEIGHT=1 ALT=""></TD> 		<TD WIDTH=1 HEIGHT=1><IMG SRC="Resources/_clear.gif" BORDER=0 WIDTH=1 HEIGHT=1 ALT=""></TD> 	</TR> </TABLE> <MAP NAME="map3"> <AREA ALT="" COORDS="6,0,32,24" HREF="javascript:history.back()" TITLE="page pr&eacute;c&eacute;dente" onMouseOver="FWRestore(1,'Indigo');FWSRestore(top.frames,'Indigo');FWLSwap('img6',1,'Resources/flechearr2a1.gif','','Indigo')" onMouseOut="FWRestore(1,'Indigo');FWSRestore(top.frames,'Indigo')"> </MAP> <MAP NAME="map4"> <AREA ALT="" COORDS="0,0,27,24" HREF="td2.html" TITLE="page suivante" onMouseOver="FWRestore(1,'Indigo');FWSRestore(top.frames,'Indigo');FWLSwap('img5',1,'Resources/flecheavt2a1.gif','','Indigo')" onMouseOut="FWRestore(1,'Indigo');FWSRestore(top.frames,'Indigo')"> </MAP> <MAP NAME="map5"> <AREA ALT="" COORDS="0,0,17,17" HREF="traumatodentaire.html#menutd" TITLE="vers l'accueil" onMouseOver="FWRestore(1,'Indigo');FWSRestore(top.frames,'Indigo');FWLSwap('img4',1,'Resources/ptjaune1.gif','','Indigo')" onMouseOut="FWRestore(1,'Indigo');FWSRestore(top.frames,'Indigo')"> </MAP>  <TABLE BORDER=0 CELLSPACING=0 CELLPADDING=0 WIDTH=748> 	<TR VALIGN=TOP> 		<TD COLSPAN=2></TD> 		<TD HEIGHT=22></TD> 	</TR> 	<TR VALIGN=TOP> 		<TD></TD> 		<TD> 		<P><SPAN CLASS="txtpetittitre">La dent est un organe inextensible. </SPAN></P> 		<P CLASS="style438"><SPAN CLASS="txtstdnonformate">En son sein se trouve la pulpe qui s'est individualise lors de la formation de la dent et qui sert de moyen de sensibilit  celle-ci. La pulpe est un organe richement vascularis, c'est--dire que de nombreux vaisseaux la traversent. En cas de traumatisme, un oedme se forme. A la manire d'une cheville &quot;gonflant&quot; en cas d'entorse, la pulpe gonfle en cas de traumatisme... &quot;Gonfle&quot; ? </SPAN><SPAN CLASS="style261">Non</SPAN><SPAN CLASS="txtstdnonformate">, elle tente de &quot;gonfler&quot; car la pulpe de la dent se trouve dans la chambre pulpaire, au sein de la dent, qui est un organe dure et donc inextensible. En fait, et pour reprendre  nouveau une image, il se passe dans la pulpe le mme phnomne que dans un flacon clos et inextensible laiss au soleil. La pression dans le flacon augmente. </SPAN></P> 		<P CLASS="style438"><SPAN CLASS="txtstdnonformate">Dans la pulpe traumatise, la pression dans la chambre augmente du fait de l'oedme qui tente de se constituer. Si la pression dans la chambre pulpaire augmente, les vaisseaux sont comprims et au maximum la circulation du sang dans ces vaisseaux est interrompue. La pulpe meurt. La dent n'est plus vivante si cette pression est trop importante ou trop prolonge. Les complications peuvent alors survenir.</SPAN></P> 		<P CLASS="style438"><SPAN CLASS="txtstdnonformate">La pulpe si sa perfusion sanguine diminue ou disparat va se ncroser et  terme s'infecte. Les tissus qui entourent la dent pourront tre infects par contact direct, et il y aura donc possibilit d'infections buccales d'origine dentaire et de perte de la dent. La couronne d'une dent dont la pulpe est morte peut prendre une couleur grise ou brune si rien n'est fait. Enfin, la prsence d'une pulpe infecte reprsente un foyer infectieux qui pourra engendrer des complications par sa simple prsence dans l'organisme, comme nous le verrons dans le chapitre sur la</SPAN><A HREF="pathologiedentai.html"><SPAN CLASS="txtstdnonformate"> pathologie dentaire.</SPAN></A></P></TD> 		<TD HEIGHT=330></TD> 	</TR> 	<TR> 		<TD WIDTH=23><IMG SRC="Resources/_clear.gif" BORDER=0 WIDTH=23 HEIGHT=1 ALT=""></TD> 		<TD WIDTH=700><IMG SRC="Resources/_clear.gif" BORDER=0 WIDTH=700 HEIGHT=1 ALT=""></TD> 		<TD WIDTH=25 HEIGHT=1><IMG SRC="Resources/_clear.gif" BORDER=0 WIDTH=25 HEIGHT=1 ALT=""></TD> 	</TR> </TABLE>  <TABLE BORDER=0 CELLSPACING=0 CELLPADDING=0 WIDTH=748> 	<TR VALIGN=TOP> 		<TD COLSPAN=2></TD> 		<TD HEIGHT=322></TD> 	</TR> 	<TR VALIGN=TOP> 		<TD></TD> 		<TD><IMG SRC="Resources/parooedmpulp.gif" BORDER=0 WIDTH=227 HEIGHT=370 ALT=""></TD> 		<TD HEIGHT=390></TD> 	</TR> 	<TR> 		<TD WIDTH=244><IMG SRC="Resources/_clear.gif" BORDER=0 WIDTH=244 HEIGHT=1 ALT=""></TD> 		<TD WIDTH=253><IMG SRC="Resources/_clear.gif" BORDER=0 WIDTH=253 HEIGHT=1 ALT=""></TD> 		<TD WIDTH=251 HEIGHT=1><IMG SRC="Resources/_clear.gif" BORDER=0 WIDTH=251 HEIGHT=1 ALT=""></TD> 	</TR> </TABLE>  <TABLE BORDER=0 CELLSPACING=0 CELLPADDING=0 WIDTH=748> 	<TR VALIGN=TOP> 		<TD COLSPAN=2></TD> 		<TD HEIGHT=26></TD> 	</TR> 	<TR VALIGN=TOP> 		<TD></TD> 		<TD> 		<P CLASS="txtstdcentre">Figure : </P> 		<P CLASS="txtstdcentre">Choc sur la dent, oedme pulpaire, augmentation de la pression au sein de la pulpe, ncrose de celle-ci.</P></TD> 		<TD HEIGHT=62></TD> 	</TR> 	<TR> 		<TD WIDTH=183><IMG SRC="Resources/_clear.gif" BORDER=0 WIDTH=183 HEIGHT=1 ALT=""></TD> 		<TD WIDTH=401><IMG SRC="Resources/_clear.gif" BORDER=0 WIDTH=401 HEIGHT=1 ALT=""></TD> 		<TD WIDTH=164 HEIGHT=1><IMG SRC="Resources/_clear.gif" BORDER=0 WIDTH=164 HEIGHT=1 ALT=""></TD> 	</TR> </TABLE>  <TABLE BORDER=0 CELLSPACING=0 CELLPADDING=0 WIDTH=748> 	<TR VALIGN=TOP> 		<TD COLSPAN=6></TD> 		<TD HEIGHT=46></TD> 	</TR> 	<TR VALIGN=TOP> 		<TD ROWSPAN=2></TD> 		<TD ROWSPAN=2><IMG SRC="Resources/flechearr2aa.gif" BORDER=0 WIDTH=33 HEIGHT=25 ALT="" USEMAP="#map6" NAME="img3"></TD> 		<TD COLSPAN=3></TD> 		<TD ROWSPAN=2><IMG SRC="Resources/flecheavt2ac.gif" BORDER=0 WIDTH=50 HEIGHT=25 ALT="" USEMAP="#map7" NAME="img2"></TD> 		<TD HEIGHT=5></TD> 	</TR> 	<TR VALIGN=TOP> 		<TD></TD> 		<TD><IMG SRC="Resources/ptjaune1c.gif" BORDER=0 WIDTH=17 HEIGHT=20 ALT="" USEMAP="#map8" NAME="img1"></TD> 		<TD></TD> 		<TD HEIGHT=20></TD> 	</TR> 	<TR> 		<TD WIDTH=602><IMG SRC="Resources/_clear.gif" BORDER=0 WIDTH=602 HEIGHT=1 ALT=""></TD> 		<TD WIDTH=33><IMG SRC="Resources/_clear.gif" BORDER=0 WIDTH=33 HEIGHT=1 ALT=""></TD> 		<TD WIDTH=5><IMG SRC="Resources/_clear.gif" BORDER=0 WIDTH=5 HEIGHT=1 ALT=""></TD> 		<TD WIDTH=17><IMG SRC="Resources/_clear.gif" BORDER=0 WIDTH=17 HEIGHT=1 ALT=""></TD> 		<TD WIDTH=5><IMG SRC="Resources/_clear.gif" BORDER=0 WIDTH=5 HEIGHT=1 ALT=""></TD> 		<TD WIDTH=50><IMG SRC="Resources/_clear.gif" BORDER=0 WIDTH=50 HEIGHT=1 ALT=""></TD> 		<TD WIDTH=36 HEIGHT=1><IMG SRC="Resources/_clear.gif" BORDER=0 WIDTH=36 HEIGHT=1 ALT=""></TD> 	</TR> </TABLE> <MAP NAME="map6"> <AREA ALT="" COORDS="7,0,33,24" HREF="javascript:history.back()" TITLE="page pr&eacute;c&eacute;dente" onMouseOver="FWRestore(1,'Indigo');FWSRestore(top.frames,'Indigo');FWLSwap('img3',1,'Resources/flechearr2a.gif','','Indigo')" onMouseOut="FWRestore(1,'Indigo');FWSRestore(top.frames,'Indigo')"> </MAP> <MAP NAME="map7"> <AREA ALT="" COORDS="0,0,27,24" HREF="td2.html" TITLE="page suivante" onMouseOver="FWRestore(1,'Indigo');FWSRestore(top.frames,'Indigo');FWLSwap('img2',1,'Resources/flecheavt2ab.gif','','Indigo')" onMouseOut="FWRestore(1,'Indigo');FWSRestore(top.frames,'Indigo')"> </MAP> <MAP NAME="map8"> <AREA ALT="" COORDS="0,0,17,17" HREF="traumatodentaire.html#menutd" onMouseOver="FWRestore(1,'Indigo');FWSRestore(top.frames,'Indigo');FWLSwap('img1',1,'Resources/ptjaune1.gif','','Indigo')" onMouseOut="FWRestore(1,'Indigo');FWSRestore(top.frames,'Indigo')"> </MAP>  <TABLE BORDER=0 CELLSPACING=0 CELLPADDING=0 WIDTH=748> 	<TR VALIGN=TOP> 		<TD COLSPAN=2></TD> 		<TD HEIGHT=3></TD> 	</TR> 	<TR VALIGN=TOP> 		<TD></TD> 		<TD> 		<P>    </P> 		<HR WIDTH=720> 		<P><SPAN CLASS="txtpetit">Sources:</SPAN></P> 		<P CLASS="txtstd"><SPAN CLASS="txtpetit">Cours entrant dans le cadre du DES C de Stomatologie et Chirurgie Maxillo-Faciale</SPAN></P> 		<P CLASS="txtstd"><SPAN CLASS="txtpetit">Pathologie Maxillo-Faciale et Stomatologique J.P Levy  G. Princ Masson 2 dition</SPAN></P></TD> 		<TD HEIGHT=173></TD> 	</TR> 	<TR> 		<TD WIDTH=5><IMG SRC="Resources/_clear.gif" BORDER=0 WIDTH=5 HEIGHT=1 ALT=""></TD> 		<TD WIDTH=720><IMG SRC="Resources/_clear.gif" BORDER=0 WIDTH=720 HEIGHT=1 ALT=""></TD> 		<TD WIDTH=23 HEIGHT=1><IMG SRC="Resources/_clear.gif" BORDER=0 WIDTH=23 HEIGHT=1 ALT=""></TD> 	</TR> </TABLE> </DIV> </BODY> </HTML> 
