The purpose of this study was to investigate histologically and histom
etrically the changes in pulpal and periapical tissues after pulpal ex
posure in rats. All animals received a pulpal exposure in the left man
dibular first molar. Animals were killed at 1 to 56 days after pulpal
exposure, and their mandibles were evaluated histologically and histom
etrically. Histologically, pulpal necrosis extended gradually from the
upper part of the pulpal tissue to the apex, with inflammation starti
ng in the periapical tissue at an early stage. As the periapical lesio
n developed, alveolar bone and cementum resorption was also found. His
tometrically, the length of pulpal necrosis increased gradually from 1
to 28 days. The vertical length of the periapical lesion after 14 day
s was significantly increased, while the horizontal length and the ove
rall area after 7 days were also significantly increased. The periapic
al lesion extended in a mesiodistal direction at first and then in a v
ertical direction before expansion ceased.