Pulpitis is an inflammation of the pulp of the tooth, that is, the vascular-neural bundle, which is inside the crown and lives in the roots of the tooth. Pulpitis is the second most common dental disease, giving way to caries.
The cause of the development of pulpitis is most often the microbial flora of the carious cavity penetrating into the soft tissues of the tooth as a result of its destruction.
Usually, the cause of the disease is chemical, as well as mechanical trauma to the tooth with improper treatment of the carious process or self-medication.
The development of pulpitis is associate with the progression of caries and the emergence of an inflammatory response, in response to a pathogenic microflora penetrating from the outside, and irritation of the pulp that enter the carious cavity, with food, with slices of food.
Sometimes infection of the soft tissues of the tooth occurs when the inflammation spreads from the tip of the tooth or surrounding tissues, with periodontitis. In this case, the pulpitis is called ascending.
Depending on the nature of inflammation, pulpitis occurs:
- when the swelling is manifested only by swelling and reddening of the tissues of the pulp;
- purulent, characterized by the formation of purulent exudate.
By the nature of the flow, pulpitis is distinguished:
Pulpitis is characterized by paroxysmal pain that occurs, more often at night. Often the pain is provoked by the ingress of food into the carious cavity, arises from sweet, hot, and also cold drinks.
Treatment and prevention of pulpitis
Treatment of pulpitis includes therapeutic measures to eliminate inflammation, isolate or seal the cavity of the tooth.
Acquire effective drugs to treat this disease
what is An Acute Toothache?
A toothache most often occurs very inappropriately, if at all you can talk about the right moment. A cavity destroys work plans, forced to abandon entertainment, takes over consciousness and subordinates to its will. “Well, why right now, what happened?” – you think, trying to understand what is happening, and you are on the right track because it is from the search for the real cause of a toothache that you need to start her treatment.
Why Does An Acute Toothache Occur?
Any pain, including dental, testifies to inferiority in the body, so your task is not just to muffle the pain with pills, but to find and eliminate its cause.
The following reasons can be found:
- Thinning of tooth enamel as a result of its demineralization with a shortage of vitamins and trace elements. Such as calcium, phosphorus, and fluorine. A toothache, in this case, is aching and occurs mainly during meals, especially sweets, or with the use of cold and hot drinks.
- Losses, cracks and chipped teeth – they all have a traumatic origin and are manifested by a particular sensitivity of teeth to temperature changes and chemical effects of food.
- A wedge-shaped defect in the cervical area of the tooth can also be the cause of pain arising from mechanical, thermal and chemical irritation of the tooth.
- Caries. Superficial caries does not cause pain, but deep can cause anxiety. Carious pain is rarely strong; often it is aching in nature, occurs when food gets into the cavity formed in the tooth and disappears almost immediately after cleansing.
- Pulpitis is the result of deep caries and a consequence of the spread of the inflammatory process to the soft tissues of tooth-pulp. Pain in pulpitis occurs when eating, and regardless of it, for example, at night. It is pulling and so strong that it seems as if not one tooth hurts, but the whole jaw or even half of the head.
- Periodontitis is characterized by inflammation of the connective tissue surrounding the roots of the tooth and holding the tooth in place. Pain with periodontitis is not intense, but progressing with a load on the tooth and accompanied by a feeling that it has grown and become higher than other elements of the dentition.
- The formation of an abscess, or purulent abscess, at the root of the tooth, is initially accompanied by an aching toothache, which is the strength when the jaws are closed. Then, with the growth of the abscess, the pain intensifies, becomes jerking, bursting, the gingiva swells, and soon a protrusion – actually an ulcer becomes visible on its surface.
- The causes of pain in the teeth can be very far from the mouth. For example, in the teeth and jaw can give pain with angina and myocardial infarction. Its source can be diseases of the ear, throat, and nose, trauma of the cervical spine, pathology of the temporomandibular joint, nerve diseases and malignant tumors of the maxillofacial region.
- Sometimes the pain in the teeth has a psychosomatic character, that is, it results from severe stress and is not associate with any diseases.
- Pain after tooth treatment, lasting up to three days, is quite a natural tooth reaction to medical manipulation.
- The appearance of pain after tooth extraction is the result of a natural trauma of the surrounding tissues.
What To Do, When Teeth Hurts?
When you feel some pain and have a toothache, then immediately go to the dentist. First, it will quickly stop the pain, and secondly, will prevent possible complications.
Do not be afraid that the manipulation of the doctor will make the pain stronger, today dentistry is unthinkable without anesthesia, and as soon as the doctor injects, the pain will immediately disappear, which will calmly search for the cause of suffering and dentistry.
If a toothache has arisen at night, if it is intolerable, if you can not cope with the situation on your own so that you can calmly consult a doctor in the morning, go to the emergency dental care office.
Such offices operate at district clinics or in dental clinics located next to them. In any case, the exact address will be indicated to you by the emergency telephone number.
How To Deal With It?
- Gently clean the remains of food from all interdental spaces and the carious cavities in the teeth, it is enough to rinse the mouth with warm water or a solution of soda, prepared from the calculation of 1 teaspoon per glass of water.
- Try not to chew on the sore side, keep your mouth shut if the pain intensifies by inhaling cold air, or slightly ajar if it progresses when the jaws are closed.
- Try to avoid distraction, read a book, watch a movie, talk with someone.
- Periodic rinsing of the oral cavity with a soda-salt solution (1 teaspoon of salt and soda per glass of water) will help reduce edema and inflammation, relieve a toothache. Instead of soda and salt, you can use decoctions of herbs that have an anti-inflammatory effect, for example, broth chamomile, sage, oregano, peppermint, St. John’s wort, noble laurel, and others.
- Pain will become less intense if you attach cotton wool soaked in vodka or cognac to an infected tooth. The dental nerve will become saturated with alcohol and stop sending painful impulses to the brain.
- The pain will cease for a short while, if you “freeze” the infected tooth, hold a piece of ice around it for 15 minutes.
- Massage of the hands will reduce the intensity of toothache by half. To do this, it is necessary to massage the acupuncture point on the wrist, where the bones of the thumb and index finger meet, with a forefinger for 5-7 minutes.
- Take an anesthetic drug, which is in the home medicine chest.
When you have a toothache, you can not use warming compresses and lotions; this will not only increase the pain but also cause a lot of inflammation, fraught with severe complications. Do not take antibiotics; they can be not useless, but also harmful. To cure a toothache finally, it is possible, only having eliminated its or her reason. Therefore it is not necessary to delay with a visit to the doctor.
The Treatment of Pulpitis: Basic Therapy in Dentistry
Classification of pulpitis is represented with two global sections: an acute and chronic form of manifestation of the disease. Acute pulpitis occurs when the infection enters the pulp with a sealed pulp chamber and has the following options:
- hyperemia of the pulp;
- serious restricted;
- serious diffuse;
When choosing a method for treating chronic pulpitis rely on the following forms of the disease:
- There is a proliferation of connective tissue, an asymptomatic course is noted, slight unpleasant sensations are possible;
- Hypertrophic or proliferative form, characterized by the presence of a fibrous polyp in the carious region with excessive proliferation of pulpal tissue through a damaged carious cavity;
- Gangrenous or purulent form proceeds with severe painful sensations due to the tissue disintegration and the detection of granulation tissue in the root pulp, with a pronounced sensitivity to hot.
Classification of various forms of pulpitis involves mechanical and medicamentous treatment of the root canals – nerve removal or depulpation and sealing. Without adequate treatment of dental canals, chronic pulpitis can go on to periodontitis with various multiple complications. Their development is promoted by a leaky closure of the canal, as well as inadequate quality of fillings, inlays, lining, and crowns. Tooth crown or crown for teeth”
Pulpits Of Temporary milk teeth: Prevention Costs
Inflammation of the pulp of baby teeth is a rather frequent phenomenon, complicated by the fact that the child can not always help the doctor diagnose the disease, with difficulty describing his condition and indicating the localization of pain. Which is quite natural for pulpitis of the baby teeth.
Clinical manifestations of the disease in each child have their characteristics, which depends on the age and structural features of hard tissues and pulp.
The main etiological factor in the development of the disease is the presence of infection, penetrating the pulp from the carious cavity.
Acute inflammation of the neurovascular complex of the teeth is sometimes accompanies with the reaction of periodontitis and regional lymph nodes.
A toothache along with pain when touching the causative site with the tongue or when pressing with a finger is expressed in edema of the soft tissues of the submaxillary region.
The main sign of pulpitis of milk teeth is a dull toothache that periodically occurs without the influence of an external stimulus, more often at night, and is enhanced by the impact of various external phenomena – mechanical or temperature effects.
Therapy of temporary teeth is one of the leading in pediatric dentistry. The main task of the dentist and parents is to keep the baby’s dentition up to the physiological shift and prevent all sorts of complications that can have a detrimental effect on the condition of the dentoalveolar system.
To prevent adverse reactions in the therapy of temporary dental units, the drugs Pulpodent and Pulpotec are shown. According to numerous observations, there is no change in color, no pain in the process and after treatment.
After Pulpitis Treatment: No More Pain
Radiologic examination of pulpitis after treatment does not reveal any adverse changes in bone tissue, pathological resorption, or damage to the rudiments of the permanent dentoalveolar system.
It is known that pulpitis as a common phenomenon, after treatment does not reveal changes in the color of the crown, does not cause pain after a particular time after therapy, but there are few complications, especially after the application of digital methods.
This problem forces specialists to look for new ways and methods of therapy of the dentoalveolar system with the use of modern technologies and preparations, and patients, in turn, pay particular attention to prevention, both in adults and in children.
Complete oral care under the supervision of the dentist involves the use of high-quality toothpaste and a brush at least two times a day, as well as dental floss in the care of the gums.
Early detection and elimination can cause the disease of the dentoalveolar system, therapeutic and prophylactic gymnastics, medicinal and physiotherapy. As well as the use of folk remedies recommended by the doctors in the next preventive examination. Which is required two times a year, will save from the early removal and prosthetics of the dentition.
Acute Pulpitis: Etiology and Pathogenesis
The appearance of acute pulpitis is often a complication of caries, and sometimes, unfortunately, the result of wrong actions of a dentist when turning the teeth under an orthopedic design.
Or it may occur after a poor-quality filling, surgical intervention with periodontal disease, and the effects of external irritants. Classification of acute and chronic pulpitis allows you to determine the manifestations of each of them, the cause of the occurrence and possible consequences.
Infection, penetrating through the thin wall of a decayed caries tooth, first has a focal character and proceeds as a severe inflammation – there is a limited or serious form of the disease.
With the progression of the process, the exudate accumulates in the pulp chamber; the pains intensify – so the purulent form manifests itself. The chronic course of the disease most often arises as a result of acute, and in this case, it can be fibrous pulpitis.
Fibrous Chronic Pulpitis: Symptomatic Course
This form of pulpitis is most often characterize with asymptomatic flow or manifestations of weak pain associated with the proliferation of connective tissue.
The patient usually complains of aching pain localized in the causal tooth and arising after eating or the influence of temperature stimuli. Very characteristic is the appearance of spontaneous painful sensations, especially at night, which take place without medication.
Objectively, there is deep caries that has developed under the influence of food residues and necrotic dentin that have lain in the cavity, the probing of the cavity is accompanied by sharp pain and bleeding of the pulp.
A typical sign of developed dental pulpitis is bad breath, increased pain on cold external stimuli and, on the contrary, some relief – to warm ones. The X-ray pattern represents an extended periodontal gap, which is a confirmation of the diagnosis of tooth pulpitis.
Such, not always a bright display of the given stomatologic disease long enough time keeps the patient from a visit to the doctor for the qualified help while the pathological process, continues to develop, causing an inflammation of a periodontium.
Prophylaxis Of Dental Pulpitis
A separate discussion deserves the prevention of dental diseases, as a pledge of oral health. To prevent the onset and progression of the disease, in which microbes actively multiply in soft tissues, and very often there is an inflammatory process of gums and destruction of bone tissue, it is necessary to pay the utmost attention to the full-fledged care of the oral cavity.
Only high-quality toothpaste and a brush will save the mouth from the need to treat pulpitis when the price of the procedure is often upset, not less than the disease itself.
The chronic course of the disease can be treated with difficulty, and it is not necessary to rely on home recipes and herbs only. It is essential to have a preventive oral examination at the dentist twice a year, which will allow us not to delve into the problems of pulpitis treatment. Price issue: regularity and systematic.
With the preventive purpose and to achieve the effect of sanitation and sanitation of the oral cavity, the use of folk methods is possible. One of the simplest and most effective ways is rinsing the mouth with infusions and tinctures of herbs after thorough brushing of the teeth in the mornings and evenings.
Only a doctor, taking into account the state of the dentition and the stage of the process, can recommend certain herbs, irrigation with decoctions or appliques with medicinal ointments and gels.
However, the pain, looseness, bleeding of the gums and pulpitis that have arisen is challenging to overcome only by the decoction of the leaves of eucalyptus, walnut or infusion from the leaves of the blackberry. This deceptive impression leads the patient away from systematic preventive measures:
- The daily routine of brushing your teeth, at least two times a day, preferably after each meal;
- a regular visit to the doctor and strict implementation of his recommendations;
- care not only for teeth but also for the space between them with the help of dental floss;
- correct nutrition, enriched with vitamins A, C, P, fresh vegetables and fruits of dairy products.
Fulfillment of these simple recommendations will avoid the problem of treatment of pulpitis, the price of medical procedures also does not fall into your field of vision.
Clinic Pulpitis – The Characteristic Signs and Causes
Complaints about acute and intolerable pain, lasting up to 30 minutes or more, caused by hypothermia, or, conversely, by the reception of hot food, which often arises at night is a description of the pulpitis clinic.
It should be noted a clear localization of pain; the patient confidently points to the causal place where, most often, there is a filling or carious cavity.
Pigmented dentin of soft consistency represents its bottom, significant sharp pain in the place of contact with pulp is determined, and percussion of the tooth is painless.
Probing indicates a closed pulp chamber; there is purulent-bloody discharge, there is no radiological change. With the progression of pulpitis often marked by the spread of pain along the branches of the trigeminal nerve.
Pale pink mucous is painless on palpation. General deterioration of health can accompany the clinic of progressive pulpitis when the patient almost does not feel the easing of pain.
Differential Diagnosis Of Pulpitis And Apical Periodontitis
Diagnosis of inflammation of the pulp is based on the classification of the disease, distinguish acute and chronic forms, each of which has its characteristics.
The main variants of the acute form are pulp hyperemia, serous restricted or diffuse process, purulent and traumatic inflammation.
This disease occurs in the case of infection in the pulp with a closed pulp chamber, for example, through a thin tooth wall, destroyed by caries.
In the case of development of chronic form, fibrotic, hypertrophic and gangrenous process are distinguished, and the causes of inflammation of soft dental tissues can be:
- microbes and their toxins from the carious cavity;
- impact of the trauma of different origin;
- drift infection into the pulp through the blood.
Differential diagnosis of interrelated pulpitis and periodontitis is based on the infectious factor of their origin. The spread of periodontitis is through the apical tooth hole; there is a sharp pain reaction when biting on the tooth, the percussion of the tooth causes the unbearable patient pain.
Gaps without pain are becoming shorter; any touch is even sharply painful in the tongue, swelling of the cheek and lip is noticeable, the gum is edematic and hyperemic, there is an increase in lymph nodes.
Diagnosis And Treatment of Pulpitis
The choice of the method of pulpitis treatment depends on the nature of the course and form of the manifestation of the disease, the age of the patient and his condition, the time for seeking help from a professional and many other objective and subjective reasons.
Cases of late visiting a doctor in dentistry are quite often due to the primary manifestation of the chronic variant of the disease.
Long-term forms of inflammation of the pulp are diagnosed as gangrenous, which leads the doctor away from the real picture and the choice of the method of treatment, including biological, in pulpitis in young people.
The main type of surgical intervention for acute inflammation of the pulp is depulpoviranie in the conduct of vital or vital extirpation.
Diagnosis is based on patient questioning, sounding, percussion, palpation, and analysis of leading signs using the following instrumental methods:
- X-ray diagnostics and computed tomography.
The last method, the most widely used in the practice of dentists, allows you to determine the presence of carious cavity, as well as gentle and pulp petrification, the location and proximity of the tip of the root to the anatomical formations of the jaws, the evaluation of the quality of the fillings and filling the root canal.
Pulpitis of Milk Teeth
Pulpitis of a milk tooth – the phenomenon frequent enough. Diagnosis is significantly hampered for some reasons, including because the child is often unable to describe and characterize the pain in the oral cavity,
which sometimes prevents the doctor from commencing therapy immediately. The manifestation of clinical symptoms of pulpitis of a baby tooth in children of different ages is associate with the structural features of hard tissues and pulp.
To help the doctor – examination of the sick child, a conversation with him and some diagnostic techniques, discussed above, to support parents – prevention, which will protect the baby from pulpitis and further possible complications.
If The Tooth Hurts After Treatment Of Pulpitis And Deep Caries
- Physiological causes of pain after pulpitis treatment
- After the filling, does the tooth hurt? Hence pulpitis was treated wrong!
Treatment of deep caries accompanied by pulpitis is a complex multistage process. At first, the tooth is depulled, cleared from caries of dead tissues and carefully prepared for sealing. Then follows the restoration of the shape of the dental crown with the help of filling materials.
It would seem that the disease is cured, but why do teeth so often hurt after pulpitis treatment? There are many reasons for this: starting with completely objective physiological ones, ending with subjective ones, reflecting the poor quality of the provided dental care.
Physiological causes of pain after pulpitis treatment
A short, dull, aching and intensifying pain upon pressing the tooth after the treatment of pulpitis is a perfectly reasonable and understandable phenomenon.
- Treatment of pulpitis involves the removal of the vascular-neural bundle, and the trauma of the nervous tissue naturally leads to the fact that after the depulpation some tooth pain remains.
- In the process of treatment of deep caries, the tooth canals are treated with a unique tool, which can also damage the tooth tissues and periodontium.
- When pickling the roots of the tooth, some of the chemicals fall into the root of the root, irritate the periodontal tissue and cause pain after tooth filling.
- When a retraction thread is introduced to superimpose the filling material best and create an anatomically correct tooth shape, its neck is exposed, which in turn can cause pain and acute reaction to temperature and chemical stimuli in the future.
After the filling, does the tooth hurt? Hence pulpitis was treated wrong!
A toothache after treatment of pulpitis can associate with the poor performance of the dentist.
- Incomplete sealing of root canals. With tight jaw closure, the newly treated tooth hurts. Pulpitis passes into periodontitis; there is a feeling that the crown of the tooth is higher and prevents the jaw from tightly closing, sometimes the body temperature rises, there is a general malaise, the tooth begins to loosen.
- The release of the filling material beyond the root of the tooth and the result – the teeth hurt after the pulpitis, which is no longer there. The ingress of material into the canal of the mandibular nerve, and at all causes the severe pain, loss of sensitivity of the lower lip and skin in the chin.
- If the tooth is very sore after treatment of the pulpitis, it is worthwhile to think about the breakdown of the instrument, the presence of its fragment in the root canal leads to the development of periodontitis.
- A toothache after pulpitis can be the result of perforation or fracture of the root of the tooth with a low skill of the doctor, deep caries lesions, convoluted and hard-to-pass root canals. Tooth pain, in this case, occurs immediately after treatment, when the anesthesia terminates, it has a noisy character and is strengthened by tapping on the tooth.
- If you have treated tooth decay and still did not get rid of a toothache, it is possible that the used palling materials cause a rejection reaction in your body.
- If, after the treatment with the dentist, several months have passed and your tooth has started to hurt again, the pulpitis has not been entirely cured, caries continues to develop, and the inflammatory process has already moved beyond the roots of the teeth. The reasons for this phenomenon lie in the low-quality sealing of canals and various cavities.
The conclusion from the above is as follows: if the tooth after pulpitis hurts within 1-3 days, it is not necessary to panic.
Physiological pain that occurs after dental treatment does not require treatment to the dentist.
They are not so strong as to affect the quality of life and will pass independently for several days.
To get rid of the pain simple analgesics and rinsing of the mouth with a warm soda solution will help.
If a toothache is so severe that it prevents you from living or lasting too long. You should always contact your dentist. Unqualified seals should be removed; the tooth is cured and sealed again.
With the tooth, you have to say goodbye if the cause of the appearance of pain was a fracture or perforation of the root.
The definite point is that the subsequent orthopedic treatment will be carried out at the expense of the medical institution since a doctor’s mistake caused the tooth loss.