Pulpit tooth - what is it? Pulpitis in children of milk teeth: causes, symptoms and treatment

Pulpitis is a disease of the tooth tissue,characterized by an inflammatory character. Usually it develops against a background of improper treatment. With this pathology one has to face not only the adult, but also the children. From the materials of this article, you will learn the causes of the disease, as well as its forms and basic methods of treatment.

Pulpit tooth - what is it?

Pulp is a neurovascular bundle of the tooth. As a result of penetration into this area of ​​pathogenic microorganisms, an inflammatory process develops. The ailment often arises as a complication of caries or is a consequence of improper treatment (poor quality of the filling, operation on the periodontium, turning of the tooth).

Pulpitis is one of the most common complaintspatients dental clinics and is also considered a fairly common disease of infant teeth. In this article we will discuss in more detail the manifestations of this ailment in young patients, we will tell about the most effective methods of treatment.

pulpit tooth what it is

What is the difference between pulpitis in children?

Pulpit of baby teeth in children is a common pathology. Timely treatment allows you to prevent the development of dangerous complications.

Children's pulpitis is diagnosed several timesmore often than an adult. Specialists explain this phenomenon by the peculiarities of the structure of the teeth of babies. They connective tissues are loose, the root canals are wider, and dentin itself is less mineralized.

Implays its imprint and imperfectionimmune system. The likelihood of catching a cold in childhood is several times higher than in an adult. Nature managed to balance this trouble by the fact that the disease in 65% of cases is almost asymptomatic. In this lies the main danger of the disease.

If the baby often complains of toothache, enamelbecame overly sensitive to hot / cold food, you should visit the dentist. Do not postpone the visit, because the consequences of this disease are unpredictable. Some note that after a pulpitis the tooth aches even more strongly, and others have a strong edema and a cyst is formed.

pulpitis of infant teeth in children

The main causes of pathology

The disease usually develops under the influence of negative factors of a single character, and in the aggregate:

  1. The effect of toxins released by pathogenic microorganisms in a carious cavity.
  2. Mechanical damage to the tooth, careless treatment of the mouth, nerve damage during surgical manipulation.
  3. Postponed earlier acute disease, accompanied by a decrease in immunity.
  4. Treatment of teeth with antiseptics with an aggressive formula.

The choice of effective therapy directly depends on the causes that caused pulpitis of the tooth in the child. Treatment in most cases allows you to save molars.

 Diseases of the teeth pulpitis

The complexity of therapy in this disease is reduced tothe fact that the doctor can eliminate only the fragment of the pulp, which is located directly in the crown. Its root part is subject to mandatory removal only in fully formed dental roots. This is very difficult for young patients because of the high risk of traumatization of soft tissues and rudiments of permanent incisors.

What are the symptoms of pulpitis?

The clinical picture of pathology affects itsdiversity. There are patients with no complaints and such cases where the symptoms of the disease (pain, discomfort, intoxication, periostitis) are evident.

In time to diagnose pulpitis of baby teethchildren are very difficult, because small patients can not always accurately state their complaints. Therefore, parents often miss the onset of the disease and bring the child to the doctor with an acute form.

Among the main symptoms that occur in pulpitis, we can note the following:

  • pains that are paroxysmal;
  • lymphadenitis;
  • swelling of the tissues around the tooth;
  • general deterioration of the child's condition.

pulpitis in children of infant teeth treatment

The manifestation of specific signs of the disease depends on its shape. Next, we'll talk about each version of the pulpitis in more detail.

Hypertrophic tooth pulpitis

What it is?This form of the disease in children is extremely rare. It is characterized by complete destruction of the tooth crown and proliferation of pulp tissue. When probing the affected area, bleeding occurs. The child usually does not feel pain. Minor discomfort occurs only during chewing food.

Gangrenous pulpitis

This form of the disease develops against the backgrounddiffuse pulpitis. The small patient practically does not feel any discomfort in the oral cavity, but the examination shows a darkening of the tooth enamel. A clear sign of the pathological process is a peculiar odor from the mouth, associated with the destruction of the pulp and its interaction with the pathogenic microflora. Lymph nodes can be enlarged, but still remain painless.

Chronic pulpitis in the acute stage

To exacerbate the disease leads to a problematicexudate flow and weakening of immunity. The child complains of constant toothache. Lymph nodes increase with the development of the disease, the tissues of the affected area swell. Detect the disease can only be using an X-ray, which usually shows destructive changes in the tip of the root.

tooth pulpitis in a child

Chronic pulpitis

When the defenses of the body weaken, usuallyexacerbated chronic tooth pulpitis. What is it, what pathology? Symptoms of the disease are the child's complaints of traumatic pain, which increases with food. In addition, the tissue surrounding the tooth becomes inflamed and swollen, the lymph nodes increase in size. Sometimes the chronic form is accompanied by an increase in temperature and a worsening of the general condition of the child.

Acute partial pulpitis

In children with milk teeth this form of the disease is very rare. It is not possible to detect the disease in time.

Diagnosis of the disease

Modern medicine offers severaloptions for detecting a dental disease. Pulpitis can be detected during dental examination. During the examination, special attention should be paid to the mobility and sensitivity of the teeth. To determine the exact diagnosis, do an x-ray and check the tooth reaction for sensitivity to cold / hot temperatures. Based on the results of the examination, the doctor confirms the pulpitis in the children of the baby teeth. Treatment of the disease is selected individually.

What should be the therapy?

Treatment should be aimed at eliminatinginflammation, preventing the development of periodontitis, creating the most favorable conditions for the growth of permanent teeth. In pediatric dentistry, it is extremely important that all manipulations are simple and simultaneously painless.

tooth after pulpitis treatment

How is pulpitis treated? Therapy can be both conservative (biological method) and surgical. The choice of a specific treatment option depends on the neglect of the pathology and its shape.

Biological method

This method of treatment is used for chronicfibrotic pulpitis of infant teeth. Initially, the doctor opens the inflamed cavity. On its bottom and the pulp itself, it imparts a paste from a mixture of artificial dentin and Shostakovskiy's balm. Then the affected area is dried and put a seal of phosphate cement.

Opinions on the use of the biological methodtreatments diverge. On the one hand, the salvage of the pulp makes it possible to fully form in the future the tops of the roots. On the other hand, the tooth after treatment pulpitis often aching and aching.

Surgical method

Surgical treatment implies full or fragmentary removal of inflamed pulp. Carrying out manipulations is possible in two ways:

  1. The vital method. During the procedure, the doctor removes the coronal partpulp, while the root is preserved. When, as a result of improper treatment, the infected fragment remains, the probability of complications increases (the tooth after pulpitis may get sick, and surrounding tissues may swell). Root pulp does not allow pathogenic flora to penetrate into periapical tissues. To avoid infection of the wound when opening the cavity, it is necessary to change the burs as often as possible. In the final part, the affected area is washed with an antiseptic solution. At the mouth of the canal, pulp is cut off, and bleeding is stopped with the usual solution of adrenaline.
  2. The devital method involves the use of arsenic paste,which is applied immediately after removal of the pulp. During the manipulations, the doctor, as a rule, uses an anesthetic. Arsenic is left for 1-2 days. Long-term use of the paste can destroy the periodontium. At the next consultation, the pulp is removed, and a tampon impregnated with a special liquid is poured into the cavity. During the third visit, the doctor sets the seal.

after pulpitis the tooth hurts

The devital method of treatment is used today most often in acute or chronic course of the disease. In the case of gangrenous pulpitis, it is categorically contraindicated.

Let's sum up the results

In this article, we talked about whydevelops a pulpitis of the tooth, what it is and what are its primary symptoms. Treatment of this disease is not an easy task, especially for a pediatrician. The specialist should not only eliminate the pathological process, but also keep the opportunity for the full development of permanent teeth in the future. Pediatric dentistry has a number of features and is significantly different from adults.

For those children and their parents who are togetherregularly visit the dentist's office, it is not difficult to detect pulpitis in time and take the necessary measures to treat it. If a damaged or discolored tooth is detected, a visit to the dentist should be made without delay. Otherwise, the probability of developing a complicated infectious process increases.

As a preventive measure, twice inyear visit the dentist. Detected in time caries helps prevent pulpitis in children of baby teeth. It is better to start treatment of this disease at the initial stages of development. Be healthy!

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