Pulpitis is an inflammation of the pulp withinone tooth, which contains not only the nerve endings or blood vessels, but also quite a lot of connective tissue of the tooth. It provides the tooth with blood and nutrients. Mainly pulpitis is caused by bacterial infection, which leads to a secondary development of caries (tooth decay). Symptoms of pulpitis show a toothache.
Strong toothache accompanying pulpitis, inmainly manifested either with a change in temperature, or at night. For the initial stage of pulpitis, infrequent aching pains are characteristic. And for more neglected forms - attacks of pain of a growing nature, pulsating and prolonged. Well, and if it is already a chronic form of pulpitis, then the pain is observed with exacerbations.
When examining, the dentist taps in the areatooth. If this procedure causes painful sensations, then this signal is either purulent or chronic form of pulpitis. To establish an accurate diagnosis, you should consider not only the patient's sensations, but also a detailed examination of the specialist. In this case, the symptoms of pulpitis may be different, and they depend on the type of this ailment.
Pulpits distinguish acute and chronic. The main symptom of acute pulpitis is quite often very severe pain, which is spread by the branches of the nerve and intensifies mainly at night. Such pain can be periodic. Particularly strong tooth reacts to sharp changes in cold and hot temperatures. But the symptoms of pulpitis chronic can be different depending on the subspecies of the disease. There are such varieties of it: gangrenous, fibrotic and hypertrophic.
Fibrous pulpitis often occursalmost asymptomatic, sometimes causing a slight discomfort. Examining the carious cavity, the dentist discovers a fibrous polyp, which is already atrophied. Gangrenous pulpitis causes significant pain when the tooth contacts high temperatures, and low, on the contrary, slightly reduces pain.
Chronic pulpitis with exacerbation is accompanied by paroxysmal toothache, which occurs without the intervention of external stimuli in itself.
The cause of pulpitis is most often the presencemicrobes and their toxins, which are able to penetrate from the carious cavity of the tooth directly into the pulp. The causative agent is streptococcus, as well as lactobacilli and staphylococci. First, sites are infected near the carious cavity, and then - root pulp. To cause pulpitis of the tooth can also be a dental trauma (broken part of the crown or injury of the tooth itself). Form a pulpitis Temperature or chemical factors (alkali or acid) are also possible.
It is with toothache associated with developmentpulpitis, most often refer patients to the dentist. When a doctor treats pulpitis, he should not only eliminate the symptoms of pulpitis and the inflammation focus that is in the pulp, but also eliminate the pain. And also to stimulate the healing process and prevent the development of periodontitis and restore the shape and function of the tooth.
Before treating the pulpitis, spend itprevention, which consists in the timely regular treatment of tooth decay. You can treat it using several methods. These include tooth drilling and filling (for reversible pulpitis), root canal treatment and crown installation or extraction (for irreversible pulpitis), and antibiotic use.
When pulpitis is reversible, it is possible to maintain the vitality of the pulp itself. This is done by treating the tooth by removing the caries, after which the tooth needs restoration.
With irreversible pulpitis and its complicationRequires the use of endodontic therapy, which consists in the treatment of root canals. If the treatment does not help, the tooth should be removed immediately. After such root canal therapy, healing lasts about a month. If the patient has similar symptoms of infection, the antibiotic course is prescribed. If the symptoms persist or worsen, recurrent therapy is recommended.