Inside the tooth its soft tissue (the pulp) is placed where the blood vessels, lymphatic nodes and the nerves are.
The pulpitis is the inflammation of the soft tissue (inflammation of nerve), that is generated because of the pathogenic microbes penetrated there.
The microbes in the mouth cavity produce acids from sweet food that decays the enamel of the tooth generating caries. In case of complicated caries the microorganisms penetrate inside the tooth which causes the pulp inflammation. Pain arises that is transformed to the triple nerve because of which the pain echoes in the temples, nape, ears and throughout whole face. The microbes may also penetrate inside the tooth in case of lesion of periodontium.
The inflammation of the nerve is characterized by strong pain, the tooth becomes sensitive towards the temperature changes, the pain usually strengthens at night.
Often the pulpitis is one of the complications of caries when the tooth is destructed so that the infection reaches to the tooth root and affects the nerve. Sometimes the pulpitis may arise because of doctor’s wrong actions (low-quality stopping, surgery of periodontium, effect of chemical materials). Pulpitis may also be the result of tooth trauma-tooth fracture, crown fissure.
The pulpitis symptoms
As it has already been mentioned, pulpitis is characterized by sharp pain that strengthens especially at night echoing in the ears, temples, or pharynx. In the first stage the pain rarely raises and calms down quickly, but with development of pulpitis the pain raises more and more frequently. It becomes stronger and pulsation takes place when pulpitis passes to its purulent stage, sometimes even loss of conscience might happen.
In case of diffusive pulpitis the pain might be expressed not only in the tooth but also it may spread over the jaw and the part of the head where infected tooth is. Because of the pain is spread sometimes it becomes difficult for the patient to point out the spring of the pain. But it can be detected independently if the tooth reacts towards hot, cold and other provocative. It is typical that during pulpitis the pain doesn’t calm down after elimination of provocative. No analgesic or folk method helps as far as the treatment of pulpitis is done in the dental clinic only.
The symptoms of pulpitis are similar to the symptoms of other inflammatory lesions (especially inflammation of triple nerve), that’s why only doctor can put the right diagnosis.
Pulpitis may proceed in exacerbated and chronic stages. We have already described the symptoms of exacerbated pulpitis. The symptoms of chronic pulpitis are not expressed so vividly. In this case sensitivity towards hot and cold raises, the patient complains from the fetid odor in the mouth and while visiting the dentist enlargement of pulp is diagnosed. The danger in case of chronic pulpitis is that it can change into periodontitis. In case of chronic pulpitis also exacerbations may occur; in this case paroxysmal toothache arises that strengthens effected by thermal provocatives.
But in case of chronic gangrenous pulpitis as well as in case of exacerbated purulent pulpitis, the tooth reacts only to the hot; the cold visa versa weakens the pain.
If pulpitis is not treated then in the bone tissue periodontitis may be developed or purulent periodontitis that may transform to gumboil, abscess, phlegmon, even it may end with fatal consequences.
The treatment of pulpitis
The treatment of pulpitis which is realized in early stage allows keeping the nerve that is needed for nutrition of the tooth and its normal vital functioning; for that reason it is necessary to turn to dentist immediately. In this case the treatment of pulpitis includes effecting on the infected pulp with special medicine containing calcium (biological method).
During the treatment of pulpitis anesthesia is done beforehand. Unfortunately, many patients turn to dentist rather late when the analgetics do not provide necessary effect; a morbid process has developed and has passed from exacerbated stage to chronic one.
When the patient turns to doctor late the later has to undertake more radical measures. In case of pulpitis in the stage of strong inflammation it is the extraction of nerve that is followed by endodontic treatment.
The serous pulpitis needs appropriate treatment- placing a calcium containing material under the dental inlay, antibiotic therapy and so on. Partial extraction of pulp is also possible. In case of strong purulent and chronic pulpitis depulpation is done and in the dental canal filling is done.
To prevent pulpitis it is necessary
– to clean teeth always and regularly,
– to limit sweets,
– to visit dentist once in half year.