Pulpitis
Often, after treating pulpitis, the patient, to his surprise, discovers that the tooth for some reason continues to hurt - there may be pain when pressing on the tooth, nibbling on it, or it may whine by itself without any external influence. It would seem that there is already nothing to hurt, because the dental nerve has been removed! Why then does the tooth continue to hurt, how long will it last and, most importantly, what to do in such a situation? Let's figure it out ...
Pulpitis of a three-channel tooth is not only an unpleasant phenomenon, but it is also often very sensitive for a person’s wallet with an average income. Let's take a closer look at why treating three canals is more difficult and more expensive than one or two, and what is the current pricing policy for treating pulpitis in various dental institutions ...
Does the dentist need pulpitis classification? On the one hand, the first systematization of pulpitis appeared about 90 years ago in order to help a practitioner in determining the diagnosis on the basis of the methods and tools that were mean at that time that were at hand. With the modern level of equipment of the rooms, it probably doesn’t make sense to split the pulpitis into types and subspecies, but it’s quite simple to distinguish it from caries and periodontitis using instruments. Well, each dentist decides for himself whether the classification of pulpitis used in the work has practical meaning for him, or, conversely, only complicate his life. We will talk about these classifications of pulpitis further ...
Removing a nerve from a tooth is a very important procedure, which, unfortunately, does not always go smoothly for the patient. Improper preparation for work with the “nerve” and medical errors can lead to dire consequences, starting from terrible pain during and after removing the pulp, and ending with bleeding from the tooth and a broken and forgotten instrument in the canal. Why is it generally necessary to remove the nerve from the tooth, how this happens and what problems may await you along the way - we will talk more about this in more detail ...
People who had to experience the symptoms of purulent pulpitis on themselves, usually do not forget the experienced feelings already never. And this is due to the fact that due to the inflammatory reaction inside the tooth and compression of the neurovascular bundle by purulent exudate, severe pain occurs that often radiates to various parts of the face, upper or lower jaw, in the head. It is the lack of a clear localization of pain that creates a serious problem in determining the pulpitis tooth at the dentist at the stage of diagnosis. Hence the mass of ridiculous cases when healthy teeth are drilled or removed by mistake. Let us talk about all these points, as well as what the patient should and should not do in such a situation.
Chronic gangrenous pulpitis is associated with the occurrence of irreversible pulp necrosis inside the root canals of the tooth, and it can be cured only by removing the decomposing tissue of the neurovascular bundle. The transformation of “living” tissue into pus is a very unpleasant tendency, since there is a great risk that all this content will go towards the apex of the root and exit into the tissues surrounding the tooth, where it will form either a fistulous passage through which the pus will pour into the oral cavity , or "flux" on the gum.Therefore, gangrenous pulpitis is considered to be a borderline form, when only one step remains before periodontitis and diffuse purulent inflammation ...
Chronic fibrous pulpitis does not cause acute and unbearable pain, creating the effect of imaginary well-being. As a rule, in a short period of time, structural degenerations of the “nerve” inside the tooth end with gangrene (necrosis) of all or part of the pulp with the formation of pus and its exit towards the gums. If you say that this is an undesirable phenomenon - it does not say anything, so such suppuration is fraught with very dangerous complications. That is why it is so important to “catch” a tooth in the stage of fibrous pulpitis in time in order to have time to do everything necessary to preserve it ...
Unconscious parents of babies are still sure that it makes no sense to treat carious milk teeth, as they will still fall out. When at the most inopportune moment, for example, on a holiday, the child suddenly begins to complain of acute toothache, then mothers and fathers have to choose: either feed the baby with pills (“chemistry”) for pain relief, or consult a pediatric dentist for emergency care. You should know that pulpitis in milk teeth develops rapidly, often leading to suppuration of the gums in just a day. In Russia, deaths from complications of pulpitis in children are annually recorded - abscesses, phlegmon, sepsis. Let's look at how pulpitis of milk teeth is treated in modern dental clinics, as well as what complications and medical errors are possible and how this can threaten a child.
In most cases, severe pulsating pain in the tooth indicates the development of pulpitis. In such a situation, in no case can you hope that painkillers will help to completely solve the problem, and the pain will gradually disappear. An urgent need to treat a tooth, not leading to complications of pulpitis, some of which can even threaten a person’s life. Modern dentistry allows for high-quality instrumental and hardware treatment of pulpitis according to new methods and almost without pain (especially when compared with Soviet times). What is the advantage of modern treatment methods, what do they consist of and what are the principles of pricing for the treatment of pulpitis - this will be discussed later.
Some seriously believe that if an acute toothache has passed, it means that the tooth itself “cured” itself. In reality, serious structural changes occur inside the tooth that are not visible to the eye. Often the result is the development of chronic pulpitis, which is a very insidious disease. What chronic pulpitis is, what symptoms it manifests itself, how it is treated and how to prevent its complications will be discussed further.
“Pulpit” - how much in this word ...
Few of us have not experienced all the "charms" of toothache. However, toothache can be different, and, oddly enough, many people sometimes try not to pay attention to it, hoping that the tooth will hurt, and even go away by itself. Well, this approach is a direct path from deep caries to pulpitis, when the pain is already moving, so to speak, to a whole new level.
In simple terms, pulpitis is an inflammation of the dental “nerve” (pulp), which until then was reliably protected by the walls of the tooth, but due to a gradual increase in the depth of the cavity, the infection nevertheless penetrated the pulp chamber. The inflamed nerve swells, increasing in volume, and in addition to this, it can be squeezed by purulent exudate.Together, all this often leads to severe pain, when a person literally cannot find a place, and is forced to sign up for a dentist for emergency care.
So if suddenly a relatively little disturbing tooth started suddenly to “please” you with acute and long-lasting pain, then it’s time to get to your mind - you can’t get rid of painkillers alone, as urgent treatment is required. The treatment of pulpitis is almost always associated with the need to remove pulp from the tooth, so it would be much better to heal caries at one time than to receive a dead tooth without a “nerve” after treatment.
However, pulpitis are also different. Imagine, for example, a situation where a tooth hurts very badly, but which one is not clear, since the entire side of the dentition can hurt, and sometimes it even pains in the opposite jaw. In such cases, the dentist can easily cure you a relatively healthy tooth by removing the nerve from it, and then find that it “missed”. And this happens, especially in budget clinics.
Information about all these and many other interesting practical nuances associated with pulpitis and its treatment can be found in this section of the site. In addition, the characteristic symptoms of different types of pulpitis are described in detail, as well as what you can expect in the dentist's office during treatment.
We hope that studying this information will help you better understand the essence of the problems associated with pulpitis, as well as, if necessary, approach its treatment with maximum awareness and full understanding of what exactly awaits you.