Pulpitis. Symptoms and Treatment
Pulpitis is one of the most common dental diseases. It appears as a result of untreated caries. Without dental treatment, pulpitis can lead to a number of complications.
What is pulpitis?
Pulpitis is an inflammation of the dental pulp. Most often this disease is caused by dental caries. Inflammation of the dental pulp can also develop as a result of dental trauma when the enamel or crown of a tooth breaks. Teeth grinding (bruxism) can also contribute to pulp inflammation. Disease can also be caused by multiple procedures performed on the same tooth (for example, grinding teeth to prepare for the placement of crowns or prosthetic bridges, overexposure to the pulp when treating a deep tooth defect).
What is dental pulp?
The pulp is the inner tissue that contains the vessels and nerves of the tooth. A healthy and lively pulp is a kind of protective barrier, it protects the body from the penetration of harmful bacteria. On the other hand, when a tooth becomes infected, the inflamed pulp becomes a spread of the disease.
The first symptom indicating pulp inflammation is an attack of pain. A sharp toothache appears suddenly. Most often, sweet or cold food (drink) is a direct irritant. The symptom lasts no more than 1-3 days. This indicates an acute phase of pulpitis.
If there is no treatment at this stage, the inflammation will deepen, and irreversible changes in the pulp will occur. Then the toothache will become constant, mainly, it will appear in the evening when changing position from vertical to horizontal. Warm food or chewing food will become irritating. Further absence of therapy will lead to irreversible loss of pulp viability. The carious defect will become very deep and extensive. This stage of change may be initially asymptomatic. As a result, the only method of therapy will beendodontic treatment , that is, root canal treatment. Sometimes pulpitis can also present with general symptoms such as weakness, fever, or headaches.
Pulpitis develops in stages. The inflammation gradually affects the internal structure of the tooth. For a correct assessment of the condition, a visit to the dental office is necessary.
1. The first stage of pulpitis is a reversible stage and lasts about three days. At this stage, patients experience mild pain, which occurs especially when eating cold and sugary foods. It is very important to visit your dentist at this stage. The doctor usually prescribes conservative treatment, removes caries from cavities and fills the tooth.
2. The second stage of pulpitis is an irreversible phase in which the dentist cannot stop the development of inflammation. A characteristic feature of acute pulpitis is unbearable throbbing toothache, which is especially worse at night. Unfortunately, even removing tooth decay does not bring relief. The tooth is constantly hypersensitive . The only way out is to completely remove the damaged tooth tissue.
3. The third stage of pulpitis is characterized by the formation of pulp necrosis, which initially does not give symptoms. During the dental examination, deep caries and a partially damaged tooth are found. The tooth loses its natural color and shine. Sometimes it can be bluish-blue. Over time, the dead tissue decomposes and pulp gangrene forms.
Complications of pulpitis
Unfortunately, patients very often ignore the toothache that occurs during acute pulpitis (when necrosis has not yet occurred or necrotic lesions are small). This is a big mistake. Consulting a dentist at this stage and carrying out the correct treatment can not only save the tooth, but also prevent dangerous complications.
The consequences of pulpitis can be:
Destruction of tissue around the tooth root,
Pulp gangrene (necrosis)
Degradation of the bones adjacent to the root of the tooth,
Periodontal tissue infections
Formation of fistulas and cysts
Loss of teeth
The development of systemic diseases caused by the ingress of bacteria into the bloodstream: myocarditis, sepsis, brain abscess, glomerulonephritis and rheumatic diseases.
When treating pulpitis, it is important to get rid of caries and fill the cavities. Modern anesthetics allow the procedure to be carried out absolutely painless. During the treatment, the dentist removes the affected tissue inside the tooth, cleans the root canals and fills them.
As a last resort, one of the treatment options is a complete tooth extraction.
How to prevent pulpitis?
In the prevention of dental pulpitis, the most important thing is oral hygiene. Avoid sweets, sugar, carbonated drinks. In addition, your teeth should be checked every six months by visiting your dentist.
Can pulpitis be cured at home?
It is impossible to cure pulpitis at home . But you can take a pain reliever before visiting the dentist. Remember that the longer you put off a visit to the doctor, numbing the pain with pills, the more inflammation will develop and the more difficult the treatment will be.
Pulpitis treatment cost
The price of pulpitis treatment depends entirely on the stage of the disease. This can only be determined by a dentist using an X-ray examination. Treatmnt cost can range from 700 to 1500 USD. cost in front teeth is low as these teeth aree singl rooted and less effort is needed in their root canal treatment. Molar teeth are multi rootd and cost of thir root canal is higher. cost of treatment is furthr increased if tooth crown is needed to support the root canal treated tooth.