Pulpitis called inflammation in the area of the neurovascular bundle of the tooth.
Pulpitis is often a complication of untreated deep caries or improper treatment, tooth filling. Pulpitis may occur as acute or chronic process.
Causes
Pulpitis usually occurs as a result of:
- the impact of microbial caries focus. This is usually conditional pathogenic microflora of the oral cavity (streptococcus, staphylococcus), And exposure to toxins produced by them or degradation products tooth tissues
- pulp injury due to broken off teeth. The infection can get inside the pulp of the dentinal tubules, and if the pulp is exposed - she was infected in the next few hours,
- coarse mechanical action in the treatment of teeth with pulp encompassing,
- at periodontitis, Due to the transition of infection on the tooth tissue,
- hematogenous drift (blood-borne) infection in major infectious processes in the body,
- exposure to chemicals (filling materials and other materials) during thermal exposure, orthodontic treatment, etc.
As a result of certain actions occur infection or irritation of the pulp, forming an acute or chronic inflammatory focus with typical clinical manifestations of pulpitis.
symptoms of pulpitis
Provided acute and chronic pulpitis.
In acute pulpitis initially occur aching sensations in the tooth, they gradually increase, causing severe pain, intermittent or permanent nature, worse at night or when you change the temperature - especially sensitive to cold pulpit, after the pain passes long.
When tapping on a tooth there is no discomfort or they are not very significant.
In the chronic form of pulpitis pain arises in periods of exacerbation, but almost always identified pain when tapped on the tooth, the tooth can begin to ache from hot food and cold - soothing pain.
During exacerbation of chronic pulpitis pain resemble those in acute, but aggravated by biting on the tooth. In the past, patients reported episodes of pain in the tooth.
Pulpitis formation of dangerous complications such as periodontitis, propagation of inflammation in the periodontal tissues and tooth loss.
Diagnostics
Basis of diagnosis - typical complaints, history of the disease, how it started and proceeded. In the dentist chair during the inspection revealed the presence of extensive carious cavity, which communicates with the cavity of the tooth. To distinguish from periodontitis pulpitis conducted aiming radiographs of the affected tooth and electric pulp test (EDI) allows to confirm the diagnosis.
treatment of pulpitis
For the treatment of pulpitis apply conservative and surgical tactics. Conservative treatment is used in traumatic pulpitis and young people in order to save the tooth pulp. Treatment is similar to treatment of deep caries treatment with oral antiseptics, enzymes and antibiotics except alcohol and ether.
In surgical treatment of the inflamed pulp is completely removed, the root canal filling remaining seal tooth. Removal of the pulp can be performed under anesthesia without pre its necrotization (application preparations killing nerve) or after killing nerve.
prevention
Basis pulpitis prevention - timely visit to the dentist and treatment of dental caries, proper oral care.