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Pulpitis
Pulpitis alleviated by cold water
Relief from pulpitis with cold water is a typical clinical manifestation of acute suppurative pulpitis, characterized by pain with heat and relief with cold. It is common to see patients coming to the clinic holding cold water or holding cold water in their mouth to help alleviate the pain. For this type of acute suppurative pulpitis, the initial treatment should involve opening the pulp to relieve pressure. After the pressure is relieved, a devitalizing agent is used to devitalize the tissue, which is commonly referred to as "killing the nerve." Once the nerve is dead, the pulp tissue loses its sensory function, and the intensity of the pain will be alleviated.
Can pulpitis be cured?
Pulpitis is a condition that arises from the further progression of dental caries, which is a defect in the hard tissues of a tooth caused by bacterial infection. If the caries is not treated in time to stop its further progression, bacteria will further infect and cause inflammation of the dental nerve, also known as the pulp tissue. The innermost part of a tooth contains the dental nerve, surrounded by hard dental bone and dentin. Therefore, once the dental nerve becomes inflamed, the pain can be very severe. However, pulpitis can improve after root canal treatment, meaning it is curable, but it requires root canal treatment of the tooth. If not treated promptly, it will not heal on its own. If pulpitis is not treated in time, it can further progress to form periapical abscess, and in severe cases, it can cause facial swelling.
Do I go to the Department of Oral and Maxillofacial Surgery for pulpitis?
Pulpitis requires a visit to the department of stomatology or the department of dental cariology and endodontics. Some hospitals, with more detailed department divisions, differentiate between adults and children. Generally, individuals under 18 years old fall under the pediatric dentistry department. Those 18 and older need to visit the department of dental cariology and endodontics. Pulpitis is a painful condition caused by bacterial infection of the dental nerve, clinically manifested by pain when eating, night-time pain, localized pain, and worsening pain upon exposure to hot and cold stimuli. Treatment for pulpitis involves root canal therapy. This involves drilling to remove the infected dental tissue, then performing root canal medicament filling, followed by inflammation control and root canal filling.
Remedies for Tooth Pulpitis Pain at Night
Pulpitis pain is a type of acute pain that occurs after the dental nerve is infected by bacteria. The pulp tissue is a soft tissue, surrounded by the hard dentin and bone. Therefore, once the pulp tissue is infected, the pressure inside the pulp cavity increases rapidly, and if this pressure is not relieved, it can lead to sharp, severe pain, especially at night, often waking one from sleep. Pulpitis pain at night first requires prompt medical attention, followed by pulp opening and drainage. After the inflammation subsides, it can effectively relieve the pain. If medical attention is not available in time, oral analgesics can be taken for pain relief.
Is pulpitis the same as tooth decay?
Pulpitis is actually a pain response that occurs when tooth decay further develops inflammation reaching the dental pulp tissue. Strictly speaking, pulpitis is an inflammatory pain response of the dental pulp that occurs when tooth decay further develops bacterial infection of the dental pulp tissue. Pulpitis requires early dental treatment. For tooth decay, it is sometimes sufficient to remove the decayed infected dental tissue and directly fill it. In cases of pulpitis, where the dental nerve is already exposed, anti-inflammatory treatment is necessary. First, the infected dental pulp tissue is removed with a drill, and since the dental nerve is exposed, nerve-killing is required. After controlling the inflammation, the root canal is disinfected, medication is placed in the root canal, and then the root canal is filled, which means that a complete root canal treatment is needed.
Does pulpitis require dental fillings?
Pulpitis requires dental restoration. Pulpitis, caused by bacterial infection reaching the dental nerve, manifests as severe pain, including sensitivity to hot and cold, nocturnal pain, and diffuse pain that cannot be localized. Typically, pulpitis in one tooth can cause pain in the adjacent upper and lower teeth on the same side, making it difficult to pinpoint the exact tooth responsible. Before performing dental restoration for pulpitis, treatment of the tooth is necessary. This includes removing the infected dental nerve, followed by medication within the root canal and controlling the inflammation. Afterward, the root canal is filled. Thus, root canal treatment is required before dental restoration can proceed in cases of pulpitis.
Can pulpitis be cured?
Pulpitis is caused by the further development of caries, which allows bacterial infection to reach the pulp tissue, causing an inflammatory reaction. Caries is just a bacterial infection of the hard tissues of the teeth. If it is stopped in time, that is, by drilling to remove the infected part and filling the tooth, it is very difficult for pulpitis to occur. If the bacteria are not removed in time with a drill, further infection can cause inflammation of the tooth nerve, resulting in symptoms of pulpitis, including obvious pain from cold, heat, acidity, and sweetness stimuli, nighttime pain, and worsening with temperature stimuli. Pulpitis requires dental treatment, including nerve devitalization, medication after nerve death, and ultimately root canal filling. This means that a complete root canal treatment is needed to cure it.
Pulpitis has no time to treat.
Pulpitis needs to be treated as soon as possible. If pulpitis is not treated in time, it will worsen, and bacteria will further infect, reaching the apical area and causing apical periodontitis. Severe apical periodontitis may involve destructive resorption of the apical area and the alveolar bone, and inflammation may discharge pus through the mucous membrane or skin. Clinically, symptoms such as abscesses or space infections may occur, which is quite severe and can even cause systemic septicemia. Therefore, pulpitis needs to be treated as soon as possible. The treatment of pulpitis involves removing the infected dental nerve, medicating the root canal, and performing root canal filling, that is, a complete root canal treatment.
How to deal with the pain from molar pulpitis?
Pulpitis in molars can be painful and requires dental treatment. During the treatment of pulpitis, the first step is to use a drill to remove the infected dentin and bone. If the dental nerve is exposed and the inflammation of the pulp is severe, a nerve-killing treatment can be conducted. In cases of acute inflammation, it is necessary to first open up the tooth. Once the inflammation subsides, nerve-killing treatment can proceed. Otherwise, the pressure is too great and the pain may intensify. If the pain is unbearable during the drilling process in the treatment of pulpitis, local anesthesia can be administered to the tooth. Once the anesthesia takes effect, the pain will be significantly less during the drilling stage.
Can pulpitis heal by itself?
Pulpitis can pathologically be divided into reversible pulpitis and irreversible pulpitis. Reversible pulpitis can sometimes heal on its own if external thermal stimuli are removed. Clinically, it may manifest as pain intensified by temperature stimuli, which disappears after the stimuli are removed. This condition can improve on its own with appropriate soothing treatment. If pulpitis progresses to irreversible pulpitis, it cannot heal on its own and requires prompt root canal treatment to alleviate the condition. If it worsens, it may lead to symptoms of apical periodontitis, hence root canal treatment needs to be performed as soon as possible for pulpitis.