How to deal with the pain from molar pulpitis?

Written by Li Bao Hua
Dentistry
Updated on September 15, 2024
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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.

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Written by Li Bao Hua
Dentistry
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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.

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Dentistry
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Can pulpitis cause headaches?

Pulpitis can cause headaches. Pulpitis is caused by the progression of dental caries, and it is the natural outcome of dental caries. Bacterial infections cause the dental nerve to become purulent and necrotic, or cause an acute inflammatory response in the dental nerve, which is pulpitis. The clinical symptoms of pulpitis include pain stimulated by hot and cold, which becomes more noticeable when consuming hot or cold food, or the pain may be non-localizable, which is also a typical symptom of pulpitis. It often happens that if one tooth suffers from pulpitis, the pain may occur in teeth on the same side of both the upper and lower jaws, and it is unclear which specific tooth is causing the pain, due to the non-localizing nature of pulpitis. Additionally, sometimes the pain may radiate towards the ear causing headaches, which is why pulpitis can lead to headaches.

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Can pulpitis be cured by taking medicine?

During an acute episode of pulpitis, patients experience very severe spontaneous pain, paroxysmal sharp pain, and pain from hot and cold stimuli, which sometimes radiates to the head and intensifies at night. Medication for pulpitis is ineffective, as anti-inflammatory drugs only address the symptoms and not the root cause. In such cases, it is essential to visit a hospital, where a dentist can perform a pulpectomy, conduct root canal treatment, thoroughly treat the inflamed pulp, remove the infected dentin, apply medication inside the root canal, and then seal and fill the root canal tightly. Only through comprehensive root canal treatment can pulpitis be completely cured.

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Dentistry
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Is pulpitis serious?

Pulpitis is a severe pain caused by bacterial infection of the pulp tissue, also known as the tooth nerve. The clinical symptoms of pulpitis are very severe, especially severe secondary pain, irritative pain, as well as indirect pain and pain that cannot be localized. Pulpitis results from the further development of dental caries. In the early stages of bacterial infection, if the carious decay of the tooth's hard tissue is not promptly filled, and if the progression of the caries is not timely halted, bacteria will further infect and cause inflammation of the tooth nerve, leading to pulpitis. This condition requires root canal treatment to alleviate the symptoms. Otherwise, the inflammation will further accumulate around the root apex, causing severe apical periodontitis and even leading to space infection or facial swelling.

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Can a tooth with pulpitis be extracted?

Pulpitis cannot be treated by tooth extraction. Initially, pulpitis involves an inflammatory response in the pulp tissue. Extracting the tooth at this stage can cause the inflammation to spread throughout the body and, in severe cases, can lead to sepsis. Therefore, it is absolutely necessary to avoid tooth extraction during a pulpitis attack. However, dental treatment can be performed during a pulpitis flare-up. Firstly, the acute pain in pulpitis is caused by increased pressure within the pulp. The primary method involves performing a pulpotomy to relieve this pressure. Once the pressure is alleviated, root canal medication can be applied, followed by root canal filling to complete the root canal treatment and preserve the tooth.