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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Will gingivitis cause gum pain?

Pulpitis is an inflammatory response of the dental pulp tissue caused by a bacterial infection. In the early stages of pulpitis, there is no pain in the gums, as the inflammation is limited to the roots of the teeth, affecting only the pulp within the root canals. This condition can be alleviated through dental treatment, and there are no symptoms in the gums. However, if pulpitis is not treated in a timely manner, the inflammation can progress to the root apex. If not properly drained on time, an abscess can form, meaning the inflammation would break through the gums and begin to discharge pus. This scenario can cause pain in the gums. Therefore, while early pulpitis does not cause gum pain, in the later stages, an abscess in the gums forms, and pain is experienced.

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Can a tooth with pulpitis be extracted?

Pulpitis should not be treated with tooth extraction. Pulpitis is a type of acute pain caused by bacterial infection of the tooth nerve. During an episode of pulpitis, the pain can be very severe, including dull pain, throbbing pain, and sharp pain. Sometimes cold, hot, sour, or sweet substances can stimulate the tooth nerve, leading to increased nerve pain. Sometimes pulpitis can also radiate to the temporal region, causing headaches or ear pain, and it can sometimes cause pain in both upper and lower teeth and all the teeth. Pulpitis occurs when the dental nerve has become pus-filled due to inflammation. If teeth are extracted rashly, it may lead to the spread of inflammation, causing bacteremia or sepsis. Tooth extraction is not advisable for pulpitis, but root canal treatment can be performed on the affected tooth to try to preserve it after the treatment.

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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.

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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.