Pulpitis has no time to treat.

Written by Li Bao Hua
Dentistry
Updated on September 16, 2024
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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.

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Written by Li Bao Hua
Dentistry
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Can pulpitis be treated by tooth extraction?

Pulpitis should not be treated by extraction. Pulpitis is simply a painful response caused by an infection of the pulp tissue and can be managed by preserving the tooth through root canal treatment. First, drill to remove the infected dental tissue, and when the dental nerve is exposed, apply a nerve-killing medication. After the nerve is destroyed, thoroughly remove the infected tissue, then seal the root canal, and after inflammation is controlled, fill the root canal. With treatment, it is possible to preserve teeth with pulpitis and extraction should not be performed. Removing a tooth during an active episode of pulpitis may lead to the systemic spread of inflammation.

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Written by Li Bao Hua
Dentistry
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Late-stage consequences of pulpitis

Pulpitis is a severe pain manifestation caused by bacterial infection of the dental pulp tissue. If pulpitis is not treated in a timely manner, and it develops to a late stage, it might intensify the pain. In the early stages, the pain may only occur when eating or due to temperature sensitivity. In the later stages of pulpitis, spontaneous pain may occur, meaning that the teeth may hurt without any external stimuli, or symptoms of nighttime pain might appear, often causing pain at night or pain that can awaken someone from sleep. In its late stages, pulpitis can also develop into pus formation in the pulp tissue, also known as suppurative pulpitis, characterized by pain relief with cold and exacerbation with heat, meaning that cold water can relieve the pain, while hot water can worsen it.

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Written by Tian Hua
Otolaryngology
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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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Written by Li Bao Hua
Dentistry
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How is pulpitis caused?

Pulpitis is caused by bacterial infection. The oral cavity is an environment with bacteria, and if teeth are not brushed promptly after eating, bacteria can break down food into lactic acid, leading to demineralization of the teeth. This further infection causes tooth decay and the formation of cavities. In addition to these cariogenic factors, pulpitis may also be due to periodontitis or the destruction of periodontal supporting tissues, leading to a retrograde infection. There are also large amounts of bacteria in the periodontal pocket. If the periodontal pocket is deep enough to reach the root apex, it may sometimes cause retrograde apical periodontitis. Moreover, if the teeth are malformed and are accidentally bitten off or broken during the eruption process, this can also cause inflammation of the dental nerve, which is pulpitis.

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Written by Li Bao Hua
Dentistry
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Does pulpitis require hospitalization?

Pulpitis does not require hospitalization; it can be treated routinely in a dental outpatient clinic. Pulpitis results from the progression of caries. If dental caries are not addressed early with fillings, bacteria can infect further, reaching the dental nerves and causing symptoms of pulpitis. Severe pulpitis can cause pain when eating, pain at night, and poorly localized pain, which might radiate to the temporal area of the ear, causing intense discomfort. Routine outpatient treatments for pulpitis include nerve removal, anti-inflammation, and finally, root canal filling. A comprehensive root canal treatment can effectively resolve the symptoms of pulpitis, making hospitalization unnecessary.