Does pulpitis make it painful to tap the tooth?

Written by Li Bao Hua
Dentistry
Updated on August 31, 2024
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Pulpitis does not necessarily cause pain when the tooth is tapped. When we talk about pain from tapping a tooth, it mainly refers to examining pain in the apical area. If tapping the tooth causes pain, it indicates that the inflammation has gathered at the root tip, manifesting as what is clinically described as tenderness upon percussion. Pulpitis may simply be a bacterial infection of the dental nerve, localized around the nerve or confined within the roots, where the nerve is infected but the apical nerve remains intact. In such cases, tapping the tooth would not cause pain. This means that in the early stages of pulpitis, there might not be tenderness upon percussion, but spontaneous pain from the dental nerve or pain triggered by temperature changes might still occur.

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Written by Li Bao Hua
Dentistry
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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.

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Written by Fang Xiao
Dentistry
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The result of worsening pulpitis.

Pulpitis refers to the inflammatory lesion that occurs in the dental pulp tissue. The dental pulp mainly consists of loose connective tissue that includes nerves and blood vessels, and is located inside the pulp chamber of a tooth. Hard tissue diseases of the tooth such as deep caries and wedge-shaped defects can induce pulpitis if not effectively treated and controlled. Pulpitis is a disease caused by bacterial infection of the dental pulp. If pulpitis is not treated over a long period, it can lead to periapical periodontitis. Severe inflammation can cause space infections in the oral maxillofacial region and inflammation of the jawbone, potentially leading to systemic bacteremia or inflammation of other organs. Therefore, it is crucial to perform systematic root canal treatment for pulpitis as early as possible to avoid pain. It also helps to preserve the affected tooth, control the progression of pulpitis, and prevent it from developing into periapical periodontitis or even necessitating tooth extraction.

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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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Written by Li Bao Hua
Dentistry
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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.

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What should I do if the pain from pulpitis is unbearable?

Pulpitis typically presents with spontaneous pain, paroxysmal pain, and pain due to temperature stimuli. The pain of acute pulpitis often cannot be localized. Only by visiting a regular hospital's dentistry department for pulp opening and drainage can the pain be relieved, followed by comprehensive root canal treatment. Additionally, if it is inconvenient to treat pulpitis pain, one can take oral anti-inflammatory painkillers, apply ice locally, crush a clove of garlic and place it on the affected tooth, or steam one part Sichuan pepper with four parts aged vinegar for ten minutes and then apply the moistened Sichuan pepper to the affected tooth to alleviate the pain. Ultimately, root canal treatment at a regular hospital's dentistry department is necessary. Regular oral hygiene is important, including brushing teeth morning and night, rinsing after meals, and using the internationally recognized Bass brushing technique. Cavities should be detected and treated early.