Is pulpitis suitable for bloodletting?

Written by Li Bao Hua
Dentistry
Updated on January 26, 2025
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Bleeding for pulpitis is useless, and dental treatment is necessary. In the early stages of pulpitis, the pulp can be soothed, which is often seen in reversible pulpitis, and early soothing can relieve pain. Sometimes the pulp can revert to a normal state. If it's the late stage, the tissue pressure inside the pulp is relatively high; in this case, pulp opening can be performed to relieve pressure, and dental treatment is necessary, as bleeding is useless. If the tooth undergoes fundamental treatment promptly in the early stages of pulpitis, the inflammation of the pulp can be controlled in time. Otherwise, further development may lead to inflammation of the root tip. Apical inflammation can sometimes result in abscesses or even facial swelling.

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Written by Li Bao Hua
Dentistry
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How to relieve the pain of pulpitis?

The pain caused by pulpitis can be alleviated through medication or root canal treatment. Pulpitis, a severe pain resulting from bacterial infection of the dental nerve, can sometimes radiate to the temporal area, causing ear pain or headaches. If not treated promptly, oral pain relief medications can be used for temporary relief; however, these drugs only serve as an adjunctive therapy and do not fundamentally resolve the tooth pain. The definitive solution requires root canal treatment, which relieves the pressure within the pulp chamber, alleviating the pain of pulpitis. After alleviation, further dental treatment is necessary. If the teeth are not treated following relief, further infection might lead to apical periodontitis, and in severe cases, can result in facial cellulitis, also known as a space infection.

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Written by Li Bao Hua
Dentistry
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Does root canal treatment for pulpitis hurt?

During the treatment process of pulpitis root canal, there will be some pain. Pulpitis is caused by bacterial infection that leads to inflammation of the dental nerve, and the pain is very intense. First, the ocular nerve should be treated, and pulp extraction can be performed under local anesthesia. During this stage, if anesthetic is administered, the pain will not be so apparent. If no local anesthesia is applied, it is still possible to proceed directly with opening the pulp chamber, but there will be intense pain at the moment of opening. After opening the pulp chamber, the pressure is relieved, and the pain symptoms of pulpitis often can be alleviated. Additionally, medication can be sealed into the root canal, and after controlling the inflammation, the root canal can be filled. During the process of sealing medication and filling the root canal, stimulation of the root apex area may cause discomfort in that area.

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Written by Fang Xiao
Dentistry
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Does pulpitis not require treatment?

Pulpitis must be treated promptly. Pulpitis is when the dental pulp inside the tooth cavity, where the nerves are located, gets infected or damaged. Early symptoms often include severe pain such as spontaneous pain, intermittent pain, pain due to temperature stimuli, and nocturnal pain. If the inflammation and lesions are not removed, the pulpitis can spread to the root apex with the necrotic tissue, causing destruction of the root apex tissues and leading to periapical periodontitis. If periapical periodontitis is left untreated, it can lead to cysts at the root apex, causing chronic periapical periodontitis. Periapical periodontitis may also spread to the bone marrow or adjacent interstitial tissues, leading to interstitial infections or osteomyelitis, which are very serious conditions. Therefore, pulpitis must be treated promptly. Since the pulp chamber is a closed tissue, infections typically require root canal treatment for a complete cure.

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Written by Li Bao Hua
Dentistry
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How is pulpitis caused?

Pulpitis is generally caused by the progression of dental caries. Bacteria infect the hard tissues of the tooth, which is referred to as dental caries in the early stages. If the decayed parts are not removed in time for dental filling, meaning the teeth are not filled promptly, the bacteria will further infect the pulp tissue, leading to pulpitis. Pulpitis is actually the outcome of further bacterial development. However, if pulpitis is not treated in time, the inflammation can advance to the root apex, causing apical periodontitis. Therefore, pulpitis requires prompt endodontic treatment of the tooth. After controlling the inflammation, the root canal is filled. Following the filling of the root canal, the top of the tooth crown is sealed, which involves the filling of the tooth.

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Written by Li Cui
Dentistry
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Will pulpitis cause swelling of the mouth?

If pulpitis is not treated and controlled, the infection can become severe, leading to swollen gums and causing severe pain. During this period, periapical periodontitis can develop. The emergency treatment for acute periapical periodontitis should involve opening the pulp chamber under local anesthesia for drainage, and using the root canal to drain in order to alleviate the pressure at the root apex and relieve pain. Generally, care must be taken to avoid the swollen areas during local anesthesia, as it may cause intense pain and spread of the infection. Hydrogen peroxide can be used for local irrigation.