Will gingivitis cause gum pain?

Written by Li Bao Hua
Dentistry
Updated on January 05, 2025
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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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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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How is pulpitis treated?

Pulpitis is an emergency in dentistry, and different types of pulpitis require different treatment methods. The first step in treating pulpitis is to administer anesthesia, and if time allows, root canal treatment should be completed in one session. Root canal treatment involves removing and cleaning the dental nerve inside the root canal in one go, then using dental cement and paste to fill the root canal, thereby inhibiting bacterial growth and reproduction. Generally, three to four root canal treatments are needed. Medication treatments include cephalosporins, erythromycin, and pain relievers to alleviate pain. Additionally, tooth extraction may be advised for severe inflammation and poor dental condition.

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Written by Fang Xiao
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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 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.

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Written by Li Bao Hua
Dentistry
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Can pulpitis heal by itself?

Pulpitis can pathologically be divided into reversible pulpitis and irreversible pulpitis. Reversible pulpitis can sometimes heal on its own if external thermal stimuli are removed. Clinically, it may manifest as pain intensified by temperature stimuli, which disappears after the stimuli are removed. This condition can improve on its own with appropriate soothing treatment. If pulpitis progresses to irreversible pulpitis, it cannot heal on its own and requires prompt root canal treatment to alleviate the condition. If it worsens, it may lead to symptoms of apical periodontitis, hence root canal treatment needs to be performed as soon as possible for pulpitis.