How to relieve the pain of pulpitis?

Written by Li Bao Hua
Dentistry
Updated on March 31, 2025
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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 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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home-news-image
Written by Li Bao Hua
Dentistry
1min 1sec home-news-image

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
57sec home-news-image

Can pulpitis be cured?

Pulpitis is caused by the further development of caries, which allows bacterial infection to reach the pulp tissue, causing an inflammatory reaction. Caries is just a bacterial infection of the hard tissues of the teeth. If it is stopped in time, that is, by drilling to remove the infected part and filling the tooth, it is very difficult for pulpitis to occur. If the bacteria are not removed in time with a drill, further infection can cause inflammation of the tooth nerve, resulting in symptoms of pulpitis, including obvious pain from cold, heat, acidity, and sweetness stimuli, nighttime pain, and worsening with temperature stimuli. Pulpitis requires dental treatment, including nerve devitalization, medication after nerve death, and ultimately root canal filling. This means that a complete root canal treatment is needed to cure it.

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Written by Fang Xiao
Dentistry
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Can pulpitis heal by itself?

Pulpitis is more difficult to heal on its own. It is a disease caused by bacterial infection of the pulp tissue and is irreversible. The pulp is located inside the pulp chamber, and once inflammation occurs, it is difficult to heal on its own, and even if it heals, it is only temporary. Pulpitis requires timely treatment. If not treated promptly, the progression of the disease may lead to complications such as periapical periodontitis and periodontal abscess, which not only increase the difficulty of treatment but also cause pain to the patient, affecting their normal life. To treat pulpitis, it is necessary to remove the pulp and eliminate the infection inside the root canal with root canal treatment. Only by doing so can the tooth be preserved. Therefore, it is important to maintain oral hygiene, brush teeth in the morning and evening, rinse after meals, and use the internationally recognized Bass method for brushing.

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Written by Li Bao Hua
Dentistry
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What are the symptoms of pulpitis?

Pulpitis is a painful condition that occurs due to bacterial infection of the dental pulp tissue. Pulpitis has its own typical symptoms, including pain triggered by temperature changes. Eating foods that are cold, hot, sour, or sweet can cause severe pain in the dental nerves. Additionally, temperature stimuli intensify the pain; both cold and hot water can cause tooth pain. During the acute suppurative phase, there is pain with heat and relief with cold, meaning drinking hot water causes pain, whereas drinking cold water can alleviate it. Another typical characteristic of pulpitis includes nighttime pain; often there is less pain during the day, but at night or after falling asleep, the pain can awaken the individual from sleep.