Late stage symptoms of pulpitis

Written by Tian Hua
Otolaryngology
Updated on May 08, 2025
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Pulpitis, due to long-term lack of thorough treatment and chronic inflammation, can lead to partial or complete necrosis of the dental pulp. Acute pulpitis, when stimulated by cold or heat, causes severe tooth pain. If the dental pulp becomes purulent or partially necrotic, which is in the late stage of pulpitis, then surgical treatment is required. The best method in this situation is surgical treatment, including dental pulp therapy. Through effective dental pulp treatment, the inflammation and necrotic tissue inside the root canal of the tooth is completely removed, and finally, the canal is permanently filled. This allows the patient’s tooth to no longer feel pain and continue to function for chewing.

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Written by Li Bao Hua
Dentistry
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Does pulpitis require tooth extraction?

Pulpitis does not require tooth extraction but necessitates root canal treatment. Pulpitis is a symptom caused by deep dental decay and bacterial infection reaching the dental nerves, manifesting as pain when eating or nocturnal pain. The inflammation in pulpitis is confined within the pulp and does not affect the root apex area. This infection can be resolved through comprehensive root canal treatment. The treatment begins with nerve devitalization; after the nerve is killed, infected dental tissues are removed using a drill, extracting the purulent dental nerve. Subsequently, medication is applied in the root canal. After inflammation is controlled, the root canal is filled. After treatment, the tooth affected by pulpitis can be preserved without extraction.

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Written by Li Bao Hua
Dentistry
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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 Li Bao Hua
Dentistry
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Will gingivitis cause gum pain?

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 Li Bao Hua
Dentistry
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Remedies for Tooth Pulpitis Pain at Night

Pulpitis pain is a type of acute pain that occurs after the dental nerve is infected by bacteria. The pulp tissue is a soft tissue, surrounded by the hard dentin and bone. Therefore, once the pulp tissue is infected, the pressure inside the pulp cavity increases rapidly, and if this pressure is not relieved, it can lead to sharp, severe pain, especially at night, often waking one from sleep. Pulpitis pain at night first requires prompt medical attention, followed by pulp opening and drainage. After the inflammation subsides, it can effectively relieve the pain. If medical attention is not available in time, oral analgesics can be taken for pain relief.

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Written by Li Bao Hua
Dentistry
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Is the effect of infusion therapy good for pulpitis?

The effectiveness of intravenous therapy for pulpitis is not good. Firstly, pulpitis is an inflammatory pain caused by bacterial infection of the dental nerve. If the inflammation is confined within the root canal and does not spread to cause a systemic gap infection, then the effect of intravenous therapy is poor. Intravenous therapy is just an auxiliary treatment that circulates through the body to reach the tooth tissue, and its effect might not be very noticeable. The primary treatment for pulpitis should involve treating the tooth, removing the infected dental tissue. If the dental nerve is not fully exposed, soothing treatment can be performed, which is also a nerve-preserving treatment method for reversible pulpitis. If the decayed tissue is removed and the dental nerve is exposed, indicating that bacteria have infected the dental nerve, soothing treatment is not possible, and root canal treatment of the tooth is necessary. Only then can the symptoms of pulpitis be alleviated.