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

Written by Fang Xiao
Dentistry
Updated on December 15, 2024
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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.

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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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Is pulpitis suitable for bloodletting?

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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Will pulpitis cause the gums to swell?

Pulpitis rarely causes gum swelling; it is generally inflammation at the apex of the tooth root that leads to it, or gingivitis causing swollen gums. Pulpitis is a bacterial infection of the tooth's hard tissues. If not treated promptly and the progression of the decay is not halted in time, it can infect the tooth nerve and cause pulpitis. At this stage, the bacterial infection is confined to the pulp tissue, which is the interior of the tooth. The gums are the supporting tissues of the teeth. If pulpitis is not treated promptly and the inflammation further progresses to the root apex area, and if the inflammation in the root apex area cannot be effectively drained, it will lead to pus discharge outward to the mucosa or skin, forming swollen gums, or a gum abscess, or swelling around the teeth due to food residue remaining after eating. Therefore, pulpitis generally does not cause swollen gums.

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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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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.