Pulpitis - Causes, Symptoms and Treatment .MF .
Do you situation is familiar, when under the influence of the expected discomfort of dental treatment we are further and further postpone the visit to the dentist?That's already like a tooth no longer respond to sweet or cold, and generally have nothing to be concerned, and suddenly pulled hard work ... And now, at the worst, the most unexpected moment, the pain in the tooth becomes unbearable, and you throw all the cases,and run to it - the dental savior.And you hear his verdict: "Yes, you have pulpitis ...»
Pulpitis - an inflammation of the neurovascular bundle of the tooth.Often, this bundle is called simply "nerve", but its scientific name - pulp, from him comes the name of the disease.
Causes The most common cause of pulpitis - a complication of tooth decay when the dental hard tissues are destroyed so deep that microorganisms are bound in the cavity, causing inflammation of the pulp.Unfortunately, pulpitis may arise from improper or insufficient medical action (e.g., bad formulation
Symptoms of pulpitis
Depending on the duration of the disease, pulpitis is divided into acute and chronic.Symptoms of these conditions are different.
main sign of acute pulpitis is a very strong pain spreading across half of the head, which is the causal tooth.Characteristically, the pain gets worse in the evening and at night, and occasionally fades and reappears.Causal tooth is sensitive to virtually all stimuli, and after a stimulus is removed, the pain does not disappear, but also increases.
If the acute phase of treatment is not carried out, the pulpit becomes chronic.Chronic pulpitis may be asymptomatic, pain may occur, increasing from a hot and soothing on a cold, may be formed "polyp pulp" (swelling of the modified inflammatory pulp tissue).Typically, patients complain of an unpleasant, putrid breath.If these signs left unattended, it is possible or exacerbation of chronic pulpitis (symptoms as in acute) or inflammation goes into the bone of the jaw structure.
To clarify the diagnosis the doctor can spend electrodiagnostics viability of the pulp and the X-ray.
pulpitis Symptoms can be similar to symptoms of other diseases (such as, for example, periodontitis, trigeminal neuralgia, and others.) Therefore self-diagnosis and self-treatment are unacceptable.Independently, you can take a pain-killer (for example, "Analgin", "Pentalgin", "Ketorol", "Ketanov") and go to the doctor, who will appoint adequate treatment.
Treatment of pulpitis.
Treatment of pulpitis
If you - a young and healthy person, immediately contact your dentist when the first signs of acute pulpitis, the doctor may carry out the so-called biological treatment of pulpitis.The advantage of this method of treatment of pulpitis in that the tooth remains alive, the nerve is not removed from it.Using special (calcium, anti-inflammatory and antiallergic) drugs and physiotherapy, the inflammatory process in the pulp dies down, there is a new, substitutive dentin carious cavity, of course, is sealed.
If the time for the biological treatment of pulpitis was lost, perhaps, the use of the method of partial removal of the pulp.In this case (under anesthesia) is removed only part of the "nerve", located at the crown of the tooth, the root part is preserved, the tooth does not lose power, is more viable.Further, also imposed a calcium preparation, carious cavity is sealed.appointed physiotherapy, anti-inflammatory drugs, if necessary.This method is especially shown at the tops of the roots of immature children.
Yet often have to resort to a method for the complete removal of "nerve".In this case your doctor may remove a live "nerve" under anesthesia, or impose devitaliziruyuschuyu paste ( "nerve-wracking"), most often it is arsenic-containing paste.It is important to remember that arsenic - a very toxic substance, and it is necessary to remove it when you tell the doctor, in any case can not overdo the dressing.Further carried out the so-called endodontic treatment, which aims to firmly and reliably obturated (to seal up) of the tooth canals and tooth itself.Today's most popular material for filling root canals is gutta-percha (lateral condensation method using guttaperchivyh pins).
After endodontic treatment necessarily carried out X-ray of the tooth to control the quality of root canal filling, if the channels are sealed to the tops, sealed cavities.
If the tooth is almost completely destroyed, done Pin-copings and restore the tooth to the pin.
pulpitis Treatment folk remedies
pulpitis Treatment of folk remedies (attachment of garlic, beet, propolis, lard, etc.) only briefly distract you from the pulpit of symptoms, but subsequently can only make the situation worse, as a comfortable breeding ground for pathogensmicrobial or even cause burning of the oral mucosa.Rinse decoction of herbs (chamomile, sage, eucalyptus, etc.) is possible, but is also ineffective.
the event of failure to the doctor with pulpitis inflammation can turn into bone structures, and the disease will go into periodontitis, which treatment is more time-consuming.
As already noted, the main cause of pulpitis - a complication of tooth decay, so the main preventive measure is the timely treatment of caries.To do this, you must train yourself to visit the dentist regularly for the purpose of preventive check-ups.Then all dental disease will be cured at an early stage, and it is much nicer and cheaper!
Often zadavaemy questions in the treatment of pulpitis.
Will hurt a tooth after treatment by complete removal of the nerve?
Pang will not, becausethe nerve is completely removed from the cavity of the tooth, this match simply "nothing".Although some patients after endodontic treatment may experience discomfort in the tooth, especially when biting.
And what method of sealing the root canal better?
Today is considered the most optimal filling of root canals with gutta-percha.A paste can dissolve over time.
dentists Knyazev E.V