Inflammation of the Tooth Pulp - Pulpitis
Priya dental clinic
Koramangala, Feb 9, 2017
Pulpitis result from an inflammatory reaction of the pulp inside the tooth. The pulp belongs to the interior of the tooth containing cells and nerves. The pulp is a spongy soft tissue of nerves and blood vessels encased by tooth structure. In the crown, the enamel and dentine encase the pulp.
Pulpitis may be,
Reversible: The pulp is able to heal if the irritation is removed by the eg by doing the filling in the case of decay.
Irreversible: The pulp is unable to heal and requires pulp and requires pulp therapy or root canal treatment.
- Tooth decay
- Gum disease
- Food impacted in your gum
- Tooth has suffered trauma
- Crack in filling or tooth
- Chronic, distressing pain related to a tooth
- Pain on eating or drinking hot or cold food/drinks
- Dull ache in the jaw
- Pain which is spontaneous and throbbing
- Tenderness at the tooth on touching and biting
- Pain which may interrupt sleep
- Pain which may be referred to head, temple or ear
- Clinical evaluation
- Sometimes dental x-rays
Diagnosis is based on the history and physical examination, which make use of provoking stimuli. Dentists may also use an electric pulp tester, which indicates whether the pulp is alive but not whether it is healthy. If the patient feels the small electrical charge delivered to the tooth, the pulp is alive.
X-ray help to determine whether inflammation has extended beyond the tooth apex and help exclude other conditions.
- Drilling and filling for reversible pulpitis
- Root canal and crown or extraction for irreversible pulpitis.
- Antibiotics for infection
The best way to prevent a toothache is to prevent dental disease. Decay can be prevented by,
- A sensible diet i.e., limit snacking in between meals, and the consumption of refined carbohydrates.
- Brushing teeth with a fluoride toothpaste twice daily.
- Flossing at least once a day.
- Regular visits the dentist for a check-up.