Inside the tooth is a small amount of soft tissue, permeated with thin blood vessels. It can become inflamed in response to any irritating factors. In such cases, acute pulpitis develops, which is a rather dangerous condition that can cause severe complications and loss of both the affected tooth and the neighboring ones.
Causes of acute focal and diffuse pulpitis
Usually the pathology under consideration arises against the background of the following diseases:
- started caries;
- periodontitis;
- osteomyelitis ;
- sepsis;
- improperly performed dental treatment;
- periodontitis;
- sinusitis;
- acute bacterial infections;
- trauma and breakage of the tooth.
Symptoms of acute pulpitis
General signs of the inflammatory process:
- paroxysmal toothache;
- spontaneous emergence of unpleasant sensations;
- spread of pain syndrome along the branches of the trigeminal nerve;
- increased discomfort at night;
- pronounced sensitivity of the affected tooth to cold and hot food, drinks.
There are 2 types of the considered disease - acute serous and purulent pulpitis.
The first indicated form is characterized by the accumulation of a thick infiltrate in the cavity of the tooth, but without the attachment of a bacterial infection. If you do not begin treatment within 24-48 hours, the symptoms will increase, the pain will radiate into the temple, ear, eyebrow, and the back of the head. After this, the serous pulpitis will pass into the purulent stage.
It is worth noting that the attachment of the microbial infection pain syndrome a little, as there is a rapid destruction of nerve fibers connected to the causal tooth. Because of this, the patient can not turn to the dentist, having considered that the pathology has passed independently. In fact, neglected acute pulpitis within 3-10 days will turn into a chronic process, getting rid of which is quite difficult.
Treatment of acute pulpitis
Therapy is designed to stop inflammation and restore normal pulp functions:
- Reception of analgesics for anesthesia.
- The alkalization of the dental cavity with bandages with antibiotics, calcium preparations.
- Physiological procedures (fluctuation, laser therapy, apex-phoresis).
- Filling of the tooth.
If conservative methods are unacceptable, partial or complete removal of the pulp and the root canal system is performed. After this, in the absence of inflammation and patient complaints, the affected tooth is sealed.