The fact that the tooth - it's not just a piece of hard tissue, they know practically everything. But on this majority knowledge ends. About the same, how many nerves, connective tissues, blood vessels, hides behind the smooth tooth enamel, is known mainly only to specialists who are engaged in the diagnosis and treatment of pulpitis symptoms and many other dental diseases.
What is pulpitis, and why does it begin?
Each tooth has a pulp. This is a neurovascular bundle. When it becomes inflamed, pulpitis is diagnosed. Today, this disease is considered one of the most common complications of caries. Strictly speaking, carious lesions are the main cause of abscess development. And the pulp can become inflamed even if it is separated from the caries by a decent layer of dentine.
From the signs and symptoms of other diseases, pulpitis is characterized by the fact that the inflammatory process takes place in a confined space. The following reasons may lead to this:
- poor-quality cleaning of the carious cavity from the affected tissues;
- thermal pulp burn;
- treatment of deep caries ;
- drying of the bottom of the tooth cavity;
- chronic periodontitis;
- unprofessional installation of the crown.
Symptoms of pulpitis of wisdom tooth and other teeth
There are two main types of disease - acute and chronic. They, in turn, are divided into several subspecies.
Acute pulpitis happens:
- focal (observed focal lesion);
- diffuse (characterized by total pulpal damage).
Varieties of the chronic form of the ailment are slightly larger:
- fibrous;
- gangrenous;
- hypertrophic.
Depending on the type of disease, its signs also slightly differ:
- The main symptom of the disease is acute focal or diffuse pulpitis is the pain that appears as a result of contact with the stimulus. A characteristic feature - unpleasant sensations after removal of the stimulus persist long enough. Sometimes soreness is felt in temples, ears, neighboring teeth.
- In acute and residual pulpitis, there are no symptoms as such. If unpleasant sensations appear, they are hardly noticeable.
- Hypertrophic inflammation is characterized by the formation of hypertrophic fibrotic polyp in the carious cavity. In addition, on teeth from the affected side, dental stones and plaque are more actively formed.
- Symptom of gangrenous pulpitis is also considered pain. And it appears not only on contact with the stimulus, but also spontaneously. Very often the ailment causes the appearance of bad breath. The reason for this is the dying off of the pulp.
Treatment of symptoms of tooth pulpitis
Conservative therapy makes it possible to preserve the vital functions of the neurovascular bundle. It is very similar to the treatment of caries. The affected cavity is treated with antiseptics, antibiotics and special proteolytic enzymes. This method is best for young people.
A more complex method of treating pulpitis is surgical. The main essence of it - in the removal of inflamed particles of the pulp vital or devital method. The latter involves a preliminary necrosis of the nerve. The vital method is to remove the vascular-nerve bundle under general or local anesthesia. At the second stage of such therapy, the root canal of the tooth is closed with a filling material.
In fact, all this can be avoided simply by observing the oral hygiene, regularly undergoing tests at the dentist, curing all diseases in time. Pulpitis is one of those ailments that are much easier to prevent.