Pulpitis is an inflammation of the pulp due to a complication of dental caries caused by microorganisms and their products. Pulpitis can occur as a consequence of trauma, neglected erosion of enamel and dentin, iatrogenic conditions, or idiopathic causes.
Pulpitis is a common dental disease found in 20-25% of patients with oral pathologies. The disease affects both the molars and primary teeth.
Pulpitis is an inflammatory process of the tooth pulp, most often caused by streptococci and staphylococci.
Pulpitis is classified according to various criteria. To establish the diagnosis, dentists use the International Classification of Diseases to Dentistry and Stomatology.
Types of pulpitis:
Sometimes lime deposits form in the pulp, which are painless; the dentist detects denticles during endodontic treatment.
In treating pulpitis, they try to fully or partially preserve the pulp and restore the tooth’s functionality, so conservative methods are used. In advanced cases, it is necessary to remove the pulp.
Without proper and timely treatment of pulpitis, pulp necrosis, periodontitis, periostitis, and osteomyelitis develop.
Complications can arise during the treatment of root canals of teeth – breakage of the instrument inside the canal, perforation of the bottom or walls of the tooth cavity. Negative consequences can occur due to non-compliance with the rules for using temporary pastes extruding the filling material beyond the upper part of the root.
Pulpectomy – removal of the entire pulp, used in treating all types of pulpitis.
If you have signs of pulpitis, you should visit a dental clinic. The doctor makes a diagnosis based on a checkup, analysis of patient complaints, and imaging.
Signs of pulp inflammation on examination:
The dentist conducts a differential diagnosis to exclude deep caries and chronic periodontitis. Additionally, a consultation with a neurologist may be required to exclude trigeminal nerve damage, and the patient may need an ENT specialist if suppurative otitis media or sinusitis is suspected.
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