Pulpitis

Pulpitis is an inflammatory disease of the teeth, in which the pulp becomes inflamed. Pulp is the inner layer of the tooth, which consists of a vascular bundle and is located in the crown of the tooth in the pulp chamber and in the roots of the tooth in the root canals. Pulpitis is a serious disease, because the pulp contains a large number of nerve endings and blood vessels, and when it becomes inflamed, the infection can quickly spread to the surrounding tissues.

reasons
As a rule, pulpitis is not an independent disease, but a complication of other dental diseases. Among the causes of the development of pulpitis are:

Gum diseases – periodontitis and periodontal disease, gingivitis. With moderate and severe periodontitis, extensive pockets are formed that expose the root part of the tooth. In the formed pockets, a favorable environment is created for bacteria living in the oral cavity.
Untreated caries – carious bacteria destroy not only the enamel, but also the deeper layers of the tooth. In the absence or presence of inadequate treatment, bacteria infect almost the entire tooth, gradually destroying it. At a certain stage of destruction, bacteria enter the pulp chamber, which contains all the conditions for the reproduction of caries and the appearance of pain.
Injury to teeth and jaw – injury increases the risk of penetration of pathogenic microorganisms and reproduction of microorganisms on wound surfaces. Pulpitis can also develop as a result of impaired blood flow to the tooth – this is often found in injuries.
Plaque, tartar.
symptoms
Pulpitis is one of those diseases that is simply impossible to tolerate. The pain with pulpitis is intense, deprives the patient of sleep. This is exactly the kind of pain that patients talk about “climbing the wall.” The pain can be shooting, pulsating, stabbing, constantly or undulating, periodically subsiding. During the day, the pain is moderate, but it increases many times at night. In addition to pain, the patient complains of a strong putrid smell from the mouth, which is not stopped by anything.

In a small part of patients, pulpitis can remain asymptomatic for a long time – this happens in the initial stages, when the disease can be detected only with the help of radiography.

classification
There are several types of pulpitis. Downstream, all pulpitis is divided into acute and chronic. Acute pulpitis, in turn, is divided into private (local), general (diffuse) and general purulent. Chronic pulpitis also has its own subspecies – hypertrophic, simple, gangrenous.

COMPLICATIONS
Periodontitis
Periostitis
Extraction (removal) of a tooth
Osteomyelitis
treatment
The main goal in the treatment of pulpitis is to preserve the remains of the tooth and restore its functionality. To do this, the following methods are used:

Thorough disinfection of the oral cavity
Use of antibiotics and antiseptics
The use of proteolytic enzymes
Application of therapeutic pastes to the bottom of the affected tooth with further filling on this tooth in the absence of patient complaints
Rehabilitation of chronic foci of infection
Sanitation of the oral cavity – adequate treatment of carious teeth
If it is impossible to preserve the tooth, its extraction – removal is carried out. In complex clinical cases, with the development of pulpitis of wisdom teeth, tooth extraction is almost always resorted to

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