Pulpitis – a "nervous" disease

Everything begins with small, almost imperceptible hole on tooth to which in the beginning you did not even pay attention. And even if noticed, the campaign to the favourite dentist is postponed for a week – another, and there vital problems will twirl, and … one night, you wake up from a twinge of toothache which just forces you to knock nevertheless in the morning in a dental office. And the doctor, having examined an oral cavity, announces: "Yes at you, old man, a pulpitis".

The pulpitis is a consequence of the started caries, a pulp inflammation (a neurovascular bunch of tooth). A characteristic sign of a pulpitis is the accruing, throbbing pain in tooth, especially pronounced at night.

Etiology (reason) of a pulpitis

Inflammatory process begins because parts of food, causative organisms which provoke inflammatory process get to the pulp cavity formed as a result of the started caries. Though in dental practice cases when the so-called retrograde pulpitis is observed meet, i.e. infection happens through an apical opening of the channel of a fang.

Pulpitis symptoms

The pulpitis which symptoms are rather various can be classified as follows:

The pulpitis is chronic:

• the fibrous chronic pulpitis – often arises upon transition of an acute pulpitis to a chronic inflammation. It is characterized by change of a twinge of toothache with the dentagra arising from external irritants. There can be attacks of dull ache of tooth. The fibrous chronic pulpitis can proceed also without the described symptoms;
• the hypertrophic chronic pulpitis – most often occurs at young people and children with a severe form of caries. Is followed by bleeding and painful feelings from mechanical influence;
• the gangrenous chronic pulpitis – proceeds with rather strong painful feelings. At the same time the affected teeth sharply react to hot temperature condition.

The acute pulpitis is subdivided into two main types:

• the focal pulpitis is an initial stage of an inflammation of a pulp. Pain is short-term, periodic, amplifies at influence of irritants.
• diffusion pulpitis – the most severe form. Pain sharp and intolerable. The painful resonance is possible in a temporal part, ears, an eye-socket and in jaws. Hotter is an irritant, and cold (for example, water) dulls pain.

The necrosis of a pulp is an irreversible form of a pulpitis. At it the pulp completely dies off. The necrosis of a pulp can be a consequence of mechanical influence (blow) when there is a rupture of a neurovascular bunch

The acute pulpitis which symptoms are more brightly expressed forces the patient to address the stomatologist quicker.

Pulpitis at children's age

Physiological features of a children's organism exert impact on clinic of a pulpitis. The acute pulpitis at children, especially in teeth with not created roots, often wears a purulent uniform and is followed by an inflammation of a peridont. Percussion of teeth (percussion) is very painful. And at the same time mobility of the affected tooth is sometimes observed. The pulpitis at children, as a rule, proceeds and is treated as well as adults. Special difficulty is made by collecting the anamnesis because of emotional perception by the child of pain.

Treatment of a pulpitis

Treatment of a pulpitis is made depending on stages of a disease and a form of a disease. Modern drugs are able to keep the collapsing tooth tissues at the initial stage of a disease at the timely address to the doctor. In cases when the disease came far in the development, the doctor makes a depulpirovaniye (removal of a nerve) with the subsequent cleaning of channels and their sealing.

If earlier stomatologists most often extracted tooth with the damaged pulp because of a difficult procedure of a depulpirovaniye, then today's methods of treatment of a pulpitis allow tooth to continue performance of the functions.

Today there are two traditional methods of treatment of a pulpitis:

Biological (conservative) – a method when which using viability of a pulp of tooth remains. As a rule, the biological method is applied at accidentally opened pulp cavity, at a traumatic pulpitis, at an inflammatory disease of a pulp. This method is most effective at initial stages of a disease. Procedures of a biological method:

• local anesthesia;
• removal of the struck fabrics;
• use of medical paste;
• sealing

Use of medical paste and sealing can happen in one or in two stages using a temporary seal. It depends on degree and complexity of defeat of tissue of tooth.

Surgical method – removal of the inflamed pulp, then sealing of the channel and restoration of a crown of tooth. At a surgical method are applied: a vital way of a depulpirovaniye (under anesthesia) and devitalny, i.e. with preliminary killing of a nerve.

Methods of treatment of a pulpitis are chosen the doctor after careful studying of degree of a disease.

The main way of prevention of a pulpitis is the prevention and timely treatment of caries both at adults, and at children.