The goal of the biological method of treating pulpitis is to keep the tooth pulp alive.
Conditions for the implementation of this treatment method
It is possible to leave a tooth “alive” only if several conditions are met. The very first and most important condition is timely treatment. You should contact your dentist as soon as you notice the first pain. Pulpitis, the biological method of treatment of which is described in this article, must be treated based on the age of the patient. Typically, the dentist can offer pulpitis treatment without removing the nerve to children, as well as people under the age of twenty-seven. This is due to the fact that at this age, the pulp can still self-repair.
Please note that pulpitis, the biological method of treatment of which is described in this article, is very rarely treated by doctors using conservative methods of treatment, even if the patient is suitable for this age. Most often, doctors simply do not want to treat patients with this method. In this case, be sure to ask the reason why the doctor does not want to do this. If she does not suit you, try to seek help at another clinic.
Is it worth leaving a tooth alive in the presence of pulpitis disease
The biological method of treating this disease implies the ability to leave the tooth alive. Pulp is a very important part of the tooth that performs protective and trophic functions. With it, the tooth receives nutrients from the inside.
After the pulp dies, the teeth become more brittle. And besides this, when removing the pulp, the dentist has to remove a large amount of tissue of the tooth itself.
In addition, when removing the pulp, inflammation in the tooth roots very often occurs. This is due to poor-quality filling of the dental canals after its removal.
Therefore, if it is possible to leave a tooth alive, then it is best to do it. But, despite everything, it is possible to do this very rarely, because patients come far from the initial stage of the disease. If pulpitis is treated with the manifestation of its first signs, then in this case, conservative treatment gives very good results.
Very often, patients come to the dentist even in the presence of purulent inflammation, when the pulp needs to be completely removed and the dental canals blocked.
Pulpitis: conservative treatment, indications
This treatment method allows you to keep the pulp of the tooth alive both in the root canals and in the crown of the tooth. Usually a conservative biological method of treating pulpitis is carried out in two visits to the dentist.
Pay attention to such indications for the treatment of this disease:
- the age of the patient is up to 25-27 years;
- The initial stage of inflammation, affecting a small area of the tooth;
- a chronic form of pulpitis in fibrous form, proceeding without serious exacerbations and complications.
Pulpitis treatment during the first visit to the dentist
If necessary, painkillers are done, all affected areas are removed with caries. After that, the affected tooth is isolated from saliva using a rubber dam. With the help of special preparations, a medical cleaning of the tooth is carried out and a medical lining is established at the bottom of its cavity, containing a large amount of calcium. After that, an insulating lining of special cement and a temporary seal are established.
What to do to the patient after the first visit to the doctor
Pulpitis (the biological treatment method described in this article) must be treated not only in the dental chair at the doctor’s appointment, but also follow its recommendations. Very often, dentists recommend treating pulpitis with a laser or other physiotherapy. Such treatment is usually carried out in several procedures, lasting from thirty seconds to two minutes.
Also, drugs that have anti-inflammatory effects are prescribed to the patient. The most commonly used is ibuprofen.
Antibiotics are strongly discouraged. This is due to the fact that cariogenic microflora is absolutely not sensitive to them.
If the patient has no complaints, then a temporary seal should be replaced with a permanent one. If the patient has noticed complications in the form of acute pulpitis or periodontitis, then in this case the usual method will have to be used for tooth treatment: completely remove the pulp and fill the root canals.
Biological treatment of pulpitis (stages): second visit
If the patient had no complaints between the first and second visits to the dentist, the dentist will carefully remove the temporary fill, isolating the tooth from saliva, and then put a permanent fill.
After the filling procedure, it is recommended to carry out additional visits to the doctor to prevent concomitant diseases.
The biological method of treating pulpitis in children, as well as in adults, is carried out in two stages. Many parents think that they don’t need to treat milk teeth, because soon they will fall out anyway, and permanent ones will come to replace them. However, this is a misconception. The baby, just like an adult, needs to regularly come to the dentistry for a checkup. The biological method of treating pulpitis in children is appropriate only at the initial stage of the disease. When running the form, other methods will be applied.
Vital amputation
This method of treating pulpitis can also be called biological, since it allows you to save the pulp not in the entire tooth, but only in the root canals. In this case, the pulp is completely removed from the main part of the tooth.
This treatment method can only be used for multi-rooted teeth. This is due to the fact that in teeth with one root there is no border between the upper and lower parts of the pulp. According to the treatment scheme, this method is practically no different from the previous one. For the treatment of pulpitis with a biological method, the age of the patient played an important role. This method has the same age restrictions.
Pay attention to who does not suit the biological method of treatment:
- age over 27 years;
- acute purulent form of the disease;
- calculus form;
- a disease having a chronic gangrenous form;
- Other severe forms of pulpitis.
Pulpitis Symptoms
Each dentist will be able to tell his patients which drugs to treat pulpitis best use. The disease itself can take two forms: acute and chronic. In addition, each of them is characterized by different symptoms.
During the acute form of the disease, periodic severe pains that are independent of external stimuli can be observed. In this case, most often painful sensations appear precisely at night. At first, this is extremely rare. But over time, they do not stop at all.
Symptoms in chronic pulpitis also depend on its type. Usually, with the fibrous form of the disease, the pain is not severe, it appears most often with food. In this case, reactions to a change in temperature are not observed.
If the form is hypertrophic, then pain can appear even with the slightest touch on the affected area of the tooth.
Pulpitis is a disease that needs to be treated immediately. If you ignore it, the consequences can be very dire. In medical practice, cases with a fatal outcome have been observed. Therefore, take care of yourself, eat right and visit the dentist on time.