Pulpitis, the symptoms and causes of which we will consider, is nothing but inflammation of the pulp, that is, the neurovascular bundle of the tooth. Often it occurs as a complication of caries, and it can also occur due to the fault of a doctor who acted incorrectly or inaccurately when treating teeth .
Inflammation may be acute or chronic. Chronic pulpitis can torment a person for a very long time. As a rule, you won’t be able to get rid of it the first time. Acute focal pulpitis proceeds quickly, but the pain with it is very strong.
The cause of pulpitis is often the activity of microbes that can settle in a carious focus. Of course, in the process of life they produce a lot of toxins and other waste - they affect the condition of the pulp.
Pulp is infected in different ways. Most often, the infection enters from the carious cavity through the dentinal canals. Pulpitis, the symptoms of which will be discussed below, may also appear as a result of an injury. The most dangerous thing in this case is precisely a fracture of the tooth.
Exposure to chemicals can also lead to pulpitis. It can cause heat exposure.
Acute pulpitis occurs if the infection enters the pulp through the wall of a tooth damaged by caries. That is, the pulp chamber remains closed. It begins acutely, with time, pus appears. Purulent exudate, which accumulates in a closed palpule chamber, causes great discomfort and severe pain.
Chronic pulpitis is most often the consequence of acute.
They are divided into hypertrophic, fibrous, as well as gangrenous.
Pulpitis: Symptoms
Pulpitis is characterized by continuous or intermittent pain, which intensifies at night. She also begins to bother more with temperature changes and weather changes.
At the very beginning, the disease is accompanied by infrequent aching pain. When pulpitis is started, the pains become aching and throbbing. In chronic pulpitis, pains appear only during an exacerbation.
Symptoms of acute pulpitis can begin abruptly and also abruptly and unexpectedly end. They spread along the branches of the trigeminal nerve. A diseased tooth becomes very susceptible to cold. It is worth noting that the pain persists for a long time even after the tooth is in normal temperature conditions.
Chronic fibrous pulpitis in most cases is asymptomatic, only in some cases it can cause mild discomfort. Chronic hypertrophic pulpitis causes a hypertrophic fibrous polyp to appear in the carious cavity.
Chronic proliferative pulpitis in most cases is a consequence of chronic fibrous pulpitis. It appears when the crown was very badly damaged, the pulp was exposed, and also was infected and infected.
Percussion of the tooth in some cases becomes sensitive, however, this symptom is not particularly important.
With pulpitis, radiographs show changes in the upper roots. They are not significant, but still exist. It is worth mentioning the destructive changes that can be observed from the side of the teeth.
Chronic gangrenous pulpitis is always associated with very severe pain. An interesting fact is that severe pain occurs when in contact with hot, and when in contact with cold, it subsides.
Exacerbations of chronic pulpitis occur frequently. With improper treatment, various dangerous complications can occur. In some cases, it develops into periodontitis.
Pulpitis, the symptoms of which we examined, can also appear in a person who takes good care of his teeth.