Tooth pulp (obturation)

June 19, 2013

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Endodontitis   - Is an inflammatory process that occurs in the dental pulp. Conventionally known as the nerve of the tooth pulp. The most common symptoms are manifested in the pulpit as a complication caries . Sometimes pulpit it is seen as a consequence of improper manipulation by the physician. This may be surgery on periodontal poorly installed seals, the action of certain chemicals, turning the tooth to install dentures.

Causes Pulpitis

Dental pulp may occur under the influence of various factors on the progression of his influence as a sharp And chronic   stimuli. Pulpitis most often develops due to the action of microbes that are in deep caries hearth, and also because of their negative impact toxins. Infection can penetrate into the pulp in different ways. Most often it passes through the dentinal tubules of the cavity. The cause of pulpitis can also be a trauma, during which there was a fracture of the tooth. Most often develops as a result of such injuries pulpit front teeth. If during such trauma was exposed pulp, the inflammation of the anterior teeth occurs very quickly.

Often the cause of pulpitis is substandard treatment of caries cavities. Sometimes the doctor can be difficult to make a thorough treatment of posterior teeth, wisdom tooth. Sometimes the pulp becomes infected and infection due to hematogenous route, when a person says during an acute infectious disease. Sometimes pulpit permanent teeth developing in the teeth that were not affected by caries. In such a case, the person may complain that his toothache, seemingly healthy in appearance. Pulpitis milk tooth in children is often difficult to define and because it is often painless. There is a pulpit in children due to injuries, not cured caries and chips a tooth crown.

In addition to the reasons for the development of pulpitis can trigger action of a number of chemicals, thermal effect, the process of prosthetic dental treatment and periodontal surgery.

What's happening?

The pulp can be acute   and chronic form. Acute forms of pulpitis - a consequence of infection in the pulp, and wherein pulp chamber   It remains closed. The infection enters through the thin wall of the tooth, which was destroyed by caries. In addition, damage can occur due to trauma ( traumatic pulpitis ). Clinic of acute pulpitis initially involves focal lesion. Partial pulpit initially develops in the patient as a serous inflammation (this form is called serous pulpitis ). Later there is the appearance of purulent exudate ( acute purulent pulpitis ). When purulent exudate accumulated in a closed pulp chamber, a man begins to disturb a very strong pain. If a patient develops acute general pulpitis, the pain lasts longer and can be more intense.

Chronic pulpitis Usually a consequence of acute forms of the disease. Chronic pulpitis divided into fibrous . hypertrophic   and gangrenous . Chronic forms of pulpitis caused complaints of the patient on periodic pain. Most often diagnosed fibrotic (simple) pulpit When growing connective tissue. If the patient is determined hypertrophic pulpitis , The pulp tissue grows hypertrophic, through the open cavities. If develops gangrenous (ulcerative) pulpit Gradually breaks down tissue in the coronal pulp.

If there is an exacerbation of chronic pulpitis, the patient's condition significantly deteriorated. His disturbed episodes of pain that can last for several hours. Pulp in the acute stage can occur intermittently, and in between there is only the appearance of pain from stimuli (hot, cold).

Symptoms

Pulpitis When a person suffers from a very severe toothache, which can be either continuous or periodically interrupted. The pain is most often at night worried sick. At the initial stage of the disease pulpit in children and adults manifested by periodic aching. More advanced cases of the disease, and chronic pulpitis in children and adults accompanied by accruing more intense pain, which can be periodically pulsating. Chronic fibrous pulpitis causes pain during periods of exacerbation. When purulent pulpitis pain arises even when a tooth a little knock.

How to treat children and adults the disease, and what specific symptoms may it, envy-onset form of the pulpit.

For example, in acute focal and diffuse pulpitis person suffers from severe pain that spread through the branches of the trigeminal nerve. Most often the pain occurs at night, with the aching tooth exhibits high sensitivity to different stimuli. If the stimulus is removed, the pain did not subside, but only becomes stronger.

Chronic fibrous pulpitis symptoms persist, usually does not cause. The patient can only periodically observe relatively little discomfort.

In chronic hypertrophic pulp cavity is hypertrophic fibrous polyp. In this form of the disease can be marked tenderness to percussion.

When gangrenous pulpitis had very severe pain, the tooth is particularly sensitive to heat, but cold helps to relieve the pain.

If the patient has an exacerbation of chronic pulpitis, the pain in the affected tooth is very intense, its amplification takes place under the influence of external stimuli. The pain radiates along the trigeminal nerve, with the bite on the affected tooth, it is amplified.

Retrograde pulpitis on the surface of diseased teeth never seen. The pulp is infected through the apical opening if the tissues close by pathological processes associated with certain diseases. This form of pulpit often occurs without symptoms. But while running retrograde pulpitis its symptoms are similar to the manifestation of suppurative pulpitis.

When traumatic pulpitis manifestations of the disease are very similar to symptoms of infectious pulpit. Struck tooth very clearly responds to stimuli.

Pulpitis milk teeth often occurs without obvious symptoms, so children with milk teeth pulpit often becomes chronic.

Dental pulp wisdom manifested the same symptoms as a disease affecting other teeth. If the tooth is located right in the mouth, trying to cure it. However, most of the wisdom teeth, which are often underdeveloped, simply remove.

Complications

If there is no adequate, and most importantly - timely treatment pulpit, the complication of this condition can be periodontitis . A similar complication often develops if the root canals were handled poorly, and fillings, inlays, crowns fitted hermetically.

Diagnostics

To avoid serious consequences than is fraught with wrong diagnosis, the physician should carefully approach the issue of inspection and establishing the diagnosis of patients with suspected pulp. The specialist must take into account that in some patients with pulpitis no throbbing pain, or it is expressed slightly. Therefore, to confirm the diagnosis is necessary to conduct a patient x-ray. Equally important is a thorough visual inspection, questioning the patient about symptoms. It is important to determine what the nature of the pain is observed in the patient - cutting, drawing, stitching. Analyzing all these factors, your doctor will be able to determine exactly what kind of dental disease in question.

Treatment

Treatment of pulpitis tooth is assigned depending on the form of the disease and the extent of damage. Conservative treatment can save a viable pulp. Most often, this method of practicing dentists, if you need to treat the pulpit to young people. In this case, the steps are similar to the algorithm of treatment of pulpitis treatment of dental caries. It is important to treat the affected surface thoroughly with medication. With this purpose antiseptics . antibiotics   and etc.

Treatment of acute pulpitis is often carried out surgically. In this case, there is a removal of the inflamed pulp and filling the root canal of the affected tooth.

Remove the pulp in two ways. Using vital method involves the use of anesthesia (general or local). When using non-vital method originally performed the killing nerve. But in any case, treatment should choose a specialist after a careful diagnosis. Treatment of pulpitis in the home can lead to negative consequences. After all, if the wrong approach to therapy develop serious complications after treatment of pulpitis, the most frequently observed periodontal and pulp necrosis. Therefore, the physician must necessarily determine how the healing of dental pulp and urgently undertake all the necessary procedures.

With the canal filling a tooth can restore the function of the tooth. In the process of filling a special material filled root canal of a tooth, which remain empty after the removal of the nerve of the tooth. The main difficulty with this treatment is the fact that the root canal is more difficult to study. In this case it is important to study the X-ray to determine the length of the channel.

Treatment of hypertrophic pulpitis provides for partial or total excision of the pulp. A doctor determines that you need to do in a particular case, considering how was struck by the neuro-vascular bundle.

Sometimes the patient complains that the first time there is a pain after treatment of pulpitis. This phenomenon is not considered pathological, since about a day passes completely pain.

Treatment of this disease in children is carried out by the same methods. However, the doctor must take into account some of the subtleties. For example, in the treatment of primary teeth should pay special attention to the dosage of drugs, and we consider that the milk teeth greater root apical foramen. In addition, you should pay attention to the fact that anesthesia did not cause harm to children's body.

Prevention

To prevent symptoms of pulpitis, first of all, you must adhere to all the rules of oral hygiene, and time to treat dental caries is hardly developed. Therefore, the recommendations of dentists that visit the doctor for routine inspection and treatment is hardly developed caries is well-founded. Sometimes, mechanical damage may occur teeth, and they are chemicals or temperature extremes. At the first sign of such impacts should see a doctor as their background pulp can develop very quickly. Self-medication in this case is unacceptable.