Classification of pulpitis, a description of the disease and the cause of the onset, symptoms and therapies, dentists' advice

Many people are familiar with this situation, when the fear of dental treatment makes postponing dental visits indefinitely.It may not disturb for a while, but suddenly there is such an unbearable toothache that the sufferer immediately turns to the doctor.Often put a diagnosis - pulpitis.Pulpitis is called inflammation of the neurovascular bundle of the tooth.It has a certain classification.

Causes of pulpitis

The causes of inflammation of the pulp are as follows:

• infectious;
• traumatic;
• is retrograde;
• are concreted.

Basically, pulpitis occurs with complicated caries, when the hard tooth tissue is very strongly destroyed.The infection in the carious cavity contributes to the inflammation of the pulp.

In addition, this disease is often occurs as a result of a medical error , for example, if the seal is poorly installed or when treating the caries pulp has been opened carelessly.Also, the tooth may be injured due to a stroke.

Very rarely, but the infection can penetrate the blood vessels along with the blood from the root.

Inside the tooth itself, a solid formation called denticle may appear.It also contributes to the inflammation of the pulp.

Symptoms of

Inflammation of the pulp is accompanied by intolerable pain, which sometimes subsides.Especially pain pierces at night and body temperature can rise.

Periodic aching pains occur in the initial stage of the inflammation.The started stage is characterized by an increase in pain, which gradually becomes more and more prolonged and pulsating.For a chronic form of inflammation, pain is characteristic only when exacerbated.Pus is formed, and if you press a little tooth a little, pain immediately arises.

Classification

Modern dentistry has several dozens of different classifications of pulpitis.This is because species of pulp lesions are very much , as are the ways of their formation.Many people define the classification of pulpites in their own way.

The following classifications are considered to be the most popular:

• Platonov classification;
• classification according to ICD-10;
• classification according to Gofung.

Classification of Platonov.

As a result of this classification, pulpitis is divided into these types and forms:

• acute( focal and diffuse);
• chronic( fibrous, gangrenous and hypertrophic);
• is chronic at the stage of exacerbation.

Acute pulpitis is characterized by intense pulsating pains that occur with seizures.At first, the pain is short, and the period of calm can last a long time.Then , the inflammation of the pulp starts to progress , the pain becomes stronger and longer, and the period of calm is shorter.The sick tooth starts to ache from the interaction with hot water.

Chronic pulpitis is lethargic, almost painless.External stimuli do not greatly disturb the patient tooth.The color of the tooth changes, the pulp is significantly exposed, you can even consider the mouth of the root canals.

Exacerbation of chronic pulpitis has all the symptoms of acute.The only difference is that the pain practically does not pass.Externally, the tooth looks the same as with a chronic inflammation of the pulp.

Classification according to ICD-10.

The World Health Organization proposes the following classification:

• pulpitis inflammation;
• diseases of pulp and periapical tissues;
• pulp hyperemia;
• sharp;
• chronic;
• purulent, pulpal abscess;
• chronic ulcerative pulpitis;
• reconditioning of pulp;
• pulpal polyp;
• another refined pulpitis;
• , unspecified pulpitis;
• incorrect formation in the pulp of hard tissues;
• pulp degeneration.

This qualification has a distinctive feature - a separate category identified changes in the pulp of the tooth, until the occurrence of systematic pain.

Classification according to Gofung.

The most popular classification among dentists is inflammation of the pulp.She perfectly displays all stages of the disease.

Acute pulpitis .

Partial .If an acute partial inflammation occurs, the changes in the pulp are completely reversible.If you immediately consult a doctor, as soon as the pain, can cure the tooth and save the nerve.

General .Acute general inflammation of the pulp is characterized by diffuse inflammation, which completely covers the pulp.By characteristic features, the acute total pulpitis of is practically impossible to distinguish from the beginning of purulent destruction of , therefore, a surgical method of treatment is used.

About bschy purulent .This stage is characterized by the development of irreversible pathology, it is because of this that vital extirpation is considered to be the treatment method.The doctor should pay special attention to the prevention of periodontitis.

Chronic pulpitis .

Simple .

Hypertrophic.Both this and the first form are successfully treated by the surgical method, preserving the root parts of the pulp.

Gangrenous.The most severe form of chronic inflammation.Treatment here is extirpational.This form is characterized by the maximum saturation of the root canal walls with a pathogenic microflora.Treatment is carried out in several stages.This promotes the continued action of antiseptics, which reduce the risk of complications after sealing.

Classification of the MMSI.

Very similar to the classification of Gofung, only added some points of exacerbation of chronic inflammation of the pulp and took into account the peculiarities of the inflammation in the previously treated tooth.

• acute( serous, focal purulent, diffuse purulent);
• chronic( fibrous, gangrenous, hypertrophic);
• exacerbation of chronic pulpitis( fibrous, gangrenous);
• condition after removal of pulp - partial or complete.

Exacerbation of fibrous pulpitis usually does not have such a destructive effect of , as an exacerbation of gangrenous.In the latter variant, a high degree of complication from the periodontal disease.

The tooth begins to strongly resist filling channels, there are severe pains when it is sealed with a temporary filling.This is due to the fact that the anaerobic microflora feels great when isolated from the environment.

It often happens that removing a part of the pulp does not relieve inflammation.This is due to the fact that the diagnosis is incorrect or the technology of treatment is disrupted.In this case, complete removal of the tooth with the roots helps.

Thus, we come to the conclusion that the treatment of pulpitis at an early stage of contributes to the preservation of the nerve of , which nourishes the tooth and ensures its vital activity.Therefore, the very first signs of pulpitis should immediately consult a doctor.