What and how to treat the inflammation of the dental nerve: the causes of pulpitis and symptoms, treatment methods and dentists' advice

Inflammation of the nerve in the tooth or pulpitis is a process that occurs in a particular neuromuscular bundle.It is this disease characterized by the emergence of a powerful pain syndrome, which is quite difficult to tolerate.Therefore, therapy should begin with the elimination of pain and only after that, the treatment of the tooth itself.

Basic symptoms of pulpitis

Like any other disease, pulpitis has its own characteristics that everyone needs to know about.The main symptoms of the disease are the following:

1. When examining the oral cavity, the dentist finds a fairly deep carious cavity.
2. Acute pulsating pain.Moreover, it has a spilled character, which does not allow immediately to determine which of the teeth is sick.Painful sensations increase with food intake, pressure on a sick tooth, and also getting something sweet or sour, hot or cold.
3. Inflamed pulp is usually very swollen, and since it is confined to the dental cavity, the nerve is squeezed, which explains the intolerable pain of pulpitis.
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4. Pain syndrome increases in the lying position, as well as in the evening and night.
5. In pulpitis, an unpleasant odor from the mouth can often be observed.

Often pulpitis causes inflammation of the trigeminal nerve, as a result of which the painful sensations intensify and spread to the entire jaw, and in some cases even to the second one.

Ignoring the first symptom of pulpitis and trying to stifle pain with medications without going to the clinic for dental treatment results in the transfer of pulpitis into the purulent form of .Then begins necrosis of nerves, blood vessels and pulp tissues.

After the dying of the dental nerve, the pain subsides, however, one should not rejoice at this: the supply of the lymph and blood to the tooth is simultaneously stopped, and the inflammatory process passes to the tissues located next to the diseased tooth.

Causes of inflammation of the dental nerve

The main cause of inflammation of the dental nerve and pulp is the infection of the internal tissues of the tooth , through the penetration of an external infection.How can this happen?

There are several ways to get the infection inside the tooth, among which are the following:

• Disease-causing microorganisms from contaminated blood enter the pulp through damaged pockets of the gums or through the root system of the tooth.
• Pulpit of a medicamentous nature.It occurs as a result of unskilled treatment: the use of antiseptics provoking inflammation, the use of substandard material for seals, etc.
• Caries started.
• Inconsistent turning of the tooth when installing an orthodontic construction or crown.
• Mechanical damage to the tooth, accompanied by chips, fractures, fractures.
• Low-quality dental treatment of caries with introduction of infection into the pulp.
• Retrograde infection penetrating the inside of the tooth through the disturbed root system with exacerbations of periodontitis, sinusitis, and also with existing osteomyelitis.

Treatment of pulpitis

There are two types of treatment for the inflamed dental nerve: conservative and surgical.

Conservative therapy .Her conduct is possible only in the case of early treatment to the dentist, when the onset of inflammatory processes have yet entered into full force.With conservative treatment, live pulp is preserved.

The most common conservative treatment( biological method) is used in the following cases:

• treatment of young patients without a history of chronic diseases;
• accidental damage to the pulp chamber;
• with pulpitis, which is traumatic.

Therapy without removal of the dental nerve determines the following doctor's actions:

1. Use of antibacterial agents and preparations containing calcium.
2. Use of physiotherapy to restore alkaline reaction and sanitation of pulp.
3. Systematic conduct of rengencontrol in order to prevent the transition of the inflammation process into a chronic form.

In case of traumatic inflammation of the dental nerve, the dissected pulp is treated with an antiseptic, after which a gasket impregnated with calcium hydroxide is applied and the tooth is sealed with the temporary seal .And although the percentage of recovery in this case is quite high, the specialist should still recommend the patient a systematic rengencontrol.

Surgical treatment - tooth depopulation

Such treatment is performed more often than conservative, as in most cases people seek help at the late stages of the development of pulpitis.

This method is complete removal of the nerve of the both from the root and from the crown part of the tooth, with further sealing of the crown and root canals.It should be noted that in this way both chronic and acute pulpitis are treated.

Stages of tooth depopulation:

• A special machine removes all tissues affected by caries.
• Dental nerve is removed from the root canals and the crown part.
• The channels are processed with the appropriate tools.
• Sealing of the root canals and the crown part.

The surgical method of treatment is divided into two types: devital and vital .When using the first method, the dental nerve is killed by devitalizing drugs.This group includes arsenic and modern non-arsenic means.In this case, anesthesia is not used to remove the tooth.

It should be noted that arsenic treatment should be performed only by a highly qualified specialist, since the quality of the drug's effect on pulp depends on the correctness of its installation in the dental cavity.

The vital method involves using a local anesthetic for the removal of the dental nerve.Thus the patient does not feel pain, therefore treatment without a painful syndrome is quite real, if the narcosis is correctly made.

Anesthetic is injected into the patient's gum, after which the is opened and the pulp is removed, the root canals are carefully cleaned and the nerve endings are removed.Then it is necessary to thoroughly treat the root canals with an antiseptic solution in order to prevent relapse.

The algorithm for performing procedures is determined by the state of the tooth, the complexity of the operation and the stage of the inflammatory process.In some cases, the duration of treatment can be one day.After examining the oral cavity and assessing the condition of the tooth, the dentist can decide to treat the root canals with antiseptics and after thoroughly drying them, proceed to the filling.

Sealing must be very dense and to make sure of this a reference image of is made.Then a filling is installed on the carious cavity and the appearance of the tooth is restored( a filling material is used for this).The treatment is completed.

Complicated and started pulpitis is treated in stages .Root canals are initially sealed, after which a temporary filling is applied.A few days after the hardening of the filling material inside the root canals, the dentist sets a permanent seal and reproduces the tooth shape.

This method is one of the modern methods of pulpitis treatment, which provides elimination of inflammatory processes inside the canals, which is very important in case of their obstruction and impossibility of cleansing of pulp residues mechanically.

depophoresis has shown the high efficacy of in the treatment of advanced pulpitis forms, when granulomas and cysts are likely to occur.Due to the complete decomposition of pulp residues under the influence of calcium-copper hydroxide and electric field, the possibility of recurrence is excluded.

Depoforez copes well with the treatment of tart pulpitis, acute, retrograde inflammation of the dental nerve and other forms of the disease.

Laser treatment

Everyone who visits the dental office at least once, is treated with acute dental pain without the use of a drill.The development of dentistry, however, as well as the whole of medicine as a whole made this dream come true.One such modern and painless therapy is the use of a dental laser.

The application of this method allows the pulpitis to be safely and painlessly treated with , while a living pulp is preserved.Under the influence of laser beams, the metabolism in the dental tissues becomes more active, the process of regeneration of pulp cells is stimulated and the inflammatory process stops.

Within a day after the procedure, the pain syndrome is stopped, and the tooth functions are restored to .This method was most effective in treating focal inflammation.

Physiotherapy of the inflammation of the dental nerve

Physiotherapy treatment of pulpitis is an auxiliary therapy used in combination with other methods.The method of pulpitis treatment with the use of UHF showed high efficiency, at which the resorption of the lesion in the pulp is resorbed and the pain syndrome decreases.

To avoid apical periodontitis( complication of pulpitis), transcanal electrophoresis of iodine is used, which stimulates the process of restoring periodontal and pulp tissues.

It is believed that the treatment of an inflamed dental nerve is a fairly simple and non-serious dental procedure, but this is far from the case.

Pulpitis therapy involves working with a complex root system of the tooth, which requires the physician to have a thorough knowledge of the endodontics ( a new specialty in dentistry), as well as the use of a large number of modern medical equipment.

When choosing a dentistry center for the treatment of an inflamed dental nerve, first of all ask for the qualification of the doctor , as well as the technical equipment of the clinic.Compliance with this simple rule will help to avoid further unforeseen problems associated with poor quality dental services.