Pulpitis under seal: causes, diagnosis, treatment
Diseases of the mouth, create discomfort and discomfort is no exception pulpitis under the seal, which may be formed as a result of dental treatment or other actions. The disease is characterized by inflammation of the nerve in the tooth and is accompanied by severe pain. The pulp is a vascular bundle, which consists of many nerve fibers and microvasculature. The slurry penetrates through the upper part of the tooth, forms the inflammation and painful process of the disease. Pulpitis can be divided into two types, depending on the place of education is the root and the crown.
The causes of pulpitis
If there is disease, then there causes that led to it. In order to begin treatment you must contact your dentist, who will make the diagnosis. But in some cases it is necessary to independently navigate the symptoms to know that it is not other sort of diseases of the oral cavity that are not managed by the dentist. What is pulpitis. One of the main reasons to become infectious exposure to when out of the areas affected by the caries infection gets into the tooth cavity, thus affects the neurovascular bundle. Pain after tooth decay does not occur immediately. She begins to appear when the channel is infected by caries will deepen. As a result, there is a small area of healthy tissue between the tooth and the bottom of the cavity with caries. Gradually develops pulpitis, up to purulent formations.
What else can be the cause of the disease
Infection is not the only causative agent and founder of pulpitis. There are other reasons, but they occur much less frequently.
- Dental work that resulted in the formation of pulpitis under seal. It could be substandard treatment of caries.
- To prepare the tooth, if during the processing the pulp is subjected to a heat burn.
- Retrograde pulpitis — the incidence of infection from periodontal pockets through the upper part of location of roots of the tooth.
- Traumatic pulpitis, which will cause the impact.
Types of pulpitis
Depending on education pulpitis subdivided into types, the main ones are:
Pulpitis formed under the seal
Dental installation process seals the affected tooth is to remove tissue that is infected by caries. After which the doctor is installed in the channel a solution for sealing. But there are times when the doctor is not removed efficiently, the place is infected by caries, the cause of which is the formation of an inflammatory process inside the tooth. Starts to happen the destruction of the tooth, which leads to the ingress of infection starts inside and pulpitis. Institute of modern dental developments in the last decade widely stepped forward, at the expense of Western technology and develop their own drugs. One of these is a tool that when applied to the tooth cavity, color marking of the affected areas. If a doctor was made of poor sweep of the caries, the damage the drug bright color shows the area that will allow the dentist to complete the removal of the affected area. As a result, a sealed tooth does not undergo the inflammatory process from the inside and will not cause the formation of pulpitis.
As noted earlier, this type of pulpitis occurs when there is a formation of periodontal pockets. This is due to destruction of bone tissue, resulting in between the tooth and gum formed space. Thus, destructive infection finds a place to engage the inside of the tooth, not only through the overcoming of carious cavity. Formed pockets are quite large, reaching a depth of half the tooth root. This provides a quick, aggressive influence on the pulp, causing pain and creating an inflammatory process.
Pulpitis under crown
We are talking about the burn when grinding the teeth, to install crowns. Here is the incompetence or inattention, followed by the haste of the dentist. As a result of which it begins to undergo a slow process of inflammation in the pulp. Helps burn inhibited the process flow, so the pain can only occur after 2 weeks or even a month, after setting crowns. This condition requires immediate treatment and removal of crowns.
The main symptoms of pulpitis
In addition to the reasons for the formation of pulpitis is divided into classification, the main ones are chronic disease and acute pulpitis. In the first case, fibrous, gangrenous, or hypertrophic pulpitis. Occurs in acute diffuse and focal manifestations.
Signs of chronic pulpitis
The disease, which is accompanied by severe throbbing pain strikes. You should immediately contact your dentist to identify the affected area and relieve pain. If you do not enlist the help of a physician, the throbbing pain will continue until you die nerve, and it is often delayed up to a month. In this case, there is protection of the nervous beam of carious tissue that covers the bony part. If there is pain, which is manifested in different ways, it is likely to diffuse pulpitis. Under these symptoms the patient can not indicate the place of pain, because she might be pulling, aching, cutting, radiating across the gums. In addition to the main sources in the pulp to be subjected to suspicion of the disease after exposure to third-party stimuli. It’s food, drinks, hot or cold, spicy, salty or sweet. Doctors usually recommended for pulpitis accompanied by a sharp pain to take painkillers.
Other signs of pulpitis
Disease of the gangrenous form is the most complex manifestation, because it is believed that the diagnosis in this disease is difficult. This is further evidence of the avoidance of self-diagnosis of the inflammatory process in the mouth and assign yourself a course of treatment. If any manifestations should consult a doctor. Focal pulpitis will accurately determine the point of disease, since the pain will arise in a particular place. But the diffuse form of the occurrence of pulpitis is very problematic, as pain walks across the mouth. Throbbing painful blows will signal all the nerve endings, so the pain will be felt throughout the gums. A complication may be the impact of pain on the parts of the head, in the ear, the occipital, the upper jaw, the back of the head. Noted that with a sharp expression of pain and the occurrence of a diffuse pulpitis most often will suffer the opposite part of the sore area.
Diagnosis of pulpitis
To effectively treatment, it is necessary to diagnose the disease. You need to find out the signs, the degree of complication of the lesion, the source of the pain and causes of. Only after that the doctor can produce a number of dental procedures, for example, to remove the seal, under which the inflamed pulp, or to remove the crown from the suffering of the plot.
A mild form of the disease may be limited to inspection, probing of the teeth and to establish the causes. When complex form of occurrence of pulpitis will need to resort to a number of diagnostic methods.
In addition to visual inspection using electronics for disease diagnosis, x-ray, tomography and thermometry.
How is diagnosis
During the visual examination the doctor examines the source of the inflammation determines what is causing the pain, caries, or pulpitis. Using special tools the dentist cannot examine the entire oral cavity, gums, teeth from all sides. The method of tapping, in response to which the patient has to say about pain. With the help of the probe determines the change of the inner part of the gums, the pulp is diagnosed, examines the state of the nerve. One of the methods to check the status of the disease is thermometry, which is the impact on teeth of different temperatures. As a rule, cold and heat. For example, when exposed to cold the tooth where the nerve is not alive, the reactions will be, and the heat will react with the impetus of pain. An effective way to test is electrical diagnosis, which consists in applying a weak discharge on the tooth. Thereby affect the nerve, and if there is even a low sensitivity, the patient is immediately feel. For a detailed study of the state of the tooth part is also used radiography and tomography. Appointed by such procedures, as a rule, before tooth extraction or surgery.
Treatment of pulpitis
Impact on the patient’s body to eliminate pain and make the treatment only in the medical conditions that meets all the necessary hygiene rules and regulations, used clean tool, professional equipment, and hands and experience of professionals. Any self-treatment impossible. The only thing the patient can do for yourself is to take a painkiller. In dentistry it is used several method of dealing with pulpitis.
The preservation of pulp
One way is to save the pulp in the tooth cavity, but then there would be a risk of relapse. Because of this, a number of doctors do not welcome such a method of treatment of pulpitis. Additionally, the preservation of pulp in the treatment can only be done at the early stages of treatment dentist when the process of inflammation has not yet covered the entire area. Also there is an age requirement, it is recommended to save the affected pulp only to patients of young age.
Know-how in dentistry or one of the possibilities of modern medicine
Often, doctors resort only to traditional methods of treatment of pulpitis, but there are other technologies, such as the use of laser and depoforez. In the first case, it will be possible to make the removal of dead tissue, sterilization of the processed channels of the tooth and affect the affected area to reduce discomfort. Laser treatment is good because it allows for treatment at all stages of progression of pulpitis. Depoforez is the oral suspension of the hydroxide of copper-calcium under the influence of an electric field. The scheme works in such a way that the involved ions are able to penetrate into all channels of the teeth, which may not be readily available using traditional therapy. The result of this treatment, disinfection of all holes and passages in the teeth and the nerve endings. The only downside of technologies is their low availability and a significant cost.
In this case, the dentist uses the traditional method of treatment. The first thing you will need to remove the seal, which was acute inflammation of the nerve. The procedure is very painful, because for cleaning use special brushes to remove the nerve channels are processed by needles. This procedure is performed only with anesthesia. As an option you can not use this type of Stripping of the channel, and lay it in paste special which is able for a while to kill the nerve. Further cleaning of the affected areas of tissue, the removal of the inflamed nerve. In the end is the sealing of the tooth. Thus, the tooth pulp is removed completely from the vitality of the tooth because the nerve will no longer disturb this site. At the same time, deponirovanie leads to brittleness of the tooth, which can break (crumble) it completely.