What medicine to take for pulpitis_What medicine to take for pulpitis

Teeth are very important to everyone, but if they are not properly maintained, they will suffer from pulpitis. The main manifestations of pulpitis are tooth corrosion and pus discharge. The structure of teeth is very complex, and we eat a variety of foods in our daily lives. If the teeth are not cleaned properly, toxins will accumulate. Therefore, while treating pulpitis, we must also maintain oral hygiene. The following is a detailed introduction.

Pulpitis refers to an inflammatory lesion occurring in the dental pulp tissue. The dental pulp is a loose connective tissue that mainly contains nerves and blood vessels and is located in the pulp cavity inside the tooth. If deep caries, wedge-shaped defects and other dental hard tissue diseases are not controlled and treated promptly and effectively, they may cause pulpitis, which becomes one of the most frequent and common diseases in the oral cavity.

1. Acute pulpitis

Acute pulpitis can develop from pulp congestion or from an acute attack of chronic pulpitis. According to the development process of inflammation, acute pulpitis can be divided into serous stage and suppurative stage.

(1) The lesion of acute serous pulpitis is limited to the coronal pulp, which is localized serous pulpitis. When the lesion spreads to the root pulp, it is total serous pulpitis.

(2) Acute suppurative pulpitis During the short serous phase of pulpitis, the exudated white blood cells continue to necrotize and liquefy, forming an abscess, which is acute suppurative pulpitis.

2. Chronic pulpitis

Chronic pulpitis is the most common clinical condition with atypical symptoms, and some cases may not have spontaneous pain. If the exudate of acute inflammation is drained but the inflammation is not completely eliminated, it may turn into chronic inflammation. On the contrary, if the body's resistance is reduced or local drainage is not smooth, chronic pulpitis will turn into acute pulpitis, which is an acute attack of chronic pulpitis.

(1) In chronic closed pulpitis, the pulp is not yet exposed, but deep caries, crown fillings or other hard tissue diseases near the pulp can often be found. After the decayed and necrotic substances are removed, there is no exposed pulp hole visible to the naked eye. Chronic inflammation can persist for a long time.

(2) In chronic ulcerative pulpitis, the pulp tissue is exposed and ulcers form on the surface. Patients fail to use the affected teeth for a long time due to fear of pain, resulting in the accumulation of a large amount of plaque and tartar.

(3) Chronic hyperplastic pulpitis often occurs in young people. The dental pulp is exposed and causes a hyperplastic reaction due to mild but persistent stimulation. The red "mushroom" shaped granulation tissue in the large and deep caries cavities of the affected teeth is called dental pulp polyps. It is painless when explored but bleeds very easily. Generally there is no spontaneous pain. Sometimes the affected tooth feels painful or there is bleeding when eating. Tartar accumulation can often be seen on the affected tooth and its adjacent teeth.

Due to the lack of sufficient collateral circulation, once the pulp becomes inflamed, it cannot be eliminated on its own. The pulp must be removed to relieve the symptoms, and the infection in the pulp cavity must be removed. The root canal must then be filled and sealed with biocompatible materials to prevent reinfection. The most widely used method in clinical practice is root canal therapy. With timely and effective treatment, the affected tooth can usually be saved. However, if not treated promptly, the infection will spread further, causing periapical inflammation and eventually leading to the loss of the tooth organ.

1. Treatment Methods

(1) Reversible pulpitis aims to preserve the vital pulp, and there are three types of surgery: direct pulp capping, indirect pulp capping, and pulpotomy.

(2) Irreversible pulpitis is treated with the aim of removing the pulp and preserving the affected tooth, such as root canal therapy.

2. Treatment principles

To preserve the vital pulp or the affected tooth, emergency treatment can be pulpotomy to reduce pressure. After rinsing with warm salt water, place analgesics (such as camphor phenol, eugenol or small cotton balls such as toothache water) in the caries cavity to temporarily relieve the pain. At the same time, take anti-inflammatory and analgesic drugs. 1 to 2 days after the pain is relieved, depending on the specific situation of the affected tooth, choose: ① vital pulpotomy; ② pulp planing; ③ pulp replacement or root canal treatment. Teeth that have no preservation value can be extracted.