What are the symptoms of reversible pulpitis?

The common symptoms of reversible pulpitis include sharp pain when the pulp is stimulated by temperature, and the pain disappears after the stimulation is removed. Therefore, patients should also pay attention to the correct treatment of pulpitis and prevent secondary infection.

1. Disease Overview

Reversible pulpitis is a milder form of pulpitis, equivalent to "pulp congestion". When the pulp is stimulated by temperature, it produces a short, sharp pain, which disappears immediately when the stimulation is removed. During clinical examination, all carious tissue was removed and no pulp holes were found; pulp electrometry examination showed that the reaction was the same as or slightly higher than that of normal teeth; cold stimulation test produced pain, which disappeared immediately after the stimulation was removed. Its main characteristics are: there is no history of spontaneous pain, and the pain disappears immediately after the stimulus is removed. Principles of treating reversible pulpitis: remove irritation and eliminate inflammation. After removing the carious tissue, use zinc oxide clove oil cement to temporarily seal the cavity, and treat it as deep caries when there are no symptoms.

2. Symptoms and Signs

1. When the affected tooth is exposed to cold or hot temperature stimulation or sweet or sour chemical stimulation, there will be an immediate pain reaction, especially to cold stimulation. Once the stimulation is removed, the pain disappears. No spontaneous pain.

2. The affected teeth often have pulp cavity, hard tissue lesions, deep periodontal pockets and occlusal trauma.

Pathophysiology

When caries, wear, trauma or iatrogenic factors destroy the integrity of enamel or cementum, pulpitis is caused through exposed dentinal tubules, pulp, periodontal pocket and systemic infection, while periapical infection is mainly secondary to pulp infection.