Pulpitis is the name given to an inflammation of the nerve and blood vessels of the tooth. Together, they are referred to as the dental pulp.There are several signs of pulpitis:
- very sharp pain from hot, cold and/or sweet,
- pain that wakes you up during the night,
- sharp pain when chewing,
- a feeling similar to an electrical choc or heartbeats-like coming from a tooth,
- inflammation or spontaneous bleeding of the gum.
Careful! An inflammation is not necessarily accompanied by an infection. Such a condition requires the dentist’s intervention, but not necessarily antibiotic treatment.
There can be several causes for toothaches:
- a deep cavity that touches the nerve,
- an erupting wisdom tooth,
- a raging toothache,
- a gingival infection,
- a dental abscess,
The original causes of pulpitis can be diverse:
- a deep dental restoration,
- a defective dental restoration,
- a deep cavity,
- trauma (a shock),
- an occlusion problem.
Various types of pulpitis
There are two types of pulpitis:
- Reversible pulpitis: the dental pulp is affected superficially and the tooth reacts to cold during a very short time. Taking care of the cavity will solve the problem and eliminate the pain.
- Irreversible pulpitis: there is a sustained stabbing pain. The cause of this condition is often a very deep cavity or a restoration that is affecting the nerve of the tooth. The pain and the inflammation originate essentially from the nerve located in the tooth canal, and possibly from an infection. At this stage, the cavity must be treated, and it is sometimes necessary to excavate the dental pulp by performing a root canal treatment.
In the case of reversible pulpitis, the inflammation will gradually disappear. But, in the case of irreversible pulpitis, the pain will likely persist and even increase in intensity. The dentist might then have to intervene swiftly to treat the root-cause of the problem.
The dentist will know how to determine whether swift action is required or whether the pulpitis is going to disappear by itself.
We thank you for your confidence, and your trusteddentists in Montréal, David & Cloutier invite you to contact our clinic and dental office in Montréal at 1935 East, De Maisonneuve Blvd. (Papineau metro station), or by phone at 514 527-1276.