TYPES OF DENTAL PULPITIS AND SIGNS OF RECOGNITION:

Pulpitis is a condition caused by bacteria entering the pulp and causing inflammation. Pulpitis, depending on the severity, includes the following two types with accompanying symptoms:

1/ Reversible pulpitis:

Reversible pulpitis causes intermittent toothache in a short period of time, especially when eating hot, cold, highly acidic foods... the pain usually does not last long but recurs many times when there are factors stimulate. In this case, it is completely possible to treat the pulp while still retaining a healthy pulp.

2/ Irreversible pulpitis:

Irreversible pulpitis causes persistent toothache without stimulation, pain radiates to the same side of the head and face; And when the tooth pulp is completely dead, you no longer feel pain. In this case, it is necessary to have a root canal and restore the tooth to avoid problems: rotten and fragile teeth, tooth root abscess, gingivitis, alveolar bone loss, loose teeth, and tooth loss.

DENTAL ROOT TREATMENT – COMMON MISTAKES FROM CLIENTS AND DENTAL FACILITIES:

Through our practice at Phuong Dentist, our doctors recognize that there are many common mistakes when we have pulpitis that leads to tooth loss or other complications. Specifically:

1/ Mistakes from customers:

– First, it is subjective due to not being properly aware of the seriousness of pulpitis and not treating it promptly, leading to severe pulpitis, dead pulp, and tooth damage. Please note: Pulpitis will not go away without treatment!

– The second mistake is taking western medicine or using folk tricks. Because taking Western medicine and folk remedies has absolutely no effect on treating root canals or tooth decay. It is only a temporary pain relief and anti-inflammatory solution. The condition will then return and be more serious.

– When a tooth has pulp inflammation and the pulp dies, we no longer feel pain and do not treat it - that is a big mistake because necrotic pulp can follow the root fistula, causing root abscess, bone loss, and loose teeth. In addition, a tooth with dead pulp will rot and break apart until only the root remains.

(Subjectiveness, not treating promptly, using western medicine, folk tips... are all mistakes that cause serious pulpitis: tooth abscesses, broken teeth, loose teeth...)

2/ Mistakes from the treatment facility:

This is also a quite common case. At Phuong Dentist, we often receive cases where customers have root canal treatment at some dental facilities but then problems arise. The main reason is due to mistakes from these treatment facilities. Specifically:

– First mistake: abusing indications for root canal removal, specifically: in many cases, customers only have tooth decay but not pulpitis, or pulpitis recovers but dental facilities abuse root canal removal.

– The most common mistake is overusing indications for tooth extraction. Specifically, there are many cases of pulpitis and broken teeth, but it is still possible to treat the pulp and keep the tooth. However, it is very unfortunate that dental facilities prescribe tooth extraction. In other words, the customer lost his tooth unjustly.

– The next and very common mistake is not treating the root canal thoroughly. That is, the treatment person did not completely clean the pulp chamber, did not treat the pulp well, leading to the pulp inflammation returning, the tooth dying from the pulp, and the progression becoming more and more serious.

– Tooth filling after root canal treatment and filling is not good, does not fit tightly, and is not made of the right material, causing re-inflammation of the pulp, tooth decay, and large pieces of broken teeth.

HOW TO CORRECTLY TREAT YOUR SPINAL:

For highly effective root canal treatment, the following 5 requirements must be followed:

– First, it must be specified correctly. Start with examination and taking films to determine the condition and level of pulp inflammation to choose a reasonable solution for effective, economical treatment and good tooth protection.

– Second, if the tooth is in the pre-pulpitis stage, mild pulpitis, or reversible pulpitis, it is necessary to clean the inflammation and restore the tooth, in which filling the tooth with good materials and modern technology is an effective way. at low cost while still retaining healthy pulp.

– Third, if the pulpitis is severe (the tooth has a dead pulp) and needs root canal treatment, the pulp must be thoroughly removed to ensure the pulpitis does not recur. At the same time, choose the appropriate tooth restoration solution (porcelain filling, inlay-onlay, or porcelain tooth restoration) to both save costs and help protect teeth long-term.

– Fourth, prioritize the application of modern technology and equipment as well as new treatment methods, apply the correct root canal treatment process to bring high efficiency, bring a comfortable experience to customers, Limit the number of visits to the dentist and limit pain.

– Fifth, in cases of pulpitis, large decayed teeth, or even only tooth roots, tooth restoration solutions should be given priority to limit tooth extraction. In other words: the priority is not to extract the tooth but instead to implement porcelain dental restoration solutions to restore the tooth crown.

TOOTH ROOT TREATMENT AT PHUONG DENTIST:

At Phuong Dentist, with a full range of imaging diagnostic systems from digital 3-dimensional X-rays, Cone Beam CT helps clearly see the inflammation area as well as the tooth root, crown length measuring machine... helps doctors diagnose. Accurate inflammation and provide the most optimal indications. In addition, during the treatment process, the doctor also uses a root canal treatment machine to help the process proceed quickly, with high efficiency, and the customer experience is gentle, with fewer visits to the dentist (usually only 1 visit). Going to the dentist is to complete the treatment). At the same time, thanks to that, the cost of root canal treatment is not much.

QUICK ANSWERS TO 9 FREQUENTLY ASKED QUESTIONS ABOUT DENTAL PULPITIS AND ROOT TREATMENT:

1/ What causes pulpitis?

Pulpitis can be caused by the following causes: untreated tooth decay leading to pulpitis, trauma to the tooth (broken, chipped or cracked tooth), or some cases of pulpitis caused by incorrect porcelain crowns. designation, wrong expertise.

2/ Is pulpitis dangerous or not?

If left untreated, pulpitis can lead to the following consequences and complications:

• Headache, pain on one side of the face
• Damaged pulp (necrotic pulp) can follow the fistula and leak out at the root of the tooth, causing a root abscess or root cyst. Root cysts cause alveolar bone loss, loose teeth, and tooth loss.
• Teeth with pulpitis, when not restored properly, will easily calcify, rot and break, leading to complete tooth failure.

Therefore, if a tooth has pulpitis, it must be treated early, properly, and according to instructions.

3/ Does pulpitis go away on its own? And can pulpitis be treated at home?

Pulpitis cannot go away on its own and you definitely should not have root canal treatment at home. When your tooth has pulpitis, if you don't treat it properly, the condition will only get worse, the pain will get worse and last longer. Until the tooth pulp dies, you will no longer have pain, but you will face serious problems: black discolored teeth, root abscesses, gingivitis, alveolar bone loss, loose teeth...

In short, remember: Pulpitis cannot go away on its own and you cannot treat root canals yourself at home.

4/ Is root canal treatment painful?

With reversible pulpitis, the doctor only needs to clean the inflamed area and fill the decayed (chipped/broken) tooth. Can be filled with composite materials or ceramic fillings. And these don't cause much pain.

In the case of pulpitis requiring a root canal, the root canal treatment will be anesthetized first, and therefore will not cause significant pain to the customer. Of course, provided the doctor is skilled in the operation and provides good anesthesia (numbing/injection).

In general, saying root canal treatment is completely painless is not accurate! Root canal treatment does cause pain, but it is not too disturbing and we do not need to worry too much.

5/ How much does root canal treatment cost?

The cost of root canal treatment depends on the condition of pulp inflammation and the doctor's instructions. A reference at Phuong Dentist:

• In cases of reversible pulpitis, you only need to clean the deep hole (chip/fracture) then fill it with composite material with halogen photopolymerization technology and the cost is only from 300,000 VND - 450,000 VND.
• In cases of severe pulpitis (completely damaged pulp), the cost of removing the pulp, treating infected areas, treating root cysts... costs from 800,000 VND - 1,500,000 VND. And this cost does not include tooth restoration (fillings, inlays - onlays, or porcelain crowns).

6/ How long will a tooth with a dead pulp last?

In the case of a tooth with a dead pulp, if it is not restored with porcelain (porcelain crown, inlay-onlay), the tooth will calcify, rot and break in parts; After a few years, the teeth may be completely damaged. On the contrary, if the tooth has a dead pulp and is well restored, it can be used for a very long time, possibly up to several decades or longer.

7/ Is purulent pulpitis (pus fluid) dangerous and how is it treated?

Purulent pulpitis (purulent fluid) can often form root cysts causing gingivitis and pus appearing in the gums. In this case, it will cause alveolar bone loss and can cause loose teeth and the risk of tooth loss. Therefore, early treatment is needed.

In case of pulpitis and pus in the gums, it is necessary to turn the gum flap, clean the inflamed area, treat the root cyst and use medicine as prescribed by the doctor to treat the disease.

8/ How should pulpitis caused by porcelain crowns be treated?

In the case of pulpitis caused by porcelain crowns, it is often due to wrong indications for porcelain crowns (or overuse of indications) and poor treatment. In this case, you can consider one of the following two solutions:

• Root canal treatment through porcelain teeth: root canal treatment while still retaining the old porcelain crown;
• Remove the porcelain crown, treat the pulp and cover with a new porcelain crown.

Depending on the inflammation, the doctor will choose which solution to bring the most effective results.

9/ Can pregnant women (people who are pregnant) have root canal treatment?

People who are pregnant (pregnant) and have pulpitis can still have root canal treatment normally without affecting the pregnancy at all. However, you need to notify your doctor for a more suitable treatment solution.