Chronic pulpitis - causes and symptoms of dental disease
Chronic pulpitis is characterized by the replacement of destroyed actual tissue with granulations. In some cases, there is a presence of purulent foci and fibrous tissue.
Chronic pulpitis is somewhat slower than the acute form of the disease. Often, the pathological process is accompanied by unstable aching sensations.
Sometimes, pain can be absent.
Types of Dangerous Disease
Three types of chronic pulpitis are distinguished in modern dentistry:
- Chronic fibrous.
- Chronic gangrenous.
- Chronic hypertrophied.
Features of chronic fibrotic form
Chronic fibrous pulpitis often occurs without an acute inflammatory phase. Sometimes this form of dental pathology is a consequence of an acute inflammatory process.
The main signs of chronic fibrous pulpitis are considered to be painful sensations arising from the contact of the affected tooth with a cold thermal stimulus. Painful sensations are formed not immediately after contact, but some time later.
Pain is strictly localized and does not extend to other areas.
During the dental examination, the dentist's gaze shows a deep pathological cavity. The pelvic horn is not opened, but if the dentist decides to perform this procedure, then there is a slight bleeding of the pulp, accompanied by a painful syndrome.
Features of chronic gangrenous form
Chronic gangrenous pulpitis is also called ulcerative necrotic pulpitis. This type of dangerous dental disease is a consequence of the purulent form of pulpitis.
Chronic gangrenous pulpitis is characterized by the necrosis of tooth pulp. During the procedure of opening the doctor marks a gray tint of the current camera.
Among the symptoms should be highlighted the presence of painful sensations, manifested in connection with the contact of the tooth with a hot food irritant. Painful sensations do not spread to other zones and are localized only in one area.
Features of the chronic hypertrophic form
With chronic hypertrophied pulpitis, aching pain is observed. If there is no pain, the pulp may bleed slightly.
Often, bleeding and pain occur when a person chews up rough food. For this reason, he tries to work with his teeth on the healthy side of the jaw.
The consequence of this "uneven" chewing food is the appearance of a specific plaque on the affected tooth. Also, due to incorrect oral hygiene, the patient has a bad "flavor" from the mouth.
Solution of the dental problem
It is important to remember that the treatment of chronic pulpitis should be correct and timely. In order not to appear in a situation similar to that described by the classic of English literature, instead of self-diagnosis, one must immediately visit a qualified dentist.
The treatment of chronic fibrous pulpitis in the modern dental clinic has the following objectives:
- rapid elimination of painful sensations;
- cupping of the inflammation focus;
- "reproduction" of the anatomical tooth of the tooth;
- restoration of the function of the affected tooth.
If the patient has addressed the dentist in a timely manner, the preservation of the decaying tooth tissue can be ensured by the intake of potent medicines. Otherwise, the dentist makes a decision regarding depulpation. The affected nerve is removed, and after thorough cleaning of the canals, a seal is inserted.
Despite the complexity of the procedure, the tooth with chronic fibrous pulpitis can be saved.
Help with gangrenous form
Treatment of chronic gangrenous pulpitis is carried out with the help of such a modern method as vital extirpation. The procedure is as follows:
- The dentist first provides infiltration-anesthesia.
- The doctor then isolates the affected tooth( kofferdam or special rollers come to the rescue).
- The next step is the preparation of the pathological cavity and treatment with antiseptics.
- Next, the dentist removes pathological contents and treats the actual zone with antiseptics.
- Temporary filling( term - week) is performed.
- The next step is the imposition of a permanent filling of the root canals.
The prognosis after treatment of chronic gangrenous pulpitis is generally favorable. Healing passes faster, and a person has the opportunity to return to normal, full-fledged life.
Help with hypertrophied form
Treatment of chronic hypertrophied pulpitis is carried out as follows:
- Anesthesia( the stage is relevant, since the treatment of this form of dental pathology is marked by pain).
- Elimination of the pulpal polyp and other pathological neoplasms( at this stage the dentist uses arsenic paste).
- Cleansing of the cavity( performed on the second day).
- Formation of the root channel.
- Restore the functionality of the tooth( carried out with the help of photopolymers).
With timely access to the dentist, this dental pathology is easily cured.
If the treatment of the disease is not treated with proper severity, it is transformed into a more complex and dangerous periodontitis.Like the article? Share with friends and acquaintances: