The treatment of tooth pulpitis is a rather complicated process that simply cannot be carried out using ordinary pharmaceutical preparations or methods taken straight from traditional medicine reference books. Simply put, a person suffering from such a pathology has only one way out, and it consists of a visit to a specialized specialist. An experienced dentist who examined the oral cavity, and then collected a certain history, can easily determine the degree of the disease and the stage of tissue damage.

Of course, the doctor will without fail prescribe a competent treatment that relieves the patient of prolonged and severe pain. Therefore, it is impossible to stop such symptoms with analgesics and not seek help from the world at all. Painkillers only muffle the discomfort, in no way solving the underlying problem that has become the central reason for visiting a doctor.

treatment of reversible pulpitis

Tooth pulpitis: what is it and how to cure it

In classical dentistry, this term is commonly understood as a pathology, as a result of which the neurovascular bundle, called the pulp, becomes inflamed. This part of the tooth structure is located deep in the adjacent tissues, being under a reliable cover from the side of the enamel and dentin. However, even it cannot always protect loose fibrous tissue from various injuries or infections. As a rule, the disease in question occurs against the background of ordinary caries, but sometimes there are situations when the infection comes with the bloodstream.

The main symptomatology of the disease, which is an ordinary inflammation of the internal elements of the tooth, is a sharp, throbbing pain. Of course, discomfort without much difficulty (at least at first) is stopped by analgesics. It is worth saying that coping with pathology with the help of tablets and traditional medicine methods will not work from the word at all. The inflammatory process left without proper attention from the profile doctor will gradually lead to the formation of purulent congestion, flux, and complete loss of dental structure.

Types and symptoms of pulpitis

As mentioned earlier, the pulp is a special neurovascular bundle, which, at first glance, is well protected by enamel and dentin. However, various pathogenic bacteria can still penetrate it, appearing, for example, due to infected blood flow, mechanical trauma, diabetes mellitus, osteoporosis, and so on. In modern dentistry, there is a clear classification that allows you to divide this disease into a list of main groups.


Pathology is a banal complication of deep caries. It is accompanied, of course, by extremely strong, almost unbearable painful sensations, which, as a rule, unfold at night. It comes in two main formats:

Focal – the basic type of pulpitis, lasts for two to three days. It is characterized by a sharp, shooting pain that disturbs the patient for several minutes or hours.
Diffuse – a further type of disease, as a result of which inflammation moves to the root of the tooth. A person suffers from it for at least a few weeks, after which the pathology becomes permanent.
Please note: it is easy to guess that the sooner the applicant is able to visit dentistry, the easier it will be for him to get rid of the disease. The initial stages of the inflammatory process lend themselves to a clear classification, due to which it is possible to fix the presence of suspicious symptoms in time, including on their own.


The answer to the question of how to properly treat tooth pulpitis in dentistry in adults most often concerns the neglected, rather severe formations of the disease in question. Such pathologies, of course, are divided into their groups and classes:

  • Fibrotic;
  • Gangrenous;
  • Hypertrophic.

symptoms of pulpitis

All of them are accompanied by extremely diverse, but almost always unpleasant symptoms. For example, a person suffering from a complex inflammation of this kind will have regular, sharp, and severe pain, putrid breath, bleeding, and so on. In addition, the patient may encounter polyps, abscesses, and fluxes.

Is it possible to treat tooth pulpitis: methods used by doctors

It is not difficult to guess that such an extremely common and regularly occurring disease has received an extensive list of instructions for medical interaction. Procedures for the treatment of inflammatory processes that originate in the pulp take a variety of forms: from biological effects to radical surgical interventions. As mentioned earlier, a person will not be able to cope with such a disease on his own. It does not lend itself to any recovery, the results of which are hoped for by people who use ordinary pills from a pharmacy or traditional medicine.

Conservative method of treatment of pulpitis

The simplest option is used by dentists for patients suffering from focal, acute, and fibrotic infections. It consists in carrying out a certain list of fairly easy and quick procedures:

  1. Pain relief with local anesthetics.
  2. Removal of affected tissues using, for example, a drill.
  3. Treatment of the oral cavity with any specialized antiseptics.
  4. Applying an insulating pad.
  5. Installation of a temporary filling product.

The result of such operations is a whole range of positive aspects. The patient is relieved of severe inflammation, metabolic processes are restored, dentin regeneration begins, and so on.


It is possible to understand what dental pulpitis is and how to treat the pathology in question, including through a detailed analysis of the methods that require the use of any type of surgical intervention. The main indication for the use of such instructions is the presence in a person of a diffuse, focal, and chronic inflammatory process of a fibrous and hypertrophic type. All activities are carried out according to strictly defined instructions:

  1. Anesthesia by introducing local, conductive anesthesia into the body.
  2. Isolation of the affected area with sterile rollers and pads.
  3. Opening the carious plane and treating the foci with an antiseptic.
  4. Excision of the coronal part of the pulp extractor.
  5. Expansion of channels and their treatment with antiseptic agents.
  6. Preliminary and final filling performed after X-ray.

It is easy to guess that only an experienced doctor with many different skills can cope with a series of such procedures at the highest quality level. It is these specialists who work in the dental center “Dentika”.

Treatment of pulpitis with the removal of the dental nerve

Another event characterized by fairly high complexity. As a rule, all medical interventions are performed in two stages. During the first of them, the specialist:

  1. Removes the carious plane.
  2. Removes the damaged tissue of the pulp itself.
  3. Treats the excision site with an antiseptic.
  4. Carries out work on the installation of temporary seals.

Approximately one to two weeks later, the patient necessarily comes to the second session. As part of the additional (finish) procedure, the following actions are carried out:

  1. Removal of short-term fillings.
  2. Inspection and cleaning activities are carried out.
  3. The oral cavity is exposed to antiseptic agents.
  4. A permanent material is installed to fill the voids in the dental process.

The main advantage of all processes is the ability to maintain a healthy dentoalveolar element. In addition, the person subsequently feels positive effects due to the regeneration of the vitality and sensitivity of the pulp itself.

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Treatment of pulpitis of a multi-rooted tooth

A digital technique, in which the doctor performs the initial killing of the problem area using a special necrotizing paste. In the past, physicians involved in such work used ordinary arsenic, which was placed in the carious plane for several days.

pulpitis of a multi-rooted tooth

Today, modern medicine has stepped forward, providing the masters with a much wider range of tools. Employees of the dental center “Dentika” use the most sparing preparations that do not kill nerve tissue in the oral cavity. It is not difficult to guess that the use of such substances is a completely safe operation.

Pulpitis extirpation

Probably the most radical method of treatment, which includes a whole range of processes to remove the inflamed neurovascular bundle, followed by sanitation and filling. The doctor can undertake its implementation only in the case when any other methods of therapy clearly will not lead to success. As in previous cases, the procedure is implemented in a vital and digital format: under the influence of local anesthesia or using a necrotizing paste preparation. Depending on how difficult the disease is, the specialist may need from 3 to 4 sessions, the result of which, of course, will be the complete cure of the patient from the specified range of problems.

Other treatments

In 2021, there are additional ways that allow doctors to save people from the troubles associated with inflammation of the pulp:

  • Laser therapy;
  • The complex physiotherapeutic processes.

Both of these operations, in principle, can also answer the question of how to cure pulpitis without removing the nerve. True, they can be involved only in the early stages, when the pathology has not yet had time to develop and acquire serious symptoms. In addition, in order to use such funds, a person will need to contact a truly modern and advanced clinic with an experienced medical team. For example, a set of works related to the use of a laser is carried out exclusively in the presence of high-quality, proven equipment. Such installations, of course, are present in the departments of the dental center “Dentika”.

Is it possible to cure pulpitis and how nerves are removed: types of anesthesia

As mentioned earlier, inflammation of the pulp is an extremely painful pathology, which primarily affects the nerve endings inside the oral cavity. The process of its treatment necessarily includes an operation to select a high-quality and suitable antiseptic for a particular person. Moreover, the drug is applied to the right places using various methods:

  • Application;
  • Infiltration;
  • Conductive;
  • Stem.

In the form of anesthetics, there are traditional pairs of lidocaine and novocaine, as well as more advanced and modern formulations: Ultracaine, Ubistezin, Septanest, and so on.

Stages of treatment

Most of the operations, the main task of which is to heal the inflamed pulp, can be divided into a list of conditional stages:

  1. Excision of dental tissues.
  2. Extraction of the neurovascular bundle itself.
  3. Channel cleaning.
  4. Sealing.

Any more or less qualified dental specialist can clearly answer the question of how pulpitis is treated in 2 visits with the removal of teeth and nerves. However, not everyone, even experienced doctors, had to deal with the most severe forms of such a disease. It is not difficult to guess that the key to the success of the entire therapy as a whole is a visit to a specialized master who knows how to handle modern equipment and the advanced nomenclature of today’s pharmacological preparations. Among such professionals, of course, are the employees of the dental center “Dentika”.

Is it painful to treat pulpitis?

Inflammation of the pulp is a disease characterized by pronounced, extremely acute symptoms, mainly in terms of pain. Almost any manipulation with a damaged element of the oral cavity causes severe discomfort to the patient of medical clinics. However, such a problem is stopped quite simply – a good dentist can easily select a high-quality, suitable anesthetic. That is why the process of surgical intervention, as a rule, takes place without third-party excesses. Much more unpleasant sensations await people who refuse to visit a doctor in a timely manner.

Tooth pulpitis

Why does a de-pulped tooth hurt?

There may be several reasons for this situation:

  • Illiterately installed filling material injures tissues;
  • The specialist made a mistake when filling in;
  • The tooth root was damaged;
  • The carious plane was simply not cleaned at a sufficient level;
  • The human body gave an allergic reaction to the components of therapy.

When such problems appear, the patient must definitely consult a doctor, heading to the clinic in which he underwent this or that operation. However, it is worth saying that in good hospitals, specialists, as a rule, do not make mistakes.

Treat or remove a tooth with pulpitis: what is the danger of this disease

Inflammation of the pulp is a pathology that can lead to a whole range of unpleasant and rather terrible consequences:

  • Loss of the tooth process;
  • The beginning of a purulent infectious process;
  • Flux formation;
  • Severe sepsis of the oral cavity;
  • Development of periostitis;
  • The formation of periodontitis;
  • Osteomyelitis and so on.

That is why a person who has noticed the initial symptoms of the disease in question should definitely contact a specialized dentist. As mentioned earlier, such a disease is not treated with pills from a pharmacy, as well as with the methods offered by reference books on traditional medicine. Only a good doctor with the appropriate skills, knowledge, and experience can help get rid of discomfort. He will easily tell you how to treat pulpitis of the gums or a tooth under a filling in an adult, and also select a high-quality therapeutic course for postoperative recovery.


You can save yourself from cases of pulp inflammation by introducing elementary rules:

  • Regular oral care;
  • Removal of caries in the early stages;
  • Healthy and competent diet;
  • Systematic use of dental floss;
  • Selection of quality pastes.

Another fairly simple but extremely important tip is to visit the dentist at least once every six to seven months.

Summing up

It is extremely simple to understand what the treatment of pulpitis is without removing the nerve in the dentistry of the modern world. In fact, this disease is a serious problem only in one case – if a person refuses to go to the hospital in a timely manner. A qualified doctor will be able to make an appropriate diagnosis literally after the first examination. Then, of course, competent and correct therapy will begin.