Does pulpitis require tooth extraction?

Written by Li Bao Hua
Dentistry
Updated on September 03, 2024
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Pulpitis does not require tooth extraction but necessitates root canal treatment. Pulpitis is a symptom caused by deep dental decay and bacterial infection reaching the dental nerves, manifesting as pain when eating or nocturnal pain. The inflammation in pulpitis is confined within the pulp and does not affect the root apex area. This infection can be resolved through comprehensive root canal treatment. The treatment begins with nerve devitalization; after the nerve is killed, infected dental tissues are removed using a drill, extracting the purulent dental nerve. Subsequently, medication is applied in the root canal. After inflammation is controlled, the root canal is filled. After treatment, the tooth affected by pulpitis can be preserved without extraction.

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Written by Fang Xiao
Dentistry
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Can pulpitis heal by itself?

Pulpitis is more difficult to heal on its own. It is a disease caused by bacterial infection of the pulp tissue and is irreversible. The pulp is located inside the pulp chamber, and once inflammation occurs, it is difficult to heal on its own, and even if it heals, it is only temporary. Pulpitis requires timely treatment. If not treated promptly, the progression of the disease may lead to complications such as periapical periodontitis and periodontal abscess, which not only increase the difficulty of treatment but also cause pain to the patient, affecting their normal life. To treat pulpitis, it is necessary to remove the pulp and eliminate the infection inside the root canal with root canal treatment. Only by doing so can the tooth be preserved. Therefore, it is important to maintain oral hygiene, brush teeth in the morning and evening, rinse after meals, and use the internationally recognized Bass method for brushing.

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Written by Li Bao Hua
Dentistry
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How to deal with the pain from molar pulpitis?

Pulpitis in molars can be painful and requires dental treatment. During the treatment of pulpitis, the first step is to use a drill to remove the infected dentin and bone. If the dental nerve is exposed and the inflammation of the pulp is severe, a nerve-killing treatment can be conducted. In cases of acute inflammation, it is necessary to first open up the tooth. Once the inflammation subsides, nerve-killing treatment can proceed. Otherwise, the pressure is too great and the pain may intensify. If the pain is unbearable during the drilling process in the treatment of pulpitis, local anesthesia can be administered to the tooth. Once the anesthesia takes effect, the pain will be significantly less during the drilling stage.

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Written by Fang Xiao
Dentistry
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Does pulpitis not require treatment?

Pulpitis must be treated promptly. Pulpitis is when the dental pulp inside the tooth cavity, where the nerves are located, gets infected or damaged. Early symptoms often include severe pain such as spontaneous pain, intermittent pain, pain due to temperature stimuli, and nocturnal pain. If the inflammation and lesions are not removed, the pulpitis can spread to the root apex with the necrotic tissue, causing destruction of the root apex tissues and leading to periapical periodontitis. If periapical periodontitis is left untreated, it can lead to cysts at the root apex, causing chronic periapical periodontitis. Periapical periodontitis may also spread to the bone marrow or adjacent interstitial tissues, leading to interstitial infections or osteomyelitis, which are very serious conditions. Therefore, pulpitis must be treated promptly. Since the pulp chamber is a closed tissue, infections typically require root canal treatment for a complete cure.

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Written by Li Bao Hua
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Does pulpitis require dental fillings?

Pulpitis requires dental restoration. Pulpitis, caused by bacterial infection reaching the dental nerve, manifests as severe pain, including sensitivity to hot and cold, nocturnal pain, and diffuse pain that cannot be localized. Typically, pulpitis in one tooth can cause pain in the adjacent upper and lower teeth on the same side, making it difficult to pinpoint the exact tooth responsible. Before performing dental restoration for pulpitis, treatment of the tooth is necessary. This includes removing the infected dental nerve, followed by medication within the root canal and controlling the inflammation. Afterward, the root canal is filled. Thus, root canal treatment is required before dental restoration can proceed in cases of pulpitis.

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Written by Li Bao Hua
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Can pulpitis be treated by tooth extraction?

Pulpitis should not be treated by extraction. Pulpitis is simply a painful response caused by an infection of the pulp tissue and can be managed by preserving the tooth through root canal treatment. First, drill to remove the infected dental tissue, and when the dental nerve is exposed, apply a nerve-killing medication. After the nerve is destroyed, thoroughly remove the infected tissue, then seal the root canal, and after inflammation is controlled, fill the root canal. With treatment, it is possible to preserve teeth with pulpitis and extraction should not be performed. Removing a tooth during an active episode of pulpitis may lead to the systemic spread of inflammation.