Will gingivitis cause gum pain?

Written by Li Bao Hua
Dentistry
Updated on January 05, 2025
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Pulpitis is an inflammatory response of the dental pulp tissue caused by a bacterial infection. In the early stages of pulpitis, there is no pain in the gums, as the inflammation is limited to the roots of the teeth, affecting only the pulp within the root canals. This condition can be alleviated through dental treatment, and there are no symptoms in the gums. However, if pulpitis is not treated in a timely manner, the inflammation can progress to the root apex. If not properly drained on time, an abscess can form, meaning the inflammation would break through the gums and begin to discharge pus. This scenario can cause pain in the gums. Therefore, while early pulpitis does not cause gum pain, in the later stages, an abscess in the gums forms, and pain is experienced.

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Written by Li Bao Hua
Dentistry
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What are the symptoms of pulpitis?

Pulpitis is a painful condition that occurs due to bacterial infection of the dental pulp tissue. Pulpitis has its own typical symptoms, including pain triggered by temperature changes. Eating foods that are cold, hot, sour, or sweet can cause severe pain in the dental nerves. Additionally, temperature stimuli intensify the pain; both cold and hot water can cause tooth pain. During the acute suppurative phase, there is pain with heat and relief with cold, meaning drinking hot water causes pain, whereas drinking cold water can alleviate it. Another typical characteristic of pulpitis includes nighttime pain; often there is less pain during the day, but at night or after falling asleep, the pain can awaken the individual from sleep.

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What is pulpitis?

Pulpitis is also an inflammatory reaction occurring in the pulp tissue, caused by the further infection of bacteria when tooth decay is not timely halted, and it represents the natural conclusion of tooth decay. The dental tissues are divided into enamel, dentin, cementum, and pulp tissue, with the pulp tissue located on the innermost side, which is commonly referred to as the dental nerve. If the bacterial infection is not promptly halted in the early stages within the hard tissues of the tooth, that is, if the tooth is not filled in time, the bacteria then further infect the innermost pulp tissue, causing inflammation of the pulp tissue, which is clinically referred to as pulpitis. Pulpitis involves severe pain, necessitating prompt root canal treatment for the tooth.

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How is pulpitis caused?

Pulpitis is generally caused by the progression of dental caries. Bacteria infect the hard tissues of the tooth, which is referred to as dental caries in the early stages. If the decayed parts are not removed in time for dental filling, meaning the teeth are not filled promptly, the bacteria will further infect the pulp tissue, leading to pulpitis. Pulpitis is actually the outcome of further bacterial development. However, if pulpitis is not treated in time, the inflammation can advance to the root apex, causing apical periodontitis. Therefore, pulpitis requires prompt endodontic treatment of the tooth. After controlling the inflammation, the root canal is filled. Following the filling of the root canal, the top of the tooth crown is sealed, which involves the filling of the tooth.

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Does pulpitis require hospitalization?

Pulpitis does not require hospitalization; it can be treated routinely in a dental outpatient clinic. Pulpitis results from the progression of caries. If dental caries are not addressed early with fillings, bacteria can infect further, reaching the dental nerves and causing symptoms of pulpitis. Severe pulpitis can cause pain when eating, pain at night, and poorly localized pain, which might radiate to the temporal area of the ear, causing intense discomfort. Routine outpatient treatments for pulpitis include nerve removal, anti-inflammation, and finally, root canal filling. A comprehensive root canal treatment can effectively resolve the symptoms of pulpitis, making hospitalization unnecessary.

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Pulpitis alleviated by cold water

Relief from pulpitis with cold water is a typical clinical manifestation of acute suppurative pulpitis, characterized by pain with heat and relief with cold. It is common to see patients coming to the clinic holding cold water or holding cold water in their mouth to help alleviate the pain. For this type of acute suppurative pulpitis, the initial treatment should involve opening the pulp to relieve pressure. After the pressure is relieved, a devitalizing agent is used to devitalize the tissue, which is commonly referred to as "killing the nerve." Once the nerve is dead, the pulp tissue loses its sensory function, and the intensity of the pain will be alleviated.