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Pulpitis is an inflammation of the pulp. The pulp is a

Pulpitis is an inflammation of the pulp. The pulp is a

spongy soft tissue of nerves and blood vessels encased tooth structure. In the crown, the enamel and dentine encases the pulp. When the integrity of the enamel and dentine is compromised eg through decay, the pulp is exposed to irritants. This provokes a response which you feel as a toothache. Pulpitis may be • Reversible         • Irreversible
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Causes of pulpitis Caries progresses deeply into the dentin A tooth

Causes of pulpitis

Caries progresses deeply into the dentin
A tooth requires multiple invasive

procedures
Trauma disrupts the lymphatic and blood supply to the pulp
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Symptoms and Signs In reversible pulpitis, pain occurs when a stimulus

Symptoms and Signs

In reversible pulpitis, pain occurs when a stimulus (usually cold or

sweet) is applied to the tooth.
In irreversible pulpitis, pain occurs spontaneously or lingers minutes after the stimulus (usually heat) is removed. A patient may have difficulty locating the tooth from which the pain originates, even confusing the maxillary and mandibular arches (but not the left and right sides of the mouth). The pain may then cease for several days because of pulpal necrosis. percussion.
Diagnosis
Clinical evaluation
Sometimes dental x-rays
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Treatment Drilling and filling for reversible pulpitis Root canal and crown

Treatment

Drilling and filling for reversible pulpitis
Root canal and crown or extraction

for irreversible pulpitis
Antibiotics (eg, amoxicillin) for infection
In reversible pulpitis, pulp vitality can be maintained if the tooth is treated, usually by caries removal, and then restored.
In irreversible pulpitis, the pulpitis and its sequelae require endodontic (root canal) therapy or tooth extraction.
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Prevention The best way to prevent toothache is to prevent dental

Prevention

The best way to prevent toothache is to prevent dental

disease. Decay can be prevented by,
- A sensible diet -  limit snacking in between meals, and the consumption of refined carbohydrates eg sweets, cake, ice cream.
- Brushing your teeth with a fluoride tooth paste twice daily
- Flossing at least once a day
- Regular visits to the dentist for check up.