Treatment of Pulpitis

We will make an accurate diagnosis, perform painless treatment, and try to save the nerve

At the "Kiadent" clinic of customized dental prosthetics, we offer biological and surgical treatment for pulpitis at prices lower than the average rates in Odessa.

What is Pulpitis?

Pulpitis is an inflammatory disease of the dental pulp (commonly referred to as the tooth nerve or neurovascular bundle), which can occur due to:

delayed treatment of dental caries;
development of inflammation under a crown;
trauma that compromises its sterility;
damage to the pulp due to a dentist's error during caries treatment or tooth preparation for a crown.

Since the pulp is rich in nerve endings, its inflammation causes severe pain.

Prices

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The cost of pulpitis treatment depends on the following factors:

the number of root canals in the affected tooth;
the method of pulp removal (vital or devital);
the extent of tooth damage (including the amount of filling required and the need to reinforce the crown with fiberglass, titanium, or solid cast posts);
the type of filling material.

Full list of pulpitis treatment services:

Dentist consultation
Treatment of single-root tooth pulpitis
Treatment of two-root tooth pulpitis
Treatment of three-root tooth pulpitis

Severe toothache

The condition starts with acute pain in the affected tooth, requiring immediate attention from a dentist.

Classification

Acute

Characterized by sharp pain, which sometimes cannot be relieved even after taking analgesics.

Based on the spread of inflammation, pulpitis is classified as:

Focal. The pathology only affects the apical part of the tooth, causing brief pain when pressure is applied.
Diffuse. The inflammation reaches the crown and root canals, often causing intense pain lasting several hours. The pain can also radiate to the ear, temple, or neck.

Chronic

This type progresses with almost no symptoms. Occasionally, there may be a dull ache that subsides during remission, giving the impression that the inflammation has passed. It is usually diagnosed via an X-ray. There are three forms of chronic pulpitis:

Fibrous. Characterized by significant growth of connective tissue inside the affected tooth, which impairs proper blood supply, leading to its necrosis.
Gangrenous. A decaying inflammatory process accompanied by necrosis of the root pulp tissue. This form develops from fibrous pulpitis when left untreated.
Hypertrophic. The infected pulp tissue continues to grow and is covered with granulations (polyps), disrupting the pulp's normal functioning.

Symptoms

Depending on the form of the disease, pulpitis may present the following symptoms:

acute pain (often at night) not caused by an external irritant;
pain response to stimuli (hot/cold, sweet/sour);
sensitivity during percussion (tapping) of the affected tooth.

You could lose the tooth and develop an abscess

Failure to treat pulpitis may result in tooth loss and the spread of infection to the surrounding bone, leading to an abscess, phlegmon, or osteomyelitis.

At the first sign of pulpitis, schedule a consultation with a therapist at the "Kiadent" clinic.

Diagnosis

Percussion

During the visual examination, the dentist gently taps the suspected tooth with the blunt end of a probe. Pain during percussion indicates pulpitis. To confirm, the dentist may apply pressure on the tooth for 15–20 seconds and ask the patient if they feel pain after releasing the pressure.

Electrodontometry

The dentist applies a low-strength electric current to the tooth, and based on the reaction, determines the form of pulpitis. For example, a reaction to 60-80 μA current suggests gangrenous pulpitis.

X-ray

A targeted X-ray helps confirm the diagnosis, determine the inflammation’s location, and assess the condition of the periapical tissues.

Treatment Methods

Biological (Conservative)

In the early stages, pulpitis can be successfully treated with conservative therapy, which preserves the pulp or removes only the crown portion while leaving the root (vital amputation/pulpotomy).

Biological treatment is indicated for patients:

with acute focal pulpitis;
under 30 years of age;
without chronic diseases.

Surgical

In advanced cases, surgical removal of the infected pulp is required, using either the vital or devital method. Vital removal is performed immediately under local anesthesia, while devital removal takes place 24–48 hours after applying arsenic-based devitalizing paste.

Surgical treatment of the pulp is indicated in the following cases:

Deep caries has affected the pulp;
inflammation is accompanied by pus formation;
ulceration in the pulp (gangrenous form);
trauma has exposed the root canal.

Dentist’s advice

When the crown is severely damaged, titanium or fiberglass posts may be used along with filling materials. Afterward, it’s recommended to cover the tooth with a crown .

Stages

Conservative Treatment

1st Step: First visit
Local anesthesia is administered to ensure the patient feels no pain.
2nd Step
The dentist removes decayed enamel and dentin.
3rd Step
Medicinal treatment of the tooth cavity is performed, followed by the application of a calcium-containing lining at the base.
4th Step
An insulating layer is placed, and a temporary filling is applied.
5th Step
The dentist prescribes a course of physiotherapy and nonsteroidal anti-inflammatory drugs.
6th Step: Second visit
The temporary filling is replaced with a permanent one.

Surgical Treatment

1st Step: First visit
Under local anesthesia, the dentist removes decayed tooth tissues and partially drills healthy hard tissues to ensure visibility of the root canals.
2nd Step
The dentist extracts the tooth nerve and measures the length of each root canal.
3rd Step
Using a K-file, the root canals are widened and thoroughly cleaned with an antiseptic solution.
4th Step
Antiseptic-soaked tampons are placed in the canals, followed by a temporary filling.
5th Step: Second visit
The dentist removes the temporary filling and irrigates the canals with antiseptic.
6th Step
After drying, the canals are sealed with gutta-percha up to the tooth's apex. An X-ray is taken to assess the quality of the canal filling.
7th Step: Third visit
A permanent filling is placed.

Prevention

To prevent pulpitis, follow these recommendations:

brush your teeth twice a day, and use additional hygiene tools (floss, irrigator);
have your teeth professionally cleaned every six months;
treat dental caries in its early stages.

Questions and Answers

Does pulpitis treatment in baby teeth affect permanent teeth?
No, because the pulp of baby teeth and permanent teeth are not connected. Timely treatment of pulpitis in baby teeth prevents infection from spreading to the permanent teeth.
Can pulpitis be treated at home?
Let’s remind ourselves what pulpitis is: it’s inflammation of the tooth nerve due to infection. It is impossible to clean the root canals from infection at home. Using home remedies or delaying a clinic visit will only make the condition worse.
Can pulpitis be treated with antibiotics?
Caries-causing bacteria are resistant to antibiotics, and clinical research has shown that they are ineffective in treating pulp inflammation.
What are the risks of depulpation?
Nerve removal is a last resort and only performed when necessary. Without the nerve, the tooth lacks essential minerals, and its blood supply is compromised. Over time, a depulped tooth may darken and become brittle.
What should I do if my tooth hurts after pulpitis treatment?
Let’s remind ourselves what pulpitis is: it’s inflammation of the tooth nerve due to infection. It is impossible to clean the root canals from infection at home. Using home remedies or delaying a clinic visit will only make the condition worse.