The most important things about pulpitis
In order to understand how the treatment will proceed, it is important to understand the internal structure of the tooth. It looks like… matryoshka!
On top is the enamel. It is thin, smooth and moderately durable. It is thanks to her that our jaws are maximally protected from the effects of microbes. Inside the gum, enamel becomes cement.
Inside the enamel there is a hard tissue, dentin. It's function– is to give the tooth volume and hardness, as well as protect the third«matreshka» - pulp. It consists of connective tissues and penetrated by blood and lymph vessels and also by plexuses of nerves (they are conductors of pain). Here also the root canals begin.
The main mission of the pulp is– to deliver nutrition to tissues, protect the jaw from infections and pathogens. The subgingival part is called the crown. The root goes into the gum.
Pulpitis– this is a soft tissue lesion,«core of » tooth. If left untreated, the inflammation goes lower to the roots, then to the periosteum and jaw. The development of the disease is painful: temperature rises, the pain is unbearable, and the recovery is harder and harder. The cost of treating pulpitis depends on the stage of the disease.
Why does pulpitis occur?
Prevention,– thorough regular oral care, control at the dentist in Moscow
Examination with the apparatus of Myotonic ("Tens")
We listed the causes of the development of the disease:
- Most frequent is– untreated deep caries. It first affects the enamel, then the dentin and begins an attack on the connective tissue. And since the nerve plexus is located in it, the pain from the affected nerves is very strong. Pills can not cure, only slightly and briefly muffle the discomfort. In this case, toothache can be reflected into eyes, head, facial nerves areas.…
- Often the disease occurs due to injuries, burns, chemical exposure. There are many cases of the disease recorded as a result of another dental intervention.– for example, preparation for prosthetics. That is why it is necessary to carefully choose a dental clinic, make sure the doctor’s qualifications, find out the reviews of previous patients.
- And finally, in rare cases, the pulp is affected by infection through the bloodstream and lymphatic system.
First stage– focal acute pulpitis of the tooth– lasts about a couple of days. It occurs next to caries. Patients describe sensations as«shots» in the mouth, sharp pointed pain with interruptions. Most often, pain comes at night, depriving sleep and rest. Food, drink, abrupt change in umlegend temperature– cause new pain. If you do not consult a doctor immediately, the process goes into the second stage.
Diffuse pulpitis affects the tooth further, both the root and the crown. The pain becomes prolonged, reflects into the jaw and head. This stage lasts about 14 days.
Chronic pulpitis occurs if the acute stage is not treated. It can lasts for several years, slightly disturbing the patients who– «takes pills »and avoid chewing on the affected tooth and contrasting temperatures. Toothache feels stronger under pressure.This stage is divided into three, depending on the proliferation of the process and the joining of infection: the most common - fibrous, hypertrophic and ulcerative.
How is pulpitis treated?
Depending on the stage of the disease, the doctor determines a plan and discusses it with the patient. How much treatment costs is associated with the number of necessary medical procedures.
It’s important to realize that chronic disease can be treated only by removing the pulp. And acute– sometimes can be treated only by traditional methods.
Buut much more often the lifestyle does not allow you to go to a specialist in time and be cured. Then we are talking about extirpation, taking out inflamed tissue.
How is it carried out:
If there is no reaction to anesthetics– live pulp tissue and the affected nerve (vital method) being removed. If this is not possible,– then pulp«is being killed by» drugs (usually arsenic), and closed with a temporary filling (devital). At a subsequent appointment, dead tissues are being cleaned out and a permanent seal is being put. This method is suitable for single-root teeth. Buut it can not be used if there is pus or tissue necrosis.
Amputation is being used only with children for many reasons. One of them is to leave the tooth with pulp as much as possible so that it can develop correctly. In adults pulp is being removed immediately, and canalis being filled. If pulpitis is not treated for a long time, then comes periodontitis - infection of the bone tissue around the root. Then pulp is being removed, channel is being cleaned from infection and medicine is being left for 2 to 3 weeks. As time goes by canal is being re-cleaned and the doctor estimates to fill the canal at this visit or leave the drug for another 2 weeks. After passing all the necessary manipulations, the channel is being sealed.
The longer patient delay the appointment– the longer pulpitis will be treated, and the more it will cost. Modern technologies make it possible to anesthetize the procedure as much as possible, but it will take a lot of time and, unfortunately, it is difficult to achieve complete comfort in the treatment.
|General practitioner consultation||1000 rub|
|Infiltration anesthesia||600 rub|
|Application anesthesia||100 rub|
|Cofferdam isolation||500 rub|
|Mechanical, drug processing of 1 root canal||2 000 rub|
|Mechanical, drug processing of 2 root canals||2 500 rub|
|Mechanical, drug processing of 3 root canals||3 000 rub|
|Removing the old filling material (resorcinol-formalin) of 1 root canal||2 000 rub|
|Removing the old filling material (resorcinol-formalin) of 2 root canal||3 000 rub|
|Removing the old filling material (resorcinol-formalin) of 3 root canal||4 000 rub|
|Removing the old filling material (paste) of 1 root canal||1 500 rub|
|Removing the old filling material (paste) of 2 root canal||2 000 rub|
|Removing the old filling material (paste) of 3 root canal||2 500 rub|
|Temporary root canal filling with Metapex paste||1 000 rub|
|Root canal filling||1 800 rub|
|Endo-whitening 1 root canal||740 rub|
|Preparing a canal for post and core||700 rub|
|Extirpation of pulp 1 canal||500 rub|
|Extraction of a foreign object (tool, pin)||3 500 rub|
|Installing an intra-channel pin (fiberglass)||2 270 rub|
|Treatment of pulpitis of a three-canal tooth (without filling and crown)||9 600 rub|