Characteristic symptoms and methods of treatment of gangrenous pulpitis

August 12, 2017 23:00 | Secondary Headaches

1 Causes of the development of the pathology

Quite often inflammation that occurs in the cavity of the tooth is preceded by caries when it is not cured or triggered.If a person's feet freeze, gangrenous pulpitis , reminds oneself of painful symptoms.

Picture 1

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Festering microorganisms are able to penetrate through:

  • paradontal channels;
  • blood vessels or lymph;
  • crumbled crown.

Inflammation of soft tissue can be preceded by osteomyelitis or periodontitis, which affects a nearby standing tooth.Provokes pathology is also an infectious disease of the type of sinusitis.

Chronic gangrenous pulpitis sometimes starts if the root is damaged, part of the crown is broken off, which can occur when the tooth is grinded for further prosthetics.This form of inflammation of the tissue sometimes o

ccurs if there is no outflow of exudate, which happens with chronic fibrotic pulpitis.The disease can be the result of an acute diffuse type of pathology, in which the bottom of the tooth cavity, destroyed by caries, is opened.

2 The main features of

In what form the inflammation occurs depends on various factors.It is more difficult for people who have weak immunity, because the body does not resist the bacteria .

Picture 2

Chronic gangrenous pulpitis differs from the acute form in that necrosis develops not only in tissues crowns, but also the root is destroyed. There is fibrosis, inflammation affects the arteries, and blood clots form in the veins.

Severe pain does not torment a person if the cavity in the tooth is not closed and the exudate has a path through which it can come out.When biting and eating hot, an unpleasant feeling arises.On such phenomena the inflammation of the pulp signals aching pain.

When the decayed tissues do not find a way to leave, the smell of rot appears in the mouth, the crown changes color to a grayish shade or blackens at all.The person swells up the lymph nodes located under the jaws.When you press on them, you feel discomfort.As the exudate remains inside the tooth, the pain becomes unbearable.The gums near the crown swell, turns red in color, fistula can form, ulcerative process develops.

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3 Features of the course of the disease in children

Inflammation in which the pulp is damaged is infrequent for children.Symptoms of pathology do not make themselves felt if the roots are not completely formed.The tooth changes color, often there is exudate inside its cavity.

Picture 4

Pathology in infants is usually detected in chronic form when the crown is severely damaged.There is a disease after getting an anaerobic infection.Dangerous that, it can destroy the periosteum, damage the jaw.To prevent this, the pulp is removed.

4 Diagnosis methods

In order to determine the problem that has arisen in the oral cavity, the dentist asks the patient about the painful sensations, how long they are concerned, about how their teeth respond to the cold and hot.After that, the specialist starts a visual inspection, in which he notices:

  • crown destruction;
  • unnatural tooth color;
  • grayish coating on nerve endings;Necrotic particles in the cavity of
  • .

Picture 5

During probing, it is determined how much the soft tissue is affected, if the effect on the pulp does not cause pain, it signals that it can not be restored.

Other diagnostic methods use thermometry, which heats the tip of the probe and touches the crown to determine the presence of sensitivity.

Radiography is performed with the help of a viziograph.The device takes pictures of the structure of the tooth and tissues that surround it.Thus the information is written down on the computer.It allows you to see the appearance of the periodontal gap, the destruction of bone tissue.


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Sometimes an electrodiagnostic is assigned, in which the current is sent to the pulp.The reaction reveals the problem area.

5 Therapeutic tactic

If necrotic particles are present inside the cavity of the tooth, then conservative treatment of gangrenous pulpitis is already useless, since this pathological process can not be stopped.Rinse with infusion of elderberry with sage or sporich, use of hydrogen peroxide, ara, propolis can relieve pain for a while, but to eliminate inflammation this way will not help .

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Rotting areas of the are removed by resorting to the vital extirpation of the .

This surgical method of treatment is not suitable for people who are affected by tuberculosis, hemophilia, have high blood pressure, are ill with ulcerative necrotic stomatitis.Do not perform surgery for women one week before the birth, patients with disturbed psyche.

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Treatment is started with anesthesia:

  • conductor;
  • infiltration;
  • intraligamentary.

For the anesthesia in the form of injection, the drug Ultracaine is used.To isolate the affected tooth, use a cofferdam or a sterile roller of cotton wool.After this, the cavity is treated with antiseptics, the infected dentin is removed.

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The mouth of the canals opens.To expand them, pass a special needle, and then give shape in the form of a cone.Pus and the remains of necrotic pulp are washed out with a sodium hypochlorite spray solution.

For several days, the antiseptic is applied to the cleared area in the form of a paste.

The length of the root canal is determined by the device, which is called the apex locator, using a photograph taken by fluoroscopy, or by using pins.The process of vital extirpation is completed by applying a seal of composite material.Treatment is not done in one visit.

6 Additional therapeutic techniques

To cure gangrenous pulpitis in children and adults with severe and moderate pathology, an extirpation method is sometimes used in which:

  • exposes affected soft tissue;
  • impose a paste - arsenic or paraformaldehyde;
  • remove the pulp;
  • after processing seals the channels.

With the devital method, the necrotic tissue is completely removed, the crown is worn on the tooth, it no longer receives food.The method is applied when it is impossible to get to the root.

7 Complications and prevention measures

In addition to the fact that gangrenous pulpitis causes a painful sensation, the pathology can result in the development of complications in the form of periodontitis, necrosis.The infection will go along the bloodstream, and this is fraught with purulent sinusitis, brain abscess, meningitis.Self pathology can not be cured, the pain is curbed only for a while.

To prevent inflammation of the soft tooth tissue, you need to look after the oral cavity, pick up the paste, brush, rinse.If caries occurs, do not ignore the visit to the dentist.