Dental Neuritis (Pulpitis): Complications

The following are the most important diseases or complications that can be caused by dental neuritis (pulpitis):

In its course, pulpitis can be accompanied by various local changes, trigger different diseases of the teeth or periodontium, or interact with them. Also, the influence on the overall organism and the general state of health should not be underestimated.

Periodontitis apicalis

Through the nerve canal in the root of the tooth, there may be a continuation of inflammation (pulpitis) to the area around the tip of the root (Latin apex). In this case, dissolution of the bone and the root apex is possible. Simplified, apical periodontitis can be divided into the following forms:

  • Periodontitis apicalis acuta The symptoms are usually severe pain. The patient has the sensation of elongation of his tooth and pain with axial loading. If the triggering irritant is removed, this form is reversible. In most cases, the X-ray shows no particular abnormality.
  • Periodontitis apicalis chronica This is usually an encapsulated inflammation around the root tip. The chronic course is possible when a balance is established between bacterial infection and body defenses. For the patient, this form is usually completely asymptomatic. In addition to the widening of the desmodontal gap (gap between the tooth and the bone), the X-ray shows a bone lesion of variable size. With a persistent chronic course, it may come to the formation of a granuloma or a cyst in this area.
  • Acute and chronic apical abscess If the stimulus, which has triggered a periodontitis apicalis, is particularly large or the body’s own defenses are reduced, this can result in extremely painful, acute purulent inflammation. The resulting pus cannot be broken down by the body and must therefore be allowed to drain to the outside. The outward breakthrough of an abscess, which is usually associated with a strong reduction in pain, usually takes the shortest route into the soft tissues. In case of a particularly severe course and unfavorable spread of the abscess or non-treatment, serious health consequences (e.g. brain abscess, blindness, accumulation of pus in spaces of the chest) up to acute danger to life are possible. In a chronic abscess can form a fistula, through which the inflammatory products are released to the outside.

Other secondary diseases or complications

Cardiovascular system (I00-I99).

  • Endocarditis (endocardial inflammation).
  • Myocarditis (inflammation of the heart muscle)

Infectious and parasitic diseases (A00-B99).