Inflammation of the pulp (dental pulp or colloquially (incorrectly) dental nerve) or apical periodontium can cause pain or be completely asymptomatic. If discomfort occurs, it may be caused by acute pulpitis or a flare-up of chronic pulpitis. To consider further therapeutic measures, it is first useful to distinguish between reversible and irreversible pulpitis. The term … Dental Neuritis (Pulpitis): Symptoms, Complaints, Signs
Pathogenesis (development of disease) Pulpitis can be caused by numerous natural or iatrogenic (caused by medical treatment) factors. Three main groups can be distinguished: Infectious pulpitis, meaning the infection is caused by microorganisms such as: Hematogenous (bacteria transmitted by the bloodstream). Caries (most common cause) Non-caries-related loss of tooth structure. Periodontopathies (diseases of the periodontium). … Dental Neuritis (Pulpitis): Causes
General measures Observe general oral hygiene! Since most pulpitides caused by bacteria are triggered by caries, regular dental prophylaxis is useful and necessary. Nicotine restriction (refrain from tobacco use). Limited alcohol consumption (men: max. 25 g alcohol per day; women: max. 12 g alcohol per day). Aim for normal weight! Determination of BMI (body mass … Dental Neuritis (Pulpitis): Therapy
In acute abscesses and lodge abscesses requiring adiuvant antibiotic therapy, smear analysis may be useful. Laboratory tests are also available to identify lead bacteria for periodontal disease (periodontitis).
Therapeutic target To the extent that pulpitis is reversible (“reversible”), the therapeutic goal is cure. Therapy recommendations As a rule, no medication is required. In the case of infiltrates (accumulation of microorganisms in the tissue) or abscesses (encapsulated accumulations of pus), antibiotics are used in addition to the causal (“causal”) therapy supportive (after culture and … Dental Neuritis (Pulpitis): Drug Therapy
Usually dental film images of individual teeth are taken for diagnosis of dental anatomy with location of root canals, diagnosis of caries, existing restorations, root resorptions, periodontium, etc. An orthopantomogram can provide a probative overview of both the upper and lower jaws with all surrounding structures (e.g., maxillary sinuses, temporomandibular joints, etc.).
To prevent pulpitis (dental neuritis), attention must be paid to reducing individual risk factors. Behavioral risk factors Diet Micronutrient deficiency (vital substances) – see Prevention with micronutrients. Consumption of stimulants Alcohol – damage to the natural oral flora by alcohol. Tobacco (smoking) – damage to the natural oral flora due to smoking. Psycho-social situation Stress … Dental Neuritis (Pulpitis): Prevention
Medical history (history of the patient) represents an important component in the diagnosis of pulpitis (inflammation of the dental nerve). Family history Is there a frequent occurrence of dental disease in your family? Social anamnesis Current medical history/systemic medical history (somatic and psychological complaints). What symptoms have you noticed in the teeth? Stinging, short-lasting stimulus-dependent … Dental Neuritis (Pulpitis): Medical History
Respiratory System (J00-J99) Sinusitis maxillaris (sinusitis). Mouth, esophagus (esophagus), stomach, and intestines (K00-K67; K90-K93). Diseases of the salivary glands, unspecified. Periodontal abscess (see periodontitis). Musculoskeletal system and connective tissue (M00-M99). Temporomandibular joint (craniomandibular dysfunction; CMD). Ostitis, osteomyelitis (bone (skin) inflammation). Neoplasms – tumor diseases (C00-D48) Neoplasms, unspecified Psyche – nervous system (F00-F99; G00-G99). Migraine Neurological … Dental Neuritis (Pulpitis): Or something else? Differential Diagnosis
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 … Dental Neuritis (Pulpitis): Complications
The physical examination is used by the physician to determine the findings. Extraoral examination Soft tissues and muscles Bones Lymph nodes Nerves and nerve exit points Intraoral examination Entire oral cavity Oral mucosa Floor of the mouth Cheek mucosa Tongue Saliva flow rate Halitosis Dental findings (inspection and probing if necessary, possibly with magnification aid). … Dental Neuritis (Pulpitis): Examination