Tooth Marrow Inflammation
Pulpitis (tooth pulp inflammation) is a disease characterized by the occurrence of inflammatory processes within the tooth pulp. The main reasons for the development of pulpitis are mechanical, thermal and chemical irritations. Metabolic products of bacteria, deep carious defects and/or cracks in the tooth structure can also lead to pulpitis.
In the course of this disease, most of those affected complain of severe, stabbing toothache, which occurs mainly when eating and drinking. A short-term pulpitis, which has a chance to heal, is characterized by a brief pain limited to one tooth. Chronic pulpitis, on the other hand, is characterized by persistent toothache and requires urgent treatment by a dentist.
Such a dental disease usually follows the same pattern, it starts with an inflammation in a limited area of the pulp (partial pulpitis). If an inflammation of the pulp is not treated, the inflammatory processes continue into the pulp in the area of the crown (pulp cavity) and then penetrate into the root canal. In the course of the inflammatory processes, so-called endotoxins (decay products of bacteria) are released, which sooner or later leads to an increase in pressure inside the tooth.
After a certain period of time, the blood supply to the pulp decreases to such an extent that the tissue and the nerve fibers stored in it die (necrosis). In particularly severe cases, the inflammation continues into the periodontium and attacks the tip of the tooth root, the bone and/or the soft tissue. To treat a pulpitis, a root canal treatment is usually performed first to stop the spread of the inflammation.In this therapy, the pulp is removed together with the nerve fibers embedded in it with small files.
The dentist then inserts an anti-inflammatory, disinfectant drug into the tooth root. After a few days, this medication can be removed and the root canal can be drained. This is followed by filling the canal with a rubber-like material and finally filling the tooth.
