Pulpitis is an inflammation of the tooth core. In the first stage of pulp hyperemia occurs in the form of extreme tooth sensitivity to temperature changes in the mouth. If this condition is left untreated, becomes pulpitis, which can be: subacute pulpitis, acute pulpitis and chronic pulpitis.
In acute pulpitis pain occurs more often in cold, warm and rarely to extend even after the disappearance of the cause. These pains can be very strong spontaneous, pecking spread into the jaw and occurring at intervals. Arise in crises that are more or less extended and the period between them without pain. In the lying position, the pain is even stronger. The pain spread to upper premolars and molars to the temple and rarely to the ear, which is characteristic of the lower molars. Pulpitis can develop into purulent pulpitis characterized by a small abscess in the pulp. The tooth is very sensitive to hot than cold and becomes sensitive to percussion. After abscess caused gangrenous decomposition in which the pulp into a necrotic mass, with unpleasant odor. Caused pain and spontaneously, and sensitivity to pressure and percussion grow. Disease of the pulp can be slow to develop in chronic pulpitis and that when it does not pass the stage of acute pulpitis and lead to partial or total destruction of the core.
When healthy pulp accidentally or intentionally is opened, you can try covering the pulp preserving living pulp. On the open pulp we placed non toxic, harmless materials. If this treatment is not applicable, then we the approach to partial removal of the pulp with pulpotomy, or complete removal, which performs with local regional anesthesia. Disinfection of canal can be made in a single session using a variety of antiseptics and if necessary taking antibiotic therapy.