What is the Cause of Pulpitis?
The cause of this condition comes from a variety of things such as physical, chemical, and bacterial reasons. Each of these will be further explained below:
The most common cause of pulpitis would be deep cavities as this exposes the pulp to the bacteria and its by-products, which has built up inside the mouth, and that, in turn, leads to pulp becoming inflamed.
There are three categories under physical causes and these include mechanical injury, thermal injury, and electrical injury. Tooth inflammation treatment will depend on the case.
- Mechanical injury. Trauma, cracked tooth syndrome, barodontalgia, and pathologic wear are under this category.
- Thermal injury. This comes from the heat in cavity preparations. The heat from procedures like restoration and polishing is also under thermal injury. The eat that comes from the setting of cement on the teeth is another thermal injury. Lastly, when the teeth are exposed to direct heat and cold due to the lack of a protective base during deep filling procedures, this will result in thermal injury.
- Electrical injury. This is caused by a sudden surge of electrical current to the oral cavity. This is most common in children and infants since they have the tendency to nibble on the cords of electrical appliances.
Symptoms of Pulpitis
The following are key signs and symptoms.
- General pain is present in reversible pulpitis, irreversible pulpitis, chronic pulpitis, and acute pulpitis
- Teeth sensitivity is short and sharp for reversible pulpitis and chronic pulpitis. The pain lasts 30 seconds when it comes to irreversible pulpitis, and the pain is excruciating for acute pulpitis.
- The area around the teeth is swelling for patients with irreversible pulpitis and acute pulpitis. As for reversible pulpitis and chronic pulpitis, it rarely occurs.
- There will be an increase in pain felt by a person with irreversible pulpitis and acute pulpitis. For those with reversible pulpitis and chronic pulpitis, they will not feel this.
If you have reversible pulpitis, there is pain upon the presence of trigger (usually during eating hot/cold/sweet food). There is no pain if the trigger is gone and/ or the cavity is covered. On the other hand, with irreversible pulpitis, there is acute, spontaneous pain even without a trigger. For example, even when sleeping, watching tv, or doing nothing.