The diffuse pulpitis is the most severe form of acute pulpitis. This disease is accompanied by a sharp pain and is characterized by the spread of inflammation from the diseased tooth to the adjacent.
When faced with toothache, few people suspect that it can be a symptom of various dental diseases.
In order to take the necessary measures in a timely manner, you need to know what caused toothache.
What is acute diffuse pulpitis
Pulpit is inflammation in the pulp, soft tissue of the root and crown cavity of the tooth. Occurs in most cases as a result of untreated caries, fracture of the tooth root, partial scaling of the tooth crown, injuries.
The main types of acute pulpitis are focal and diffuse. The first is considered the initial stage of the disease, in which the inflammation center is formed. In the absence of treatment there is a further development and total infiltration of the inflammatory process in the root and in the coronary region of the pulp.
As a rule, after an average of two days acute focal form becomes acute diffuse form of pulpitis.
Acute diffuse pulpitis: symptoms
Symptoms of acute diffuse pulpitis can be divided into two groups: the symptoms of acute pulpitis in general, and the symptoms that allow to identify the diffuse form directly.
Symptoms of acute pulpitis:
- Sharp sharp pain that appears without impact on the tooth of stimuli from the outside;
- Increased pain at night;
- The pain may be pulsating, accompanied by small segments of the time on which the pain subsides;
- Any stimuli (temperature or mechanical) can provoke long-term outbreaks of pain.
Symptoms of acute diffuse pulpitis, which make it possible to distinguish it from other types of pulpitis:
- Long-term pain attacks, which are replaced by short painless moments; most often the intermission between attacks does not last more than half an hour;
- Pain is severe, pulsating, unbearable, in which the capacity for work is lost;
- Intensifying of pain in a lying position;
- Often suffering from acute diffuse pulpitis, a person himself is not able to not only determine the source of pain, but even some jaw is a diseased tooth;
- External stimuli tend to exacerbate attacks or make them longer, but sometimes temporary relief from cold (often in the formation of an abscess) is also possible, as well as a lack of pain during percussion (tapping);
- This form of pulpitis, depending on various individual indicators, can last from 2 to 14 days.
Acute diffuse pulpitis: treatment
The main goals of the treatment of acute diffuse pulpitis:
- Elimination of pain sensations;
- Elimination of the center of the inflammatory process;
- Prevention of further development of the disease, in particular the emergence of acute periodontitis;
- Restoration of the functional abilities of the tooth.
Treatment of acute diffuse pulpitis in the vast majority of cases is carried out by one of the surgical methods, differing in type of anesthetic of a pulp:
- A method of salutary extirpation, in which, after anesthesia, complete removal of the damaged pulp (the most common);
- A method of devital extirpation, in which the inflamed pulp is first killed by means of Reflective spoons (for example, arsenic paste), and then removed.
When timely treatment of a dentist, the treatment of pulpitis is favorable. However, the more the disease is launched, the more difficult it is to restore the shape of the tooth and its ability to function properly.
That is, acute focal pulpitis is easier to treat than acute diffuse, which can turn into chronic pulpitis or become the culprit of periodontitis.
Dentists do not get tired of reminding about the importance of prevention, which will keep your teeth healthy for years to come.