Most people are familiar toothache - it is a nightmare that causes a person to literally flee for help to the dentist, and after the visit could have been done much earlier and prevent the occurrence of pain. Today it is becoming more and more people who do not know what a toothache, as regularly visit the dentist for preventive purposes.
How does tooth
As is known, it consists of hard tooth tissues (enamel, dentine and cement), which have no nerve endings. Above the surface of the gums acts crown consisting of enamel and dentine inside the tooth cavity which is filled with a soft cloth or pulp rich sensitive nerve endings.
The root of the tooth is in a special cell of the jaw bone, it is hard tissue of the dentin, and located inside the root canals (as many as at the root of the tooth), passing into the root of the tooth cavity and also filled pulp. The root of the tooth is held in a cell using a special binder - periodontal on which in the apex comes nerves and blood vessels.
Why can hurt a tooth
In most cases, the tooth hurts when he destroyed the hard tissue and opens access to the cavity of the tooth that contains the pulp. The pulp is very sensitive to any external influences. Initially, the tooth starts to hurt, when a person eats sour and sweet foods, then there is the pain of cold and hot food, finally, if the crown is completely destroyed and opened tooth cavity, there is pain by mechanical stimulation (chewing food), and then a toothache can become permanent. This suggests that the infection is now, an inflammation of the pulp - pulpitis, it always takes very painful.
Pulpit: what to do to not get on the table of the surgeon?
- It is often caries
More about caries - take care of your teeth until it's too late
. But there may be other reasons, such as a broken tooth during trauma, the destruction of dental hard tissues acids, alkalis, high temperature (and this happens - in some dental procedures). Sometimes a tooth cavity formed small (a few millimeters in diameter) clumps of dentin (dentikli - of tumors) or may be deposited in the pulp salt (petrifikaty). These formations squeeze the pulp, causing pain. Finally, the pain may be under seal, if it is imposed wrong: not completely disinfected pulpit or is not considered the possibility of shrinkage of the filling material and there was a gap - a message tooth cavity with the oral cavity.
If the pulp is not treated, the pain may increase, the temperature may rise and disrupt overall. This suggests that the infection is passed into periodontitis, and it appeared inflammation. Since periodontal closely linked to the jaw bone, the infection can go on the bone (osteomyelitis).
Finally, the pulp can become chronic, and then the pain is not as acute, but constant.
Toothache - a signal the body that tooth for you, it should be treated, not just to take pain pills or folk remedies - they are good only because they allow to reach the dentist's office.
How to help the aching tooth
To stop toothache
Toothache - itself does not take place
You need to cure or remove the pulp. If the tooth is destroyed not so much used biological treatment of pulpitis with preservation of the pulp. For this purpose, the tooth cavity impose temporary filling (bandage) with painkillers, antibiotics and some other drugs to reduce inflammation. Once the inflammatory process goes impose permanent seal.
But more often, this method can not be applied, since the inflammatory process in the pulp went very far. In such cases, the following treatments:
- method of vital amputation - removing the coronal portion of the pulp under local anesthesia;
- Method devitalized amputation - applying on devitaliziruyuschih pulp (pulp killing) agents, such as drugs with arsenic followed by removing the coronal pulp;
- vital extirpation method - complete removal of the pulp (crown and root) under local anesthesia, followed by root canal filling;
- non-vital extirpation method - removal of the entire pulp after applying devitaliziruyuschih funds followed root canal filling.
Only after the pain and inflammation of the pulp removed, you can start filling the tooth.
Treatment of periodontitis
Periodontitis - a serious complication of pulpitis
It can be conservative and surgical. By conservative methods include the creation of an outflow of inflammatory fluid accumulated in the apex of the tooth root. To do this, remove all the pulp of the tooth and the patient rinses appointed 2% soda solution or a weak solution of potassium permanganate. If he has a fever and suffering from a common condition, is appointed by the antibiotics. When the ball is reduced, impose temporary filling with drugs, which was then changed to a permanent mandatory root canal filling.
But if inflammation increases, the patient's condition worsens, then resorting to surgical treatment of periodontitis: tooth root is removed completely (cystectomy) or only the tip (cystotomy) or remove the entire tooth.
In order to not hurt your teeth, they must be treated in a timely manner - today it can be done completely without pain.