Emergency treatment of acute pulpitis.docVIP

 PAGE \* MERGEFORMAT 5 Emergency treatment of acute pulpitis [Keywords:] pulpitis; night pain; emergency treatment; open pulp drainage Pulp as a loose connective tissue, containing cells, blood vessels and nerves respond to environmental change and other loose connective tissue response to basically the same, but the pulp has its own characteristics: (1) is hard dentin wall surrounded; (2) matrix rich in viscous fiber; (3) no effective collateral circulation. These characteristics determine the main routes of infection for the dental pulp exposed dentinal tubules, pulp exposure, pocket means and blood infection. caries is caused by the most common cause of pulp infection [1]. When the bacteria invade the dentin from the pulp lt;1.1mm (including reparative dentin), the pulp can be a mild inflammation; from the pulp lt; 0.5mm pulp can occur when the signs of inflammation; from the pulp lt;0.2mm, the pulp be found within the bacteria. 1 signs and symptoms of acute pulpitis 1.1 Spontaneous pain Not subject to external stimulation in the case of a sudden sharp pain, spontaneous, dramatic, and sustainable for several hours or even a whole day. Fester, the teeth are pulsating throbbing. 1.2 night pain Pain often attack at night, or night than during the day and severe pain. 1.3 thermal stimulation can exacerbate the pain Hot and cold stimuli may stimulate the teeth of the severe pain, if the teeth are in pain episodes during the period, thermal stimulation can make the pain even more worse. If you have septic or part of the necrotic pulp, the tooth can be expressed as the so-called “hot cold pain relief. “ 1.4 Location of pain episodes are not self-pain, the patient is not clear that most of teeth. The pain was involved in the row or radiation, but this will not be radiating pain radiating to the teeth of the contralateral region. 1.5 teeth to be investigated, and very close to the medullary cavity of the deep caries or other dental ha