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Pulpitis

Inflammation of the dental pulp ranging from reversible to irreversible.

Written by: Saygı Hospital Health Guide Editorial Board
Published:

This content is for general information; please consult your physician for diagnosis and treatment.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Ağız ve Diş Sağlığı department. Book Appointment →

What is Pulpitis?

Pulpitis is inflammation of the dental pulp tissue, the neurovascular core within the tooth. It is classified as reversible (mild inflammation that resolves with removal of the irritant) or irreversible (persistent inflammation that progresses to pulp necrosis without endodontic intervention).

Reversible pulpitis presents with brief, sharp pain to cold or sweet stimuli that subsides quickly. Irreversible pulpitis features lingering, spontaneous, throbbing pain that often worsens at night and may radiate. Common causes include deep caries, traumatic tooth fracture, repeated dental procedures and bacterial microleakage around restorations.

Symptoms

Sharp pain to cold, hot or sweet stimuli
Lingering pain after stimulus removal (irreversible)
Spontaneous, throbbing tooth pain
Pain that worsens when lying down
Difficulty localizing the affected tooth
Tenderness to percussion in advanced disease
Possible referred pain to ear or jaw

Risk Factors

Untreated dental caries
Dental trauma and tooth fracture
Multiple deep restorations
Bruxism with attrition
Cracked tooth syndrome
Periodontal disease with retrograde infection
Diabetes mellitus and immunosuppression

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Persistent toothache lasting more than 24-48 hours
  • Spontaneous nocturnal tooth pain
  • Sensitivity to hot stimuli relieved by cold
  • Severe throbbing pain interfering with sleep
  • Swelling around tooth or facial swelling
  • Pain after recent dental procedure

Treatment Methods

01
Comprehensive clinical and radiographic examination
02
Cold and electric pulp vitality testing
03
Caries removal and indirect or direct pulp cap for reversible pulpitis
04
Sedative dressing (zinc oxide eugenol) for symptom control
05
Root canal treatment for irreversible pulpitis
06
Pulpotomy in young patients with immature roots
07
Tooth extraction for non-restorable teeth
08
Antibiotic only if signs of systemic infection
09
Oral analgesics (ibuprofen, acetaminophen) for pain control

Which Department to Visit?

You can visit our Ağız ve Diş Sağlığı department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Ağız ve Diş Sağlığı Department

Let us help you

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Diş Çürüğü

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Diş çürüğü, ağız bakterilerinin şekeri fermente ederek ürettiği asitlerin diş minesi, dentin ve pulpayı tahrip etmesiyle oluşan kronik bir hastalıktır.

Diş Eti Hastalıkları (Periodontal Hastalıklar)

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Periodontal hastalıklar, diş eti (gingivit) ve diş çevresindeki kemik ile bağ dokusunun (periodontit) bakteri kaynaklı iltihabıdır; tedavi edilmezse diş kaybına neden olur.

Impacted Tooth

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An impacted tooth — most often a wisdom tooth — has not erupted fully and remains in the jaw bone or gum. It can lead to pericoronitis, caries and cysts.

Dental Implants

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A dental implant is a titanium screw placed in the jawbone that supports a crown, bridge or denture, providing the closest possible function and aesthetics to a natural tooth.

Teeth Whitening

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Teeth whitening lightens tooth color using hydrogen peroxide or carbamide peroxide gels. In-office (professional) bleaching uses higher concentrations with light activation for faster results; home bleaching uses custom trays with lower concentrations over 1–4 weeks. Safety depends on healthy teeth, correct concentration, isolation of gums and transient sensitivity management.

Orthodontics

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Orthodontics is the dental specialty that corrects the alignment of the teeth and jaws, providing both aesthetic and functional benefits at any age, from childhood through adulthood.

Gingival Recession (Gum Recession)

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Gingival recession is the apical displacement of the gingival margin with exposure of the root surface. It may be localized or generalized and results from mechanical trauma, periodontal disease, thin biotype or anatomic factors. Recession can cause root sensitivity, caries and aesthetic concerns; management includes cause elimination and surgical root coverage when indicated.

Bad Breath (Halitosis)

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Halitosis is a chronic problem that affects a substantial part of the population. It is most often of oral origin and can interfere with social interactions.

Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.