Treatment for pulpitis?
A patient presented with acute severe pain from the upper right quadrant. It was poorly localized, and the patient stated that the pain radiated into the ear and the cheek on the right-hand side. Pain was spontaneous and not responding well to over-the-counter analgesics (Ibuprofen 400mg), and had been gradually getting worse over the last 48 hours. The patient was experiencing sleep disturbance, and the pain came on in waves. There was extreme sensitivity to cold stimulus, but not so painful with hot stimulus. He was diagnosed with pulpitis. Please recommend some treatment for pulpitis.
@nabamita Treatment methods vary depending on whether your pulpitis is reversible or irreversible. If you have reversible pulpitis, treating the cause of the inflammation should resolve your symptoms. For example, if you have a cavity, removing the decayed area and restoring it with a filling should relieve your pain. If you have irreversible pulpitis, your dentist may recommend you see a specialist, such as an endodontist. If possible, your tooth may be saved through a procedure called a pulpectomy. This is the first part of a root canal. During a pulpectomy, the pulp is removed but the rest of the tooth is left intact. After the pulp is removed, the hollow area inside of the tooth is disinfected, filled, and sealed.
In some instances, your entire tooth will need to be removed. This is known as a tooth extraction. Tooth extraction may be recommended if your tooth has died and cannot be saved. After a pulpectomy or tooth extraction, let your surgeon know if you experience any of these symptoms:
severe pain, or pain which intensifies
swelling inside or outside of the mouth
feelings of pressure
a recurrence or continuation of your original symptoms