Treatment of Chronic Pulpitis
Aug 03, 2022
Source: Cainiu Health
Dr. Zhang Liwen
Introduction
When symptoms of chronic pulpitis occur, the pulp chamber should first be irrigated with warm saline solution, followed by placement of an analgesic agent. For irreversible pulpitis, root canal treatment is indicated. In cases of reversible pulpitis, only direct or indirect pulp capping is appropriate. When chronic pulpitis symptoms are present, the pulp chamber may be opened for decompression, irrigated with warm saline solution, and then an analgesic agent placed.
I have a friend who frequently indulges in spicy and irritating foods. Recently, he developed tooth pain and swelling. So, how is chronic pulpitis treated?
Treatment of Chronic Pulpitis
When symptoms of chronic pulpitis appear, the first step is to irrigate the affected area with warm physiological saline, followed by placement of an analgesic agent. For irreversible pulpitis, root canal treatment is recommended. In cases of reversible pulpitis, only direct or indirect pulp capping is appropriate. When chronic pulpitis symptoms occur, the pulp chamber may be opened to relieve pressure; the area is then irrigated with warm saline and an analgesic agent applied. Small cotton pellets soaked in eugenol or dental analgesic solution can be placed within the tooth cavity to provide temporary pain relief. Additionally, anti-inflammatory and analgesic medications should be taken as needed.
In severe cases of chronic pulpitis—particularly when irreversible—the preferred treatment is root canal therapy, which removes the inflamed or infected pulp while preserving the natural tooth. It is also essential to eliminate infection within the pulp chamber. Biocompatible materials may be used to seal the root canal system, effectively preventing reinfection.
Avoid consuming irritating foods—including hot, cold, acidic, or sweet items—as these may exacerbate pulpitis and trigger inflammation in other areas. We hope this information proves helpful.
