How is pulpitis treated after dental filling?

Currently, pulpitis is commonly treated with root canal therapy. First, a definitive diagnosis is made to identify the affected tooth, followed by radiographic examination to assess the number and morphology of the root canals. Under local anesthesia, carious tissue and any existing restorations are removed, the pulp chamber roof is opened, the inflamed or infected pulp is excised, and the root canals are prepared. But what if pulpitis develops after a dental restoration?

How is pulpitis treated following dental restoration?

Oral hygiene—such as rinsing and brushing—can help maintain local cleanliness. Analgesics or topical anesthetics may be used temporarily to alleviate pain; however, once pain is under control, prompt medical evaluation is essential. Because pulpitis is inherently difficult to resolve spontaneously, timely clinical assessment is critical. Based on symptom severity, patients should consult their dentist to determine the most appropriate treatment plan. In early-stage cases, vital pulp therapy (e.g., pulp capping or pulpotomy) may preserve the pulp tissue. For more advanced inflammation, options include pulp drying, complete pulpectomy, or root canal treatment. If pulp necrosis is extensive, apicoectomy or plasticization therapy may be considered.

In patients with severe infection or extensive pathological changes, pulp extirpation (pulpotomy) may be performed to relieve intrapulpal pressure and reduce pain. Local anesthesia is administered first. Following pulpotomy, exudates are drained and necrotic pulp tissue is thoroughly debrided. Pulpitis poses significant health risks and warrants prompt professional care, with treatment tailored to the individual’s clinical presentation.

In daily life, patients should maintain a positive mindset and actively cooperate with their dentist’s treatment plan. Medications must be taken as prescribed—both in correct dosage and on schedule—and diligent oral care should be practiced to facilitate optimal recovery. We hope this information is helpful to you.