Can “Shanghuo” (excessive internal heat) cause pulpitis?

Some individuals enjoy spicy foods regularly and, combined with unhealthy dietary habits, may develop various oral health issues—such as pulpitis. So, can “internal heat” (a traditional Chinese medicine concept) cause pulpitis?

Can “Internal Heat” Cause Pulpitis?

“Internal heat” does not cause pulpitis. Pulpitis is not triggered by “internal heat.” In traditional Chinese medicine, pain is often attributed to emotional disturbances such as anger; thus, toothache is commonly believed to stem from “internal heat.” In reality, however, toothache has no connection with “internal heat.” Instead, it results from infection by pathogenic microorganisms, often triggered by physical or chemical stimuli that irritate the dental pulp tissue—leading to pulp inflammation, irrespective of whether “internal heat” is present.

If a patient with pulpitis experiences pain, relief requires accessing the pulp chamber—i.e., creating an opening in the affected tooth—to allow drainage for one to two days, after which pain typically subsides. Pulpitis is a relatively serious oral condition associated with intense, severe pain. Prompt treatment is essential; otherwise, complications may arise. Patients should seek timely medical care—root canal therapy may be required in severe cases.

Patients are advised to maintain good oral hygiene, engage in appropriate physical activity, ensure adequate sleep and rest, and increase intake of vitamin C–rich foods. We hope this information is helpful to you.