What medications are good for treating pulpitis?

Sep 15, 2025 Source: Cainiu Health

Dr. Liu Chao

Introduction

Under normal circumstances, pulpitis is an inflammation caused by bacterial infection of the dental pulp tissue. Common symptoms include severe tooth pain, pain triggered by cold or hot stimuli, and nocturnal pain. Patients can take medications such as metronidazole tablets, ornidazole capsules, cefuroxime axetil tablets, amoxicillin capsules, and ibuprofen sustained-release capsules according to medical advice. A detailed analysis is as follows:

Generally, pulpitis is an inflammation caused by bacterial infection of the dental pulp tissue. Common symptoms include severe toothache, pain triggered by hot or cold stimuli, and nocturnal pain. Patients may take medications such as metronidazole tablets, ornidazole capsules, cefuroxime axetil tablets, amoxicillin capsules, and ibuprofen sustained-release capsules according to medical advice. Detailed explanations are as follows:

1. Metronidazole Tablets

Metronidazole is an anti-anaerobic bacterial agent that specifically targets and kills anaerobic bacteria causing pulpitis, such as Porphyromonas gingivalis. It can alleviate dental pulp inflammation caused by anaerobic bacterial infection, reduce pain and discomfort, and is often used in combination with other antibiotics to enhance therapeutic effects.

2. Ornidazole Capsules

As a derivative of nitroimidazole, ornidazole has stronger anti-anaerobic bacterial activity and relatively fewer side effects. It exerts bactericidal effects by disrupting the DNA structure of anaerobic bacteria and is suitable for pulpitis patients resistant to or intolerant of metronidazole, effectively controlling pulp infections.

3. Cefuroxime Axetil Tablets

This medication belongs to the second-generation cephalosporin antibiotics and has antibacterial activity against both Gram-positive bacteria and some Gram-negative bacteria. It inhibits bacterial cell wall synthesis, preventing bacterial proliferation and is suitable for pulpitis accompanied by periodontal infection or when broad-spectrum antibacterial coverage is required.

4. Amoxicillin Capsules

Amoxicillin exerts bactericidal effects by inhibiting bacterial cell wall synthesis and is effective against pulpitis caused by susceptible bacteria. It is suitable for patients not allergic to penicillin antibiotics and is often combined with anti-anaerobic agents to cover a broader range of pathogens.

5. Ibuprofen Sustained-Release Capsules

This medication belongs to non-steroidal anti-inflammatory drugs (NSAIDs) and primarily functions to relieve pain and reduce inflammatory responses but cannot kill bacteria. It effectively alleviates severe pain caused by pulpitis, prolongs analgesia, and improves patients' quality of life. It is commonly used as symptomatic treatment in combination with antibiotics.

Maintaining good oral hygiene habits in daily life, such as brushing teeth morning and night, rinsing after meals, and avoiding excessively cold, hot, or sweet foods like ice drinks, hot pots, and candies, is important to prevent irritation of the dental pulp and worsening of pain.

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How to quickly relieve tooth pain

In general, there is no such thing as a quick remedy for tooth pain. Toothache may be caused by tooth sensitivity, wisdom tooth eruption, dental caries, pulpitis, or periodontal abscess. Treatment can include general care, physical therapy, medication, or surgical intervention, under the guidance of a dentist. In daily life, maintain good oral hygiene and avoid consuming spicy or excessively hard foods to prevent irritation to the teeth.

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What are the symptoms of early-stage pulpitis?

In general, early pulpitis may present symptoms such as tooth sensitivity, intermittent tooth pain, swollen and red gums, bad breath, and loose teeth. It is recommended to seek timely medical attention. After confirming the cause, patients may take medications such as celecoxib capsules, tinidazole tablets, and levofloxacin tablets as directed by a physician. Additionally, regular tooth brushing helps maintain oral health.

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What causes pain inside a dental prosthesis?

In general, pain under a denture may be caused by factors such as ill-fitting dentures, improper denture cleaning, gingivitis, pulpitis, or periapical inflammation. In daily life, regular dental checkups should be conducted to ensure proper denture fit and good oral hygiene. Additionally, maintaining dietary hygiene and avoiding excessively hard, cold, or hot foods can help reduce irritation to oral tissues.

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How is acute pulpitis treated?

In general, the treatment methods for acute pulpitis mainly include emergency pain relief, root canal therapy, medication-assisted treatment, traditional Chinese medicine regulation, and tooth extraction. In addition, during treatment, patients should follow medical advice, attend follow-up appointments on time, and cooperate with doctors to complete the entire treatment process. Daily attention should be paid to maintaining oral hygiene, including brushing teeth morning and evening and rinsing the mouth after meals.