Symptoms of pulp necrosis, early treatment and early recovery

Every serious illness is initially transformed from a milder disease, just like pulp necrosis is transformed from various types of pulpitis. Therefore, any health problems should be treated promptly. The consequence of pulp necrosis may be that the entire tooth has to be extracted and a dental implant is required to restore normal use. It must be discovered early and treated early.

1. Acute pulpitis: Most of the symptoms are paroxysmal severe pain, especially at night. If it is purulent pulpitis, the pain will be aggravated by heat stimulation, and cold water in the mouth can relieve the pain. Patients often cannot locate the pain, and the pain radiates to half of the face.

2. Chronic pulpitis: There are recurrent spontaneous pains in the affected teeth, which are mostly caused by caries. It manifests as dull pain or biting pain, and often causes pain when encountering temperature stimulation or food stuck in the cavity.

Common symptoms

1. The affected teeth generally have no subjective symptoms.

2. The crown may have deep caries or other hard tissue diseases of the tooth, or may have fillings, deep periodontal pockets, etc.

3. The crown of the tooth changes color, becoming dark yellow or gray and losing its luster.

4. No response to pulp vitality test.

5. X-rays showed no obvious abnormalities in the periapical images of the affected teeth.

Pulp necrosis may be caused by trauma or by chemical irritation from restorative materials such as silicone cement and composite resin. Clinical manifestations are mostly without pain symptoms, with a history of pulpitis, trauma, and orthodontics; teeth discoloration to dark yellow or gray, without luster; no response to cold, heat, and electrodiagnosis; deep caries, fillings, other hard tissue diseases of the teeth, or deep periodontal pockets can be found, and there is no response to probing the pulp foramen; gangrenous pulp has a foul odor when the pulp cavity is opened; percussion pain is mild or absent; X-rays show no obvious abnormalities around the apex or widening of the apical membrane Front teeth and young permanent teeth need root canal treatment, and adult posterior teeth need pulp plasticization treatment or root canal treatment. For those with pulp necrosis caused by trauma many years ago, who have no clinical symptoms and no apical lesions, no treatment is required.