Toothache at night, beware of pulpitis

Toothache at night, beware of pulpitis

Pulpitis caused by a toothache usually occurs at night, the pain is very severe and even can not sleep, open the medullary decompression, the pain will suddenly decrease.

Pulp in the pulp cavity which, through a small apical foramen to the pulp and linked to other parts of the body, in addition to other apical foramen, the pulp dentin wall surrounded by a hard, so once the inflammation is not easy to establish drainage, making the the accumulation of inflammatory exudate, and the dentin wall itself, the lack of flexibility limits the inflammatory tissue swelling, increased pressure within the canal, the infection is very easy to spread throughout the Dental Equipment pulp, so that increased intramedullary pressure resulting in a severe nerve pain. Therefore, once the canal opened, the pressure drop, will drastically reduce the pain.

Leading cause of pulpitis were physical factors, bacterial factors, idiopathic factors and chemical factors.

Physical factors:

Acute dental trauma, such as traffic accidents, athletic, violent fight to the teeth by the collision or injury, traumatic occlusion, filling or other restoration bite wounds caused by chronic excessive occlusal mechanical trauma.

Bacterial factors:

Pulpitis should be said that an infectious disease, the bacteria is an important pathogenic factor in pulp disease. Pulp infection may lead to the main methods for a dental infection, periodontal infection and blood infection in three areas.

Caries, dental trauma and drill off the body when the accident exposed molar pulp, wedge-shaped defects exposed pulp, the elderly exposed pulp of serious wear, break or wear abnormal central tip exposed pulp, malformation or abnormal lingual fossa lingual groove at the bottom without enamel covered, cracked teeth deep canal direct infection when the bacteria can be exposed to the pulp, if covered in a thin dentin on the pulp tissue, bacteria and toxic products can reach the canal through the dentin tubules causing pulp infections; by periodontal bacteria from the periodontal pocket may also reach the apical, dental pulp through the apical foramen into the cavity caused by retrograde infection through the periodontal infection that caused pulpitis said pulp for the retrograde pulpitis. Pulpitis caused by blood infection is rare.