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Causes and Treatment of Acute Pulpitis: Expert Advice from Shin Tae-un, Director of Trusty Dental Clinic

(Sisacast, SISACAST = Shin Tae-un, director of Trusty Dental Clinic)

If your gums swell frequently and pain persists, you need to suspect acute periodontitis. [사진=픽사베이]

#A college student named Jeon (female, 23) broke some of her teeth after chewing the wrong spice while eating hotpot with friends eight months ago. She had postponed the treatment because it did not cause any significant disruption to her daily life, but recently she suffered from frequent pain, with her teeth becoming sore when she drank hot or cold water, and her gums frequently swollen. In the end, she visited the dentist for an accurate examination, and it was confirmed that the cause of the pain was ‘acute pulpitis’.

If, like Jeon, your teeth are broken or fractured (chipped) due to chewing hard food incorrectly, teeth grinding, trauma, or an accident, you may suffer from extreme pain due to acute pulpitis if you do not receive treatment in time.

Acute pulpitis is when the pulp surrounding the blood vessels and nerves inside the tooth becomes infected with bacteria or becomes irritated by trauma and becomes inflamed.

When a tooth is fractured, decay progresses slowly and inflammation spreads to the pulp. At this time, when blood vessels expand and become congested, pressure rises due to increased blood volume, causing pain.

If the symptoms are severe, it can be accompanied by not only toothache but also migraines, and if not treated in time, the scope of infection can expand and the pulp can die, leading to a situation where tooth extraction is inevitable, so it is best to treat it as early as possible.

Acute periodontitis, how to treat it?

Acute periodontitis requires different treatment methods depending on the degree of tooth decay or inflammation. [사진=픽사베이]

Treatment methods vary greatly depending on the progress of the cavity or inflammation, but in the early stages, it can be easily removed with just cavity treatment and inflammation treatment. On the other hand, if the cavity has progressed to the enamel and dentin, the cavity must be removed and then filled with inlay (gold, resin) or amalgam.

On the other hand, if the pulp is infected and symptoms of pulpitis appear, endodontic treatment should be performed and then a hard prosthesis such as a crown (gold, porcelain) should be placed. If the inflammation has spread to the alveolar bone (gum bone) and the gum bone has melted, gum bone transplantation should be performed. Implants must be performed.

Implants require high treatment costs and a long treatment period, and if they fail, the physical and financial burden on the patient is greater, so you must be careful when choosing a medical institution from the beginning.

At this time, to increase the success rate of implants, it is important to carefully check whether the doctor’s skills, abundant clinical experience, and state-of-the-art equipment are available, and whether the hospital can provide continuous care after treatment.

After treatment, for proper recovery, you should avoid alcohol and cigarettes, which can cause infection and inflammation, for at least a month, and refrain from eating foods that are too hard or chewy.

In addition, if you want to maintain healthy teeth for a long time, prevent periodontal disease in advance through regular dental checkups twice a year, and if your teeth are lost or fractured, visit a dental hospital immediately for treatment. This is a shortcut to extending the lifespan of your teeth. [시사캐스트]

Shin Tae-un, director of Ilshin Dental Clinic.

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2024-01-02 12:53:24

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