Dental Pulp Infection (Pulpitis) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
By Kenneth Kee
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About this ebook
Dental Pulp Infection or Pulpitis is the inflammation of the pulp or nerve chamber in the tooth producing pain and pressure.
The pressure produced can induce problems with the nerves of the tooth.
This disorder can be treated if early, and normally does not lead to more problems once treated
If the disorder is not given the proper treatment, then pulpitis will ultimately cause the pulp to die.
There are two types: reversible and irreversible.
1. In reversible pulpitis, the decay has not involved the entire pulp, and the remaining tissue with its nerves and blood vessels can be saved.
Left untreated, reversible pulpitis may ultimately become irreversible in which decay is so serious that the remaining pulp, nerves, and vessels die.
Ultimately, the tooth may become discolored
Up to a certain situation, pulpitis is reversible.
The decay can be eradicated, the region around the tooth cleaned and the cavity filled.
If this is performed early enough (before the infection has become too serious) the pulp is revitalized and the tooth saved.
Left untreated, a dental abscess may develop.
2. In cases where the infection has become irreversible, root canal treatment may be needed.
The dentist will have to drill into the pulp and remove the infected material.
Once the pulp is taken out, the cavity is then filled with an inert material such as ‘gutta percha’, which is a latex derivative.
Once this intervention has been finished, the tooth is basically dead.
Very often, a crown is placed over the dead tooth to provide it extra protection.
Causes:
Dental pulp infection is mainly caused by tooth decay (caries) or it can be due to other causes, such as trauma, cracks or excessive tooth wear.
Bacteria reaches deep into the structure of the tooth.
1. Defective fillings or restorations
2. Cracks in the tooth structure
3. Traumatic injuries to the face and mouth
4. Excessive wear of the hard outer layers (enamel and dentine)
Risk factors are poor oral hygiene and a diet high in sugar.
Symptoms:
1. The major symptom of pulpitis is toothache.
The patient may also feel pain if the doctor taps the tooth with a finger.
There is normally pain when a stimulus is placed near the tooth.
The tooth normally responds to heat or sugar.
2. Discoloration of the tooth
3. Tenderness of the overlying gums
4. Abscess or swelling
Diagnosis:
1. Pulp vitality tests to determine if the dental pulp is still alive
2. X-rays (radiographs) are used to determine the extent of tooth decay
Treatment
If the stage of dental pulp inflammation is evaluated to be reversible, it can be resolved by removing the causative factors e.g. eradicating the decay and recovering or filling the tooth, occasionally with a medicament base, to restore the dental pulp to its normal healthy state.
1. Reversible pulpitis is treated in the same method as a normal filling would be done.
The involved area is treated, decay is eradicated by drilling and then the cavity left is filled.
The patient will be given antibiotics to kill off any infections.
2. Irreversible pulpitis needs a root canal and a crown to treat the problem.
A root canal is a dental procedure to eradicate dead or dying nerve tissue and bacteria in a tooth.
Antibiotics are also given.
Regenerative endodontics now attempts to restore live tissue in the pulp chamber with stem cells and growth factors.
Possible risks of root canal treatment are:
1. Abscess
2. Loss of tooth
3. Nerve damage
4. Tooth fracture
This is occasionally not always possible and the tooth might require to be removed and replaced with a dental implant.
The best way to prevent pulpitis is to have a good oral hygiene regime with prevention being better than the cure.
TABLE OF CONTENT
Introduction
Chapter 1 Dental Pulp Infection
Chapter 2 Causes
Ch
Kenneth Kee
Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"
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Dental Pulp Infection (Pulpitis) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions - Kenneth Kee
Dental Pulp Infection
(Pulpitis)
A
Simple
Guide
To
The Condition,
Diagnosis,
Treatment
And
Related Conditions
By
Dr Kenneth Kee
M.B.,B.S. (Singapore)
Ph.D (Healthcare Administration)
Copyright Kenneth Kee 2017 Smashwords Edition
Published by Kenneth Kee at Smashwords.com
Dedication
This book is dedicated
To my wife Dorothy
And my children
Carolyn, Grace
And Kelvin
This book describes Dental Pulp Infection, Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.
(What The patient Need to Treat Dental Pulp Infection)
This eBook is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If the patient would like to share this book with another person, please purchase an additional copy for each reader.
If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.
Thank the patient for respecting the hard work of this author.
Introduction
I have been writing medical articles for my blog http://kennethkee.blogspot.com (A Simple Guide to Medical Disorder) for the benefit of my patients since 2007.
My purpose in writing these simple guides was for the health education of my patients.
Health Education was also my dissertation for my Ph.D (Healthcare Administration).
I then wrote an autobiolographical account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.com.
This autobiolographical account A Family Doctor’s Tale
was combined with my early A Simple Guide to Medical Disorders
into a new Wordpress Blog A Family Doctor’s Tale
on http://kenkee481.wordpress.com.
From which many free articles from the blog was taken and put together into 800 amazon kindle books and 200 into Smashwords.com eBooks.
Some people have complained that the simple guides are too simple.
For their information they are made simple in order to educate the patients.
The later books go into more details of medical disorders.
The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.
Since 2013, I have tried to improve my spelling and writing.
As I tried to bring the patient the latest information about a disorder or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.
Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.
I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.
I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.
I apologize if these repetitions are irritating to some readers.
Chapter 1
Dental Pulp Infection
What is Dental Pulp Infection?
Dental Pulp Infection is called pulpitis.
It may be caused by advanced tooth decay that attacks the pulp.
Pulpitis may also form if the pulp is exposed in a fractured tooth.
Some people grind their teeth (bruxism) during sleep which may inflame the pulp.
The dental pulp