What's better for pain from pulpitis and possible abscess...ice or heat?

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It really depends on where you are in the process of your tooth becoming infected. As an endodontist (root canal specialist) I've seen many people who come into the office with a cup of ice water because that is the only way they can relieve their pain. We call this the "hot tooth." Other times warm salt water rinses may help if the tooth is getting closer to becoming infected. Of course the ultimate treatment for both is a root canal treatment.
Good luck,
Dr.T  (+ info)

what is the effect of odontoiatrogenic on pulpitis?

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Please i want only head lines
The old CA(OH)2 works fairly well on primary teeth. Doesn't work at all on permanent teeth. I wish I had headlines to give you. There were some very promising materials tested 15 to 20 years ago. They don't seem to be working out. But a good deal of knowledge was gained. This is an extremely complicated subject.  (+ info)

what is pulpitis?

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I just got a deep cavity filling, and I am in so much pain. Someone on yahoo answers said I had pulpitis and may need root canal. Can someone tell me what pulpitis is?
Pulpitis is painful inflammation of the tooth pulp, the innermost part of the tooth that contains the nerves and blood supply.

The most common cause of pulpitis is tooth decay; the second most common cause is injury. Mild inflammation, if relieved, may not damage the tooth permanently. Severe inflammation may cause the pulp to die.

Symptoms and Diagnosis

Pulpitis can cause intense tooth pain. To determine if the pulp is healthy enough to save, a dentist can perform certain tests. For example, a dentist can apply a hot or cold stimulus. If pain persists after the stimulus is removed or if pain occurs spontaneously, the pulp may not be healthy enough to save.

A dentist may also use an electric pulp tester, which indicates whether the pulp is alive but not whether it is healthy. If the person feels the small electrical charge delivered to the tooth, the pulp is alive. Sensitivity to tapping on a tooth often means that inflammation has spread to the surrounding tissues.

Treatment

The inflammation stops when the cause is treated. When pulpitis is detected early, a temporary filling containing a sedative can eliminate the pain. This filling can be left in place for 6 to 8 weeks and then replaced with a permanent filling. Often a permanent filling can be put in immediately.

When pulp damage is extensive and cannot be reversed, the only way a dentist can stop the pain is by removing the pulp by root canal treatment or tooth extraction  (+ info)

what's the best antibiotic/NSAID combo for an acute irreversible pulpitis prior to root canal treatment?

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What is pulpitis (dentistry)?

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Im writing an assignment on types of caries, and for caries involving the pulp, is it always called pulpitis? Can you have pulp involvement without pulpitis?
Thanks
Pulpitis is literally translated as inflammation (-itis) of the pulp. Inflammation doesn't occur in this area unless there is an outside influence, such as the introduction of bacteria. If there is bacteria present in the pulp, there is an infection. So yes, I would say that when caries is deep enough that it involves the pulp, that would be considered "pulpitis". Hope that helps.  (+ info)

does pulpitis have negative effects on unborn babies?

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please ask your dentist

http://en.wikipedia.org/wiki/Pulpitis  (+ info)

Is it safe to have a root canal done in the beginning of the third trimester of pregnancy?

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I am 29 weeks pregnant and have a MAJOR case of pulpitis on #18 and possibly even an abscess beginning. It's friday so there is no one to help me with my agony. The pain is radiating up to my ear and my temple. It comes in waves and completely consumes me, especially when sleeping. Is there any hope for relief?
I'm an endodontist (root canal specialist) and have done many root canals on pregnant patients. With the symptoms you are describing you will need to be treated as soon as possible. Contact a dentist immediately. Your physician will also need to be consulted to find out what pain medications you can take. If the pain is radiating up to your ear and temple you really need to seek treatment quickly.
Good luck,
Dr.T  (+ info)

Pulpitis, can it affect more then one tooth at a time?

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I went to the dentist today and he took x-rays of where my two teeth were hurting. When the x-ray came out, it showed that the feelings I had in my teeth were to deep and he couldn't tell which one it was that was bothering me. He tested my teeth during that time with the cold q-tip but everything he was doing was not affecting my teeth. Then my pulpitis set in and he immediately hit the two teeth thats been bothering me and I was in pain. Since Friday, I have had pulpitis in a front tooth and a back molar. He immediately started working on my back molar because thats where the pain has been the most. When I arrived home and after the numbness went away, both teeth started doing the same exact thing with even more pain. Even the one he worked on. Now I am sitting here with my ice cold water bottle. I had a tooth extracted back in December and its right by the back molar. Can I have pulpitis in my gums, or both teeth? I need answers. I'm freaking out. :(
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Pulpitis or cracked tooth?

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I have a gold crown on a molar which has been there for years, and it just started giving me problems.
First symptom, 1 week ago, was a sharp jolt of pain on biting hard on the tooth. It felt exactly like the pain when you break a tooth. There is no pain if I bite on it with low pressure.
Now it has also become sensitive to heat and cold. Heat and cold create dull aching pain. Pain from hot liquid goes away in a few seconds, pain from cold liquid goes away over 5 - 10 minutes. I haven't tried ice yet.

Seeing the dentist on Monday.

The long-duration pain from cold suggests irreversible pulpitis, which means I need a root canal. Nasty, but I've had one before (different tooth!).
What worries me is whether the sharp pain on biting suggests a cracked tooth under the crown. How common is it for a crowned tooth to crack many years later? Could that sharp pain on biting just be caused by pulpitis?
My guess is that it is a pulpitis. It is nearly impossible for a tooth to crack under a crown. Your pulpitis may be reversible from the sound of your symptoms. So a root canal at this stage isn't a certainty. Your dentist will run a couple more tests on it to help make the determination. Good luck  (+ info)

Pulpitis pain - am I doing it right?

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I have pulpitis. The dentist has put me in an 8 day course of 500mg Amoxicillin to see if it can be saved, or we'll doing the root canal thing.

My question is, how long usually should I expect the pain to last? I started the antibiotics on Friday morning, and it's Saturday night now, I'd really expected it to stop hurting as the antibiotics took effect but it's worse now than it was.

I'm taking co-codamol (paracetamol and codeine) for it, but is it going to hurt like this for the whole 8 days? should I keep going as I am or should I go back and tell her it still hurts like this? what's the usual waiting time and do the antibiotics usually take away the pain at some point?

I don't want to sit here for a week yet waiting for them to work then have it out anyway, I'd rather get it over with.

How much is too much pain and how long should I wait before going back? should I just wait out the course or should I go back and see her?

I read the complications on line, I am not sure if I should just soldier on or if she should know the antibiotics are not yet having any noticeable effect.
I've had the x-ray done to confirm pulpitis, it's a tooth that has a huge filing in it, when they put the filling in a few months ago they said that it might be too deep to fill without further problems but they'd have a go.
Antibiotics don't penetrate any infection or issue until they've been in your system for at least 48 hours; this is what I tell most dental patients when they ask what to expect as far as antibiotics and pain relief.

However, antibiotics cannot cure pulpitis, an infection, or any other dental issue (especially a root canal issue!)! Antibiotics should only be used to keep the infection suppressed so that the patient stays somewhat comfortable until you can perform the root canal.

After the antibiotics get into your system, you may feel better for anywhere from the length of treatment (8 days) to several months, due to the effect of the antibiotics. But eventually, the symptoms of the pulpitis will return and worsen.

It is a common misconception among dentists that antibiotics can "cure" pulpitis. For that reason, I'd go back to your dentist ASAP and see if she can clarify this issue for you. If you truly do have pulpitis, which is the beginning of a root canal infection, the tooth will inevitably need root canal anyway, and it's better to get it done ASAP so that you're out of pain.

In the meantime, combining an NSAID, like advil, with the codeine/paracetamol can REALLY help a lot; as long as you're not allergic or not able to take it.

If there's any question about what your dentist is telling you, it may be wise to see a root canal specialist (endodontist). They can generally straighten out any confusion regarding root canals, extractions, pulpitis, and antibiotics, and will usually be pretty honest with you when it comes to letting you know whether you really will need the root canal or not. (I never worked for any endodontist who told someone to unnecessarily have a root canal, nor did I see too many endodontists try to "cure" an inevitable root canal with a course of antibiotics).

Well, good luck; I hope you feel better soon!  (+ info)

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