Irreversible Pulpitis Pain

Tooth pain is typically a sign of a cavity and the tooth might erode if left without treatment, and bacteria may get in into the tooth, which will result in inflammation. In most cases, the inner part of the tooth– pulp– will end up being irritated and causes a condition called pulpitis.

What Is Pulpitis?

A tooth includes 3 different parts: the enamel, the dentin and the pulp. The pulp is where the blood vessels, nerves and cells of the tooth are housed. When the tooth pulp ends up being irritated, the condition is called pulpitis and there are two types of this condition: reversible pulpitis and permanent pulpitis.

Reversible pulpitis: a mild inflammation of the pulp of the tooth. When treated, the inflammation will go away and the tooth will go back to typical. However, if left without treatment, the inflammation will worsen and cause permanent damaged to the tooth.

Irreparable pulpitis: with this condition, there is generally severe inflammation in the pulp of the tooth from which it is not likely to recover. The pulp of the tooth will swell and it can become so swollen that the blood supply to the area is cut off. When this takes place, the tooth is more likely to pass away and it will need to be treated with a root canal or be drawn out.

What Causes Irreversible Pulpitis Pain?

Trauma or Decay of the Tooth

This condition is normally caused by either trauma or decay of the tooth. Trauma to the tooth that causes this condition might be the result of an injury to the tooth arising from a dental procedure, such as a filling that is close to the nerve or bad crown preparations on a tooth that no longer has a root present.

A fractured or broken tooth caused from biting down on something hard or a blow to the tooth that moves the nerve within the socket can likewise result in pulpitis. In addition, if the tooth moves too rapidly through the bone, usually from injury like an injury, the blood supply of the tooth can be cut off.

Natural Tooth Decay

Another cause of irreversible pulpitis is natural tooth decay, according to If the decay goes too deep, such as into the dentine or to the nerve, the pulp can end up being seriously inflamed and end up being damaged. Extreme level of sensitivity to hot, cold or sugary foods may likewise lead to this condition.

The dentine of the tooth, which is the layer below the enamel, is permeable due to the fact that it has tubes running through it. As it gets closer to the nerve, televisions end up being larger and will allow more bacteria to enter the pulp of the tooth. This causes more inflammation and increases the possibilities of this condition.

Symptoms of Irreversible Pulpitis

The main symptom of irreparable pulpitis is pain. Pain is generally promoted when hot, cold or sweet foods or beverages are consumed or get packed into a cavity. When promoted, the pain is rather sharp and it is usually referred to as a shooting or piercing pain. Even when the stimuli are not present, the pain can continue for as much as an hour.

The pain can infect adjacent teeth or it can run along the jaw, up into the ear and temple. The pain can likewise be intensified by bending over or lying down. In some cases, it can be so bad that it wakes the victim up during the night or keeps him or her from being able to sleep.

How Is Irreversible Pulpitis Diagnosed?

To validate that his condition of the tooth is present, a dental professional can identify it by:

Visual Inspection

When a dental practitioner is analyzing a patient’s teeth after a problem of pain, he or she may see a deep cavity involving the pulp of the tooth. The dentist may also spot secondary caries, a tooth disease, when doing a remediation to the tooth and confirm it with a probe. If the dental expert deeply probes the tooth into the pulp, both the source of pain and bleeding can be found.


After taking images of the patient’s teeth, normally x-rays, the dental practitioner might have the ability to see the pulp of the tooth, caries under a filling or a deep cavity. The periapical, which is the area around the root of the tooth, may appear normal, however there may be some widening of the gum ligaments.


A pus-like fluid producing from the pulp increases the pressure within the tooth and causes it to be tender when it is touched or gently tapped.

Vitality Tests

A dental practitioner might use cold stimuli to test the tooth, as it will cause pain if the disease is present. If cold also helps to ease the pain, instead of heat, which can intensify the pain, then the dental professional can diagnose the condition.

How Is Irreversible Pulpitis Pain Treated?

The main treatment for irreparable pulpitis and related pain is to perform an endodontic treatment, or a root canal, to help relieve the symptoms and inflammation. An Endodontist will take a picture of the tooth to evaluate the root and the bones of for signs of disease.

If infection exists, it can be treated during the root canal. However, sometimes, a course of antibiotics may need to be used to help clear the infection prior to the root canal can be carried out. If a root canal can not be done, then the tooth may have to be pulled, or drawn out.

How to Prevent Pulpitis

The best method to prevent pulpitis is to have excellent oral health. By brushing your teeth, flossing and going to the dentist for routine checkups, you can prevent most tooth problems. It is suggested that you brush your teeth at least 2-3 times a day with a fluoride toothpaste and brush each tooth separately, on both the inside and the beyond the tooth.

Together with brushing, floss should be used to eliminate stuck food particles in between your teeth. In addition, rinsing with a fluoride mouthwash will also help to prevent cavities and dental caries that can result in diseases like pulpitis.

Last modified: August 5, 2016


The Author

Reyus Mammadli

As a healthy lifestyle advisor I try to guide individuals in becoming more aware of living well and healthy through a series of proactive and preventive measures, disease prevention steps, recovery after illness or medical procedures.

Education: Bachelor Degree of Medical Equipment and Electronics.

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