Health tips: pulpitis is a common oral disease, according to the patient's age, severity of the specific condition, etc., need to choose different treatment.
There are many methods to treat pulpitis in young people, such as direct pulp capping, indirect pulp capping, living pulp cutting, and so on; there are also treatment methods for infected pulpitis (pulp opening, pulp extraction, pulp drying, crown pulpotomy, etc.).
Direct pulp capping: pulp capping agent is used to directly cover the perforation of pulp, so that the local formation of restorative dentin, pulp perforation can be closed, to achieve the purpose of preserving pulp vitality. It is suitable for pulpitis of young permanent teeth or deciduous molars far away from the replacement period.
Indirect pulp capping: pulp capping agent is used to cover the cavity with pulp congestion or near the pulp, and it is a method of permanent filling after the symptoms are relieved or eliminated. It is suitable for early pulpitis.
Vital pulpotomy: under strict disinfection and aseptic conditions, the inflamed crown pulp tissue is removed, and the pulp section of the root canal orifice is covered with drugs to induce the formation of restorative dentin and seal the root canal orifice, so as to preserve the vitality and function of the root pulp. It is suitable for the early stage of young permanent teeth or pulpitis limited to crown pulp.
Pulpotomy: high speed drill is used to drill the top of the pulp cavity to reduce the pressure in the pulp cavity. It is suitable for emergency treatment of pulpitis and severe toothache.
Pulp extraction: it is a method of extracting all infected pulp with pulp extraction instruments under the condition of no pain after pulp opening.
Pulp drying: after the pulp is inactivated by drugs, the pulp in the crown is removed, and then the cross-section of the pulp is covered with drugs, so that the pulp is fixed by drugs and kept sterile for a long time. The apical foramen is gradually closed, and the periapical tissue can maintain normal function, and the diseased teeth can be preserved.
Root canal filling: it is to remove the pulp from the crown and root after the pulp is inactivated by drugs, and then close the root canal tightly with root canal filling agent. It is the most commonly used method to retain the affected teeth in clinic.