{"id":9007,"date":"2019-08-24T08:28:56","date_gmt":"2019-08-24T07:28:56","guid":{"rendered":"https:\/\/www.dentaly.org\/en\/?page_id=9007"},"modified":"2023-02-28T09:09:58","modified_gmt":"2023-02-28T08:09:58","slug":"pulpitis","status":"publish","type":"page","link":"https:\/\/www.dentaly.org\/en\/pulpitis\/","title":{"rendered":"Pulpitis Pain: What Causes Pulpitis? Symptoms, Pain Relief, Treatment"},"content":{"rendered":"<p>Having <strong>inflamed dental pulp tissue<\/strong>, a condition known as <strong>pulpitis<\/strong>, can make your teeth very painful. Fortunately, it&#8217;s not too difficult to treat and reverse pulpitis, especially if it&#8217;s caught early. If you have been diagnosed with pulpitis or you&#8217;re worried you might have it, this guide will help you understand more about the condition.<\/p>    <p>Perhaps you&#8217;re confused about the different terms you&#8217;ve heard? Chronic and acute pulpitis, reversible and irreversible pulpitis&#8230; what do they all mean? In this article we\u2019re going to explain:<\/p>    <ul class=\"wp-block-list\"> <li>The different types of pulpitis<\/li>    <li>What causes it<\/li>    <li>How it&#8217;s diagnosed<\/li>    <li>Pulpitis treatment options, including on the NHS<\/li> <\/ul>    <p>Pulpitis is just <a href=\"https:\/\/www.dentaly.org\/en\/oral-health\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"one of the problems (opens in a new tab)\">one of the problems<\/a> that can cause dental pain. If <a href=\"https:\/\/www.dentaly.org\/en\/toothache-causes-treatment\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"your teeth hurt (opens in a new tab)\">your teeth hurt<\/a>, whatever you think the cause may be, we recommend you go for a dental checkup before it gets any worse. But for now, here&#8217;s all you need to know about pulpitis pain and treatment.<\/p>    <h2 id=\"what-is-pulpitis\" class=\"wp-block-heading\">What is pulpitis?<\/h2>   <div class=\"wp-block-image\"> <figure class=\"alignright size-large\"><img decoding=\"async\" width=\"300\" height=\"220\" src=\"https:\/\/www.dentaly.org\/en\/wp-content\/uploads\/sites\/3\/2020\/12\/tooth-structure-diagram.svg\" alt=\"pulpitis causes\" class=\"wp-image-18779\" \/><figcaption class=\"wp-element-caption\">When decay reaches the inner layer of pulp, inflammation can occur<\/figcaption><\/figure><\/div>   <p>Dental pulpitis is caused by the pulp in your teeth becoming infected or inflamed. Your teeth have three layers: enamel, dentin, and dental pulp. Each layer has a different structural purpose.<\/p>    <ol class=\"wp-block-list\"> <li><strong>Enamel <\/strong>\u2013 the hard outer coating that protects your teeth<\/li>    <li><strong>Dentin<\/strong> \u2013 the middle layer which supports the enamel<\/li>    <li><strong>Dental pulp<\/strong> \u2013 the innermost layer with the tooth\u2019s nerves and blood supply<\/li> <\/ol>    <p>When the inner pulp layer gets exposed or becomes irritated, this can lead to pulpitis. Later on we&#8217;ll go through some of the reasons this might happen.<\/p>    <p>There are two main types of dental pulp inflammation: irreversible and reversible. <strong>Irreversible pulpitis<\/strong> means the infection or inflammation has gone so far that the pulp of the tooth can\u2019t be completely saved. In contrast, <strong>reversible pulpitis<\/strong> can be treated and fixed if it\u2019s caught early.<\/p>    <p>Another way that the problem can be categorised is acute pulpitis vs chronic pulpitis. The difference between acute and chronic pulpitis is that with <strong>acute pulpitis<\/strong> the pain comes on all of a sudden and can be quite intense, whereas <strong>chronic pulpitis<\/strong> is characterised by duller but longer-lasting pain.<\/p>    <h2 id=\"pulpitis-symptoms-and-signs\" class=\"wp-block-heading\">Pulpitis symptoms and signs<\/h2>   <div class=\"wp-block-image size-medium wp-image-9014\"> <figure class=\"alignright\"><img decoding=\"async\" width=\"300\" height=\"200\" src=\"https:\/\/www.dentaly.org\/en\/wp-content\/uploads\/sites\/3\/2019\/08\/pulpitis-pain-300x200.jpg\" alt=\"pulpitis pain\" class=\"wp-image-9014\" srcset=\"https:\/\/www.dentaly.org\/en\/wp-content\/uploads\/sites\/3\/2019\/08\/pulpitis-pain-300x200.jpg 300w, https:\/\/www.dentaly.org\/en\/wp-content\/uploads\/sites\/3\/2019\/08\/pulpitis-pain-768x512.jpg 768w, https:\/\/www.dentaly.org\/en\/wp-content\/uploads\/sites\/3\/2019\/08\/pulpitis-pain.jpg 1000w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption class=\"wp-element-caption\">Pulpitis is one possible cause of tooth pain<\/figcaption><\/figure><\/div>   <p>Most of the time, <strong>pain is the first sign of pulpitis in a tooth<\/strong>. This table is a quick guide to the different symptoms you might experience, according to the type of inflammation you have:<\/p>    <div class=\"wptb-table-container wptb-table-31318\"><div class=\"wptb-table-container-matrix\" id=\"wptb-table-id-31318\" data-wptb-version=\"2.0.2\" data-wptb-pro-status=\"true\"><table class=\"wptb-preview-table wptb-element-main-table_setting-31318\" data-reconstraction=\"1\" style=\"border: 1px solid rgb(209, 209, 209);\" data-wptb-table-tds-sum-max-width=\"656\" data-wptb-cells-width-auto-count=\"5\" data-wptb-table-directives=\"eyJpbm5lckJvcmRlcnMiOnsiYWN0aXZlIjoiYWxsIiwiYm9yZGVyV2lkdGgiOiIxIiwiYm9yZGVyUmFkaXVzZXMiOnsiYWxsIjpmYWxzZX19fQ==\" data-wptb-extra-styles=\"LyogRW50ZXIgeW91ciBjdXN0b20gQ1NTIHJ1bGVzIGhlcmUgKi8=\" role=\"table\" data-table-columns=\"5\"><tbody><tr class=\"wptb-row\"><td class=\"wptb-cell\" data-y-index=\"0\" data-x-index=\"0\" style=\"border: 1px solid rgb(209, 209, 209);\" data-wptb-css-td-auto-width=\"true\"><div class=\"wptb-text-container wptb-ph-element wptb-element-text-31\" style=\"color: rgb(74, 85, 104); font-size: 15px; padding: 0px; margin: 0px;\"><div class=\"\" style=\"position: relative;\"><p>Symptom<\/p><\/div><\/div><\/td><td class=\"wptb-cell\" data-y-index=\"0\" data-x-index=\"1\" style=\"border: 1px solid rgb(209, 209, 209);\" data-wptb-css-td-auto-width=\"true\"><div class=\"wptb-text-container wptb-ph-element wptb-element-text-32\" style=\"color: rgb(74, 85, 104); font-size: 15px; padding: 0px; margin: 0px;\"><div class=\"\" style=\"position: relative;\"><p>Reversible Pulpitis<\/p><\/div><\/div><\/td><td class=\"wptb-cell\" data-y-index=\"0\" data-x-index=\"2\" style=\"border: 1px solid rgb(209, 209, 209);\" data-wptb-css-td-auto-width=\"true\"><div class=\"wptb-text-container wptb-ph-element wptb-element-text-33\" style=\"color: rgb(74, 85, 104); font-size: 15px; padding: 0px; margin: 0px;\"><div class=\"\" style=\"position: relative;\"><p>Irreversible pulpitis<\/p><\/div><\/div><\/td><td class=\"wptb-cell\" data-y-index=\"0\" data-x-index=\"3\" style=\"border: 1px solid rgb(209, 209, 209);\" data-wptb-css-td-auto-width=\"true\"><div class=\"wptb-text-container wptb-ph-element wptb-element-text-34\" style=\"color: rgb(74, 85, 104); font-size: 15px; padding: 0px; margin: 0px;\"><div class=\"\" style=\"position: relative;\"><p>Chronic pulpitis<\/p><\/div><\/div><\/td><td class=\"wptb-cell\" data-y-index=\"0\" data-x-index=\"4\" style=\"border: 1px solid rgb(209, 209, 209);\" data-wptb-css-td-auto-width=\"true\"><div class=\"wptb-text-container wptb-ph-element wptb-element-text-35\" style=\"color: rgb(74, 85, 104); font-size: 15px; padding: 0px; margin: 0px;\"><div class=\"\" style=\"position: relative;\"><p>Acute pulpitis<\/p><\/div><\/div><\/td><\/tr><tr class=\"wptb-row\"><td class=\"wptb-cell\" data-y-index=\"1\" data-x-index=\"0\" style=\"border: 1px solid rgb(209, 209, 209);\" data-wptb-css-td-auto-width=\"true\"><div class=\"wptb-text-container wptb-ph-element wptb-element-text-36\" style=\"color: rgb(74, 85, 104); font-size: 15px; padding: 0px; margin: 0px;\"><div class=\"\" style=\"position: relative;\"><p><strong>General pain<\/strong><\/p><\/div><\/div><\/td><td class=\"wptb-cell\" data-y-index=\"1\" data-x-index=\"1\" style=\"border: 1px solid rgb(209, 209, 209);\" data-wptb-css-td-auto-width=\"true\"><div class=\"wptb-text-container wptb-ph-element wptb-element-text-37\" style=\"color: rgb(74, 85, 104); font-size: 15px; padding: 0px; margin: 0px;\"><div class=\"\" style=\"position: relative;\"><p>Moderate<\/p><\/div><\/div><\/td><td class=\"wptb-cell\" data-y-index=\"1\" data-x-index=\"2\" style=\"border: 1px solid rgb(209, 209, 209);\" data-wptb-css-td-auto-width=\"true\"><div class=\"wptb-text-container wptb-ph-element wptb-element-text-38\" style=\"color: rgb(74, 85, 104); font-size: 15px; padding: 0px; margin: 0px;\"><div class=\"\" style=\"position: relative;\"><p>Intense, throbbing<\/p><\/div><\/div><\/td><td class=\"wptb-cell\" data-y-index=\"1\" data-x-index=\"3\" style=\"border: 1px solid rgb(209, 209, 209);\" data-wptb-css-td-auto-width=\"true\"><div class=\"wptb-text-container wptb-ph-element wptb-element-text-39\" style=\"color: rgb(74, 85, 104); font-size: 15px; padding: 0px; margin: 0px;\"><div class=\"\" style=\"position: relative;\"><p>Low, dull ache<\/p><\/div><\/div><\/td><td class=\"wptb-cell\" data-y-index=\"1\" data-x-index=\"4\" style=\"border: 1px solid rgb(209, 209, 209);\" data-wptb-css-td-auto-width=\"true\"><div class=\"wptb-text-container wptb-ph-element wptb-element-text-40\" style=\"color: rgb(74, 85, 104); font-size: 15px; padding: 0px; margin: 0px;\"><div class=\"\"><p>Intense, throbbing<\/p><\/div><\/div><\/td><\/tr><tr class=\"wptb-row\"><td class=\"wptb-cell\" data-y-index=\"2\" data-x-index=\"0\" style=\"border: 1px solid rgb(209, 209, 209);\" data-wptb-css-td-auto-width=\"true\"><div class=\"wptb-text-container wptb-ph-element wptb-element-text-41\" style=\"color: rgb(74, 85, 104); font-size: 15px; padding: 0px; margin: 0px;\"><div class=\"\" style=\"position: relative;\"><p><strong>Teeth sensitivity<\/strong><\/p><\/div><\/div><\/td><td class=\"wptb-cell\" data-y-index=\"2\" data-x-index=\"1\" style=\"border: 1px solid rgb(209, 209, 209);\" data-wptb-css-td-auto-width=\"true\"><div class=\"wptb-text-container wptb-ph-element wptb-element-text-42\" style=\"color: rgb(74, 85, 104); font-size: 15px; padding: 0px; margin: 0px;\"><div class=\"\"><p>Short and sharp<\/p><\/div><\/div><\/td><td class=\"wptb-cell\" data-y-index=\"2\" data-x-index=\"2\" style=\"border: 1px solid rgb(209, 209, 209);\" data-wptb-css-td-auto-width=\"true\"><div class=\"wptb-text-container wptb-ph-element wptb-element-text-43\" style=\"color: rgb(74, 85, 104); font-size: 15px; padding: 0px; margin: 0px;\"><div class=\"\" style=\"position: relative;\"><p>Lasts for more than 30 seconds<\/p><\/div><\/div><\/td><td class=\"wptb-cell\" data-y-index=\"2\" data-x-index=\"3\" style=\"border: 1px solid rgb(209, 209, 209);\" data-wptb-css-td-auto-width=\"true\"><div class=\"wptb-text-container wptb-ph-element wptb-element-text-44\" style=\"color: rgb(74, 85, 104); font-size: 15px; padding: 0px; margin: 0px;\"><div class=\"\" style=\"position: relative;\"><p>Short and sharp<\/p><\/div><\/div><\/td><td class=\"wptb-cell\" data-y-index=\"2\" data-x-index=\"4\" style=\"border: 1px solid rgb(209, 209, 209);\" data-wptb-css-td-auto-width=\"true\"><div class=\"wptb-text-container wptb-ph-element wptb-element-text-45\" style=\"color: rgb(74, 85, 104); font-size: 15px; padding: 0px; margin: 0px;\"><div class=\"\" style=\"position: relative;\"><p>Very painful<\/p><\/div><\/div><\/td><\/tr><tr class=\"wptb-row\"><td class=\"wptb-cell\" data-y-index=\"3\" data-x-index=\"0\" style=\"border: 1px solid rgb(209, 209, 209);\" data-wptb-css-td-auto-width=\"true\"><div class=\"wptb-text-container wptb-ph-element wptb-element-text-46\" style=\"color: rgb(74, 85, 104); font-size: 15px; padding: 0px; margin: 0px;\"><div class=\"\" style=\"position: relative;\"><p><strong>Swelling around teeth<\/strong><\/p><\/div><\/div><\/td><td class=\"wptb-cell\" data-y-index=\"3\" data-x-index=\"1\" style=\"border: 1px solid rgb(209, 209, 209);\" data-wptb-css-td-auto-width=\"true\"><div class=\"wptb-text-container wptb-ph-element wptb-element-text-47\" style=\"color: rgb(74, 85, 104); font-size: 15px; padding: 0px; margin: 0px;\"><div class=\"\" style=\"position: relative;\"><p>Rarely<\/p><\/div><\/div><\/td><td class=\"wptb-cell\" data-y-index=\"3\" data-x-index=\"2\" style=\"border: 1px solid rgb(209, 209, 209);\" data-wptb-css-td-auto-width=\"true\"><div class=\"wptb-text-container wptb-ph-element wptb-element-text-48 wptb-ondragenter\" style=\"color: rgb(74, 85, 104); font-size: 15px; padding: 0px; margin: 0px;\"><div class=\"\" style=\"position: relative;\"><p>Yes<\/p><\/div><\/div><\/td><td class=\"wptb-cell\" data-y-index=\"3\" data-x-index=\"3\" style=\"border: 1px solid rgb(209, 209, 209);\" data-wptb-css-td-auto-width=\"true\"><div class=\"wptb-text-container wptb-ph-element wptb-element-text-49\" style=\"color: rgb(74, 85, 104); font-size: 15px; padding: 0px; margin: 0px;\"><div class=\"\"><p>Rarely<\/p><\/div><\/div><\/td><td class=\"wptb-cell\" data-y-index=\"3\" data-x-index=\"4\" style=\"border: 1px solid rgb(209, 209, 209);\" data-wptb-css-td-auto-width=\"true\"><div class=\"wptb-text-container wptb-ph-element wptb-element-text-50\" style=\"color: rgb(74, 85, 104); font-size: 15px; padding: 0px; margin: 0px;\"><div class=\"\" style=\"position: relative;\"><p>Yes<\/p><\/div><\/div><\/td><\/tr><tr class=\"wptb-row\"><td class=\"wptb-cell\" data-y-index=\"4\" data-x-index=\"0\" style=\"border: 1px solid rgb(209, 209, 209);\" data-wptb-css-td-auto-width=\"true\"><div class=\"wptb-text-container wptb-ph-element wptb-element-text-51\" style=\"color: rgb(74, 85, 104); font-size: 15px; padding: 0px; margin: 0px;\"><div class=\"\" style=\"position: relative;\"><p><strong>Fever<\/strong><\/p><\/div><\/div><\/td><td class=\"wptb-cell\" data-y-index=\"4\" data-x-index=\"1\" style=\"border: 1px solid rgb(209, 209, 209);\" data-wptb-css-td-auto-width=\"true\"><div class=\"wptb-text-container wptb-ph-element wptb-element-text-52\" style=\"color: rgb(74, 85, 104); font-size: 15px; padding: 0px; margin: 0px;\"><div class=\"\"><p>Unlikely<\/p><\/div><\/div><\/td><td class=\"wptb-cell\" data-y-index=\"4\" data-x-index=\"2\" style=\"border: 1px solid rgb(209, 209, 209);\" data-wptb-css-td-auto-width=\"true\"><div class=\"wptb-text-container wptb-ph-element wptb-element-text-53\" style=\"color: rgb(74, 85, 104); font-size: 15px; padding: 0px; margin: 0px;\"><div class=\"\" style=\"position: relative;\"><p>Yes<\/p><\/div><\/div><\/td><td class=\"wptb-cell\" data-y-index=\"4\" data-x-index=\"3\" style=\"border: 1px solid rgb(209, 209, 209);\" data-wptb-css-td-auto-width=\"true\"><div class=\"wptb-text-container wptb-ph-element wptb-element-text-54\" style=\"color: rgb(74, 85, 104); font-size: 15px; padding: 0px; margin: 0px;\"><div class=\"\" style=\"position: relative;\"><p>Unlikely<\/p><\/div><\/div><\/td><td class=\"wptb-cell\" data-y-index=\"4\" data-x-index=\"4\" style=\"border: 1px solid rgb(209, 209, 209);\" data-wptb-css-td-auto-width=\"true\"><div class=\"wptb-text-container wptb-ph-element wptb-element-text-55\" style=\"color: rgb(74, 85, 104); font-size: 15px; padding: 0px; margin: 0px;\"><div class=\"\" style=\"position: relative;\"><p>Yes<\/p><\/div><\/div><\/td><\/tr><tr class=\"wptb-row\"><td class=\"wptb-cell\" data-y-index=\"5\" data-x-index=\"0\" style=\"border: 1px solid rgb(209, 209, 209);\" data-wptb-css-td-auto-width=\"true\"><div class=\"wptb-text-container wptb-ph-element wptb-element-text-56\" style=\"color: rgb(74, 85, 104); font-size: 15px; padding: 0px; margin: 0px;\"><div class=\"\" style=\"position: relative;\"><p><strong>Bad breath<\/strong><\/p><\/div><\/div><\/td><td class=\"wptb-cell\" data-y-index=\"5\" data-x-index=\"1\" style=\"border: 1px solid rgb(209, 209, 209);\" data-wptb-css-td-auto-width=\"true\"><div class=\"wptb-text-container wptb-ph-element wptb-element-text-57\" style=\"color: rgb(74, 85, 104); font-size: 15px; padding: 0px; margin: 0px;\"><div class=\"\" style=\"position: relative;\"><p>No<\/p><\/div><\/div><\/td><td class=\"wptb-cell\" data-y-index=\"5\" data-x-index=\"2\" style=\"border: 1px solid rgb(209, 209, 209);\" data-wptb-css-td-auto-width=\"true\"><div class=\"wptb-text-container wptb-ph-element wptb-element-text-58\" style=\"color: rgb(74, 85, 104); font-size: 15px; padding: 0px; margin: 0px;\"><div class=\"\" style=\"position: relative;\"><p>Yes<\/p><\/div><\/div><\/td><td class=\"wptb-cell\" data-y-index=\"5\" data-x-index=\"3\" style=\"border: 1px solid rgb(209, 209, 209);\" data-wptb-css-td-auto-width=\"true\"><div class=\"wptb-text-container wptb-ph-element wptb-element-text-59\" style=\"color: rgb(74, 85, 104); font-size: 15px; padding: 0px; margin: 0px;\"><div class=\"\" style=\"position: relative;\"><p>Possibly<\/p><\/div><\/div><\/td><td class=\"wptb-cell\" data-y-index=\"5\" data-x-index=\"4\" style=\"border: 1px solid rgb(209, 209, 209);\" data-wptb-css-td-auto-width=\"true\"><div class=\"wptb-text-container wptb-ph-element wptb-element-text-60\" style=\"color: rgb(74, 85, 104); font-size: 15px; padding: 0px; margin: 0px;\"><div class=\"\" style=\"position: relative;\"><p>Possibly<\/p><\/div><\/div><\/td><\/tr><tr class=\"wptb-row\"><td class=\"wptb-cell\" data-y-index=\"6\" data-x-index=\"0\" style=\"border: 1px solid rgb(209, 209, 209);\" data-wptb-css-td-auto-width=\"true\"><div class=\"wptb-text-container wptb-ph-element wptb-element-text-61\" style=\"color: rgb(74, 85, 104); font-size: 15px; padding: 0px; margin: 0px;\"><div class=\"\" style=\"position: relative;\"><p><strong>Increased pain when lying down<\/strong><\/p><\/div><\/div><\/td><td class=\"wptb-cell\" data-y-index=\"6\" data-x-index=\"1\" style=\"border: 1px solid rgb(209, 209, 209);\" data-wptb-css-td-auto-width=\"true\"><div class=\"wptb-text-container wptb-ph-element wptb-element-text-62\" style=\"color: rgb(74, 85, 104); font-size: 15px; padding: 0px; margin: 0px;\"><div class=\"\" style=\"position: relative;\"><p>No<\/p><\/div><\/div><\/td><td class=\"wptb-cell\" data-y-index=\"6\" data-x-index=\"2\" style=\"border: 1px solid rgb(209, 209, 209);\" data-wptb-css-td-auto-width=\"true\"><div class=\"wptb-text-container wptb-ph-element wptb-element-text-63\" style=\"color: rgb(74, 85, 104); font-size: 15px; padding: 0px; margin: 0px;\"><div class=\"\" style=\"position: relative;\"><p>Yes<\/p><\/div><\/div><\/td><td class=\"wptb-cell\" data-y-index=\"6\" data-x-index=\"3\" style=\"border: 1px solid rgb(209, 209, 209);\" data-wptb-css-td-auto-width=\"true\"><div class=\"wptb-text-container wptb-ph-element wptb-element-text-64\" style=\"color: rgb(74, 85, 104); font-size: 15px; padding: 0px; margin: 0px;\"><div class=\"\" style=\"position: relative;\"><p>No<\/p><\/div><\/div><\/td><td class=\"wptb-cell\" data-y-index=\"6\" data-x-index=\"4\" style=\"border: 1px solid rgb(209, 209, 209);\" data-wptb-css-td-auto-width=\"true\"><div class=\"wptb-text-container wptb-ph-element wptb-element-text-65\" style=\"color: rgb(74, 85, 104); font-size: 15px; padding: 0px; margin: 0px;\"><div class=\"\" style=\"position: relative;\"><p>Yes<\/p><\/div><\/div><\/td><\/tr><\/tbody><\/table> <\/div><\/div>     <p>If you experience any of these symptoms you should visit a dentist as soon as possible. Irreversible pulpitis pain can be extreme and sometimes even over-the-counter painkillers won&#8217;t help with pulpitis pain relief. If your pulpitis pain becomes unbearable you should seek an appointment with an <a href=\"https:\/\/www.dentaly.org\/en\/emergency-dentist\/\" target=\"_blank\" rel=\"noopener noreferrer\">emergency dentist<\/a>.<\/p>    <h2 id=\"what-causes-pulp-inflammation-and-infection\" class=\"wp-block-heading\">What causes pulp inflammation and infection?<\/h2>    <p>There are quite a few different ways that dental pulp can become inflamed. The <strong>most common cause of pulpitis is deep cavities,<\/strong> which expose the pulp to bacteria. Tooth pulpitis occurs when the pulp is irritated or develops an infection.<\/p>    <p>Some other ways that dental pulp can become inflamed or infected include:<\/p>    <ul class=\"wp-block-list\"> <li>Injuries or impact around the head or mouth<\/li>    <li><a rel=\"noopener noreferrer\" href=\"https:\/\/www.dentaly.org\/en\/chipped-tooth-repair\/\" target=\"_blank\">A cracked or fractured tooth<\/a> that exposes the pulp layer<\/li>    <li>Severe abfractions (wear) caused by aggressive tooth brushing and\/or abrasive toothpaste<\/li>    <li><a rel=\"noopener noreferrer\" href=\"https:\/\/www.dentaly.org\/en\/teeth-grinding-bruxism\/\" target=\"_blank\">Grinding teeth<\/a> (bruxism) causing teeth to crack or enamel and dentin to wear away<\/li>    <li><a rel=\"noopener noreferrer\" href=\"https:\/\/www.dentaly.org\/en\/malocclusion-crooked-teeth\/\" target=\"_blank\">A bad bite<\/a>, or malocclusion, which can cause extra wear on certain teeth<\/li> <\/ul>    <p>Although uncommon, it is also possible to get tooth pulp inflammation from routine dental visits. For example:<\/p>    <ul class=\"wp-block-list\"> <li>Pulpitis after a filling can occur because of teeth being exposed to extreme heat when setting the materials.<\/li>    <li>The heat caused by tooth polishing may cause inflammation.<\/li>    <li>Dental pulp can be exposed to bacteria during a filling treatment.<\/li>    <li>Having a crown fitted can irritate the pulp and compromise the nerve.<\/li> <\/ul>    <p>Getting <a rel=\"noreferrer noopener\" href=\"https:\/\/www.dentaly.org\/en\/sensitive-teeth\/teeth-sensitive-after-filling\/\" data-type=\"page\" data-id=\"29967\" target=\"_blank\">sensitive teeth after a filling<\/a> is relatively normal, however, if it lasts longer than a few days you may have pulpitis. If you believe you have dental pulp inflammation because of dental treatment, speak to your dentist to resolve the complaint. You also have the right to make a complaint about your dentist. Here is an <a rel=\"noopener noreferrer\" href=\"https:\/\/www.nhs.uk\/common-health-questions\/dental-health\/how-do-i-complain-about-my-dental-treatment\/\" target=\"_blank\">NHS guide<\/a> about how to resolve complaints about your NHS or private dentist.<\/p>    <h2 id=\"diagnosis-of-pulpitis\" class=\"wp-block-heading\">Diagnosis of pulpitis<\/h2>    <p>Pulpitis diagnosis is fairly straightforward for your dentist. Four types of test can be done to determine if you have this condition and whether it is reversible or irreversible.<\/p>    <ol class=\"wp-block-list\"> <li><strong>X-rays <\/strong>can show your dentist the extent of the tooth decay and whether it might be possible to reverse the damage.<\/li>    <li><strong>Exposure to <a href=\"https:\/\/www.dentaly.org\/en\/sensitive-teeth\/teeth-sensitive-to-heat\/\">heat<\/a>, cold, and sweet things <\/strong>will help your dentist know if the nerve in your tooth is still intact.<\/li>    <li><strong>Tooth tap tests <\/strong>are done to tell your dentist how inflamed your tooth is.<\/li>    <li><strong>Electric testing <\/strong>involves passing a small electrical current through the tooth. If you can feel the electricity this means your tooth is still alive and the pulpitis is reversible.<\/li> <\/ol>    <p>The video below explains what pulpitis is and what the differences are between reversible and irreversible pulpitis:<\/p>    <figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube\"><div style=\"display: contents;\" >  <div data-mode=\"normal\" data-oembed=\"1\" data-provider=\"youtube\" id=\"arve-youtube-xyszob01p5s\" class=\"arve\"> \t<div class=\"arve-inner\"> \t\t<div class=\"arve-embed arve-embed--has-aspect-ratio\"> \t\t\t<div class=\"arve-ar\" style=\"padding-top:56.250000%\"><\/div> \t\t\t<iframe allow=\"accelerometer &#039;none&#039;;autoplay &#039;none&#039;;camera &#039;none&#039;;ch-ua &#039;none&#039;;clipboard-read &#039;none&#039;;clipboard-write;display-capture &#039;none&#039;;encrypted-media &#039;none&#039;;gamepad &#039;none&#039;;geolocation &#039;none&#039;;gyroscope &#039;none&#039;;hid &#039;none&#039;;identity-credentials-get &#039;none&#039;;idle-detection &#039;none&#039;;keyboard-map &#039;none&#039;;local-fonts &#039;none&#039;;magnetometer &#039;none&#039;;microphone &#039;none&#039;;midi &#039;none&#039;;payment &#039;none&#039;;picture-in-picture;publickey-credentials-create &#039;none&#039;;publickey-credentials-get &#039;none&#039;;screen-wake-lock &#039;none&#039;;serial &#039;none&#039;;sync-xhr;usb &#039;none&#039;;window-management &#039;none&#039;;xr-spatial-tracking &#039;none&#039;;\" allowfullscreen=\"\" class=\"arve-iframe fitvidsignore\" credentialless data-arve=\"arve-youtube-xyszob01p5s\" data-lenis-prevent=\"\" data-src-no-ap=\"https:\/\/www.youtube-nocookie.com\/embed\/XYSZob01p5s?feature=oembed&amp;iv_load_policy=3&amp;modestbranding=1&amp;rel=0&amp;autohide=1&amp;playsinline=0&amp;autoplay=0\" frameborder=\"0\" height=\"0\" loading=\"lazy\" name=\"\" referrerpolicy=\"strict-origin-when-cross-origin\" sandbox=\"allow-scripts allow-same-origin allow-presentation allow-popups allow-popups-to-escape-sandbox\" scrolling=\"no\" src=\"https:\/\/www.youtube-nocookie.com\/embed\/XYSZob01p5s?feature=oembed&#038;iv_load_policy=3&#038;modestbranding=1&#038;rel=0&#038;autohide=1&#038;playsinline=0&#038;autoplay=0\" title=\"\" width=\"0\"><\/iframe> \t\t\t \t\t<\/div> \t\t \t<\/div> \t \t \t <\/div> <\/div><\/figure>    <h2 id=\"treatment-options\" class=\"wp-block-heading\">Treatment options<\/h2>    <p>Since there are several types of pulpitis, there are also several treatments. Your dentist will complete some tests to see whether your tooth can still be saved, and offer you pulp inflammation treatment accordingly.<\/p>    <h3 class=\"wp-block-heading\">Reversible pulpitis treatment<\/h3>    <p>Your tooth can be saved if you seek early treatment for reversible pulpitis. Your dentist will remove any cavities and add a filling to stop the pulp being exposed. We have a complete guide to <a rel=\"noreferrer noopener\" href=\"https:\/\/www.dentaly.org\/en\/tooth-filling\/\" target=\"_blank\">teeth fillings<\/a> which explains more about this process and your different options for tooth fillings. Similarly, tooth pulpitis caused by a crack in the tooth can also be treated, usually with a <a rel=\"noopener noreferrer\" href=\"https:\/\/www.dentaly.org\/en\/dental-crown-information\/\" target=\"_blank\">crown<\/a>. <\/p>    <h3 class=\"wp-block-heading\">Irreversible pulpitis treatment<\/h3>    <p>When the <a rel=\"noreferrer noopener\" aria-label=\"pulp in a tooth has died (opens in a new tab)\" href=\"https:\/\/www.dentaly.org\/en\/oral-health\/dead-tooth\/\" target=\"_blank\">pulp in a tooth has died<\/a>, it can\u2019t be restored or recovered. However, it may still be possible to save the tooth. With a diagnosis of irreversible pulpitis, dentists can perform a <a rel=\"noopener noreferrer\" href=\"https:\/\/www.dentaly.org\/en\/root-canal-treatment\/\" target=\"_blank\">root canal procedure<\/a> to remove the pulp tissue. The tooth is then filled and sealed, usually with a crown, and should look and feel normal again.<\/p>   <div class=\"wp-block-image fullwidth\"> <figure class=\"aligncenter size-large is-resized\"><img decoding=\"async\" src=\"https:\/\/www.dentaly.org\/en\/wp-content\/uploads\/sites\/3\/2020\/12\/root-canal-treatment-steps-image.svg\" alt=\"root canal to treat abscess in tooth pulp\" class=\"wp-image-18776\" width=\"847\" height=\"305\" \/><figcaption class=\"wp-element-caption\">Root canal work can treat a tooth with pulpitis and an abscess<\/figcaption><\/figure><\/div>   <p>Where root canal treatment isn\u2019t viable, usually because the damage has spread too far, the only remaining pulpitis treatment option is an extraction. After this, there are a number of <a rel=\"noopener noreferrer\" href=\"https:\/\/www.dentaly.org\/en\/missing-teeth\/\" target=\"_blank\">ways to replace the missing tooth<\/a> including dentures, a bridge or an implant.<\/p>    <h3 class=\"wp-block-heading\">Pulpitis and antibiotics<\/h3>    <p>Some dentists may prescribe antibiotics to try and relieve pain and reduce inflammation in cases of irreversible pulpitis. There <a href=\"https:\/\/oasisdiscussions.ca\/2014\/02\/24\/ip-4\/\" target=\"_blank\" rel=\"noopener noreferrer\">isn\u2019t much evidence<\/a> that antibiotics help in relieving the pain, so if you\u2019re concerned about taking antibiotics for pulpitis chat with your dentist.<\/p>    <p>If left untreated, pulpitis can lead to a <a rel=\"noopener noreferrer\" href=\"https:\/\/www.dentaly.org\/en\/tooth-abscess-information\/\" target=\"_blank\">dental abscess<\/a>, which is a pocket of infection at the base of the tooth around the gums. In this case, antibiotics are likely to be used as part of a larger course of treatment to remove the infection and treat or <a href=\"https:\/\/www.dentaly.org\/en\/tooth-extraction\/\" target=\"_blank\" rel=\"noreferrer noopener\">extract the tooth<\/a> causing the problems.<\/p>    <h2 id=\"frequently-asked-questions\" class=\"wp-block-heading\">Frequently asked questions<\/h2>    <h3 class=\"wp-block-heading\">How can I prevent pulpitis?<\/h3>   <div class=\"wp-block-image size-medium wp-image-9015\"> <figure class=\"alignright\"><img decoding=\"async\" width=\"300\" height=\"192\" src=\"https:\/\/www.dentaly.org\/en\/wp-content\/uploads\/sites\/3\/2019\/08\/Stages-of-decay-300x192.jpg\" alt=\"prevent pulp inflammation\" class=\"wp-image-9015\" srcset=\"https:\/\/www.dentaly.org\/en\/wp-content\/uploads\/sites\/3\/2019\/08\/Stages-of-decay-300x192.jpg 300w, https:\/\/www.dentaly.org\/en\/wp-content\/uploads\/sites\/3\/2019\/08\/Stages-of-decay-768x492.jpg 768w, https:\/\/www.dentaly.org\/en\/wp-content\/uploads\/sites\/3\/2019\/08\/Stages-of-decay.jpg 1000w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption class=\"wp-element-caption\">Regular checkups help spot dental problems early<\/figcaption><\/figure><\/div>   <p>Pulpitis is pretty easy to avoid. Since the most common cause of pulp inflammation is <a rel=\"noopener noreferrer\" href=\"https:\/\/www.dentaly.org\/en\/tooth-decay\/\" target=\"_blank\">cavities and decay<\/a>, you can avoid foods with lots of sugar and acid to protect your tooth enamel. Having a good oral hygiene routine will certainly help too; brushing, flossing, and using mouthwash regularly all work towards preventing decay.<\/p>    <p>Also, be sure to have regular checkups and <a href=\"https:\/\/www.dentaly.org\/en\/oral-hygiene\/scale-and-polish\/\" target=\"_blank\" rel=\"noopener noreferrer\">dental cleanings<\/a> at the dentist. A cavity spotted early can be filled before it gets anywhere near the pulp to cause painful problems.<\/p>    <h3 class=\"wp-block-heading\">How long does reversible pulpitis last?<\/h3>    <p>As soon as you have the cavity removed, your pain and inflammation should stop. It\u2019s really important to get to a dentist as soon as possible when you get any type of toothache. Catching pulpitis early can mean the difference between a simple filling and a lengthy root canal treatment, or even losing the tooth entirely.<\/p>    <h3 class=\"wp-block-heading\">Can I get treatment for pulpitis on the NHS?<\/h3>    <p>As is standard, any non-cosmetic dental treatment will be free for children under the age of 18. For adults, pulpitis treatment will normally fall into band 2 which costs \u00a365.20. This covers fillings, root canals, and extractions. Our guide to <a rel=\"noopener noreferrer\" href=\"https:\/\/www.dentaly.org\/en\/nhs-dental-charges\/\" target=\"_blank\">NHS dental costs<\/a> contains more information.<\/p>    <p>If you\u2019ve had to have a tooth extracted and want to replace it, you should be able to get a denture or a bridge on the NHS, while implants will need to be paid for privately.<\/p>    <h2 id=\"conclusion\" class=\"wp-block-heading\">Conclusion<\/h2>    <p>There are two main types of pulpitis: reversible and irreversible. Both occur when the innermost layer of the teeth, the pulp which holds the nerves and blood supply, gets inflamed. Pulpitis pain can be intense in the case of acute pulpitis, or weaker in the case of chronic pulpitis.<\/p>    <p>Treated early, reversible pulpitis can be fixed with a simple filling. Without early intervention, the pulp can die and the problem becomes irreversible. At this point, the only options are root canal treatment or tooth extraction.<\/p>    <p>Oral health problems like this are generally avoidable with good oral hygiene and regular dentist visits. 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            <path d=\"M13.993 15.3983C15.2832 16.6731 17.3802 16.6658 18.6793 15.3821L22.2659 11.8382C23.5651 10.5545 23.5723 8.48268 22.2821 7.20792C20.9918 5.93316 18.8949 5.94039 17.5958 7.22408L14.7688 10.0511\"                       stroke=\"white\" stroke-width=\"2\" stroke-miterlimit=\"10\"\/>             <\/svg>         <\/a>     <\/li> <\/ul>  <script>\n    document.addEventListener(\"DOMContentLoaded\", function(event) {\n        var tempInput = jQuery('<input type=\"text\">');\n        var curUrl = jQuery(location).attr('href');\n        var shareButton = jQuery('.share-copy-link');\n        shareButton.on('click', function (e) {\n            e.preventDefault();\n            if (navigator.share) {\n                navigator.share({\n                    title: 'Dentaly.org | Your Oral Healthcare Portal',\n                    url: curUrl\n                }).then(() => {\n                    console.log('Thanks for sharing!');\n                }).catch(console.error);\n         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href=\"https:\/\/www.msdmanuals.com\/professional\/dental-disorders\/common-dental-disorders\/pulpitis#targetText=Key%20Points,trauma%2C%20or%20extensive%20dental%20repair.&amp;targetText=In%20reversible%20pulpitis%2C%20the%20pulp,requires%20only%20drilling%20and%20filling.\" target=\"_blank\">Pulpitis<\/a>. Consulted 24th August 2019.<\/p> <p><strong>NHS:\u00a0<\/strong><a href=\"https:\/\/www.nhs.uk\/common-health-questions\/dental-health\/how-do-i-complain-about-my-dental-treatment\/\" target=\"_blank\" rel=\"noopener\">How do I complain about my dental treatment?<\/a> Consulted 24th August 2019.<\/p> <\/div><\/div><!--\/copyscapeskip-->","protected":false},"excerpt":{"rendered":"<p>Having inflamed dental pulp tissue, a condition known as pulpitis, can make your teeth very painful. Fortunately, it&#8217;s not too difficult to treat and reverse pulpitis, especially if it&#8217;s caught early. If you have been diagnosed with pulpitis or you&#8217;re worried you might have it, this guide will help you understand more about the condition. &#8230; <a title=\"Pulpitis Pain: What Causes Pulpitis? Symptoms, Pain Relief, Treatment\" class=\"read-more\" href=\"https:\/\/www.dentaly.org\/en\/pulpitis\/\">Read more <span class=\"screen-reader-text\">Pulpitis Pain: What Causes Pulpitis? Symptoms, Pain Relief, Treatment<\/span><\/a><\/p>\n","protected":false},"author":139,"featured_media":9016,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"inline_featured_image":false,"footnotes":""},"categories":[6113],"tags":[],"coauthors":[1326],"class_list":{"0":"post-9007","1":"page","2":"type-page","3":"status-publish","4":"has-post-thumbnail","6":"category-oral-health-category"},"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.7 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>What is Pulpitis? Types, Causes, Symptoms &amp; NHS Treatment<\/title>\n<meta name=\"description\" content=\"Pulpitis (inflamed dental pulp) can be very painful. Read about reversible and irreversible pulpitis causes, symptoms, treatment and pain relief.\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"What is Pulpitis? Types, Causes, Symptoms &amp; NHS Treatment\" \/>\n<meta property=\"og:description\" content=\"Pulpitis (inflamed dental pulp) can be very painful. 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