An Introduction to Dental Pulp Disease

Citrus Endodontics
2 min readMar 5, 2016

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Nothing with the word “disease” after it is good, of course, but what exactly is a dental pulp disease? You’re likely familiar with gingivitis and cavities, so here is your rundown on the various dental pulp diseases.

What is the Pulp?

Pulp isn’t just something found in freshly squeezed orange juice. It’s also the essence of the tooth. This delicate and soft connective tissue is found in the center of your tooth, and it contains very sensitive nerves and fragile blood vessels that will react if you neglect your oral health.

Think of pulp as the foundation of the tooth that makes a beautiful smile possible. Just like any other vital part of the body, the pulp is vulnerable to injury and infection, including different diseases. It’s possible to avoid pulp diseases by watching for warning signs of trouble with enamel and the layer below it called dentin, but if the problem is unresolved it will spread to the pulp.

Reversible Pulpitis

Pulpitis is essentially infection of the dental pulp that makes itself known through mild to moderate inflammation. If sweet, hot, or cold food and drink items cause your teeth to hurt or send a shooting pain through your mouth, it’s probably pulpitis. A simple filling should resolve the issue.

Irreversible Pulpitis

If reversible pulpitis doesn’t receive dental attention, it will evolve into an irreversible form identified by severe inflammation and intense, sudden pain. The best resolution to this problem is a root canal to clean out the tooth and seal it shut, but if the problem has gone untreated for too long, the tooth might have to be removed. Irreversible pulpitis can lead to gum infection, so it should be taken very seriously.

Dental Pulp Stones

Kidney stones get a lot of attention, but it’s possible to have pulp stones as well. This condition occurs when pulp tissue hardens and creates unbearable sensitivity and pain. At this point, the dental nerves are usually compressed and a root canal is the best resolution.

Dental Pulp Exposure

Cavities and cracked teeth should always be cared for immediately, but sometimes they can go unseen or be forgotten. If this happens, it’s possible that the dental pulp will become exposed. Bacteria and food particles can cause great pain since the pulp is usually protected. As with all of the pulpal diseases, early treatment and care can usually resolve the problem, but negligence makes it far, far worse.

The best answer is prevention. Brush and floss regularly so you never need to worry!

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