Is this pulpitis? if not, is it something I should be concerned about?

I have Class 3 Bimaxillary Protrusion with Anterior and Posterior Crossbite, which absolutely sucks for me. I had my cavities filled on my teeth 2 weeks ago, I got 11 fillings in a matter of 5 hours. It was awful but it really helped me out, but just a few days ago I started having sensitivity to hot and cold food, and biting pressure. I can also feel my teeth hurt a bit whenever I inhale cold air through my mouth. Is this normal or is this something more serious?

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πŸ‘€︎ u/pisotttt
πŸ“…︎ Dec 03 2021
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Can ibuprofen prevent irreversible pulpitis caused by drilling?

I have a tooth with a filling on the side of it that keeps falling out. I just got it replaced about 6 months ago, and now it has fallen out again. Each time I get it redone, it is sensitive when pressed on for a month or two and then gets better. I am terrified that eventually it will result in irreversible pulpitis from the drilling and that I’ll need a root canal. Would taking ibuprofen before the filling help prevent the inflammation that could cause irreversible pulpitis?

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πŸ‘€︎ u/thecynicalone26
πŸ“…︎ Oct 11 2021
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What Are the Different Indicators of a Bruised Tooth vs. Irreversible Pulpitis?

I have lingering pain after a visit to the dentist where he tried to cram a hard mouth guard over my veneered front teeth. What are the symptom differences between a Sprained Tooth and Irreversible Pulpitis? I read both can be caused by pressure/trauma.

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πŸ‘€︎ u/RonnieSpector
πŸ“…︎ Jun 24 2021
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molar pulpitis healing time

pain when biting after filling.

Three weeks ago I had a deep filling done under local anesthesia. A molar that was spike hurting when eating sweets.

After the filling, I had a spot as big as a toothpick near the filing that if touched was spike hurting and radiating pain at a quarter of the molar. I couldn't eat at all with that side of the mouth for like two weeks.

My dentist checked the filling after 3 weeks, it is ok no cracks or anything, and told me to keep the tooth in check and use toothpaste for sensitive teeth like before. (dentist seemed inclined to root extraction)

At present, I can eat soft texture foods like rice with that part and the mouth. The extreme pain when biting something hard is mostly gone, now what I have is mostly dull. But the tooth is still sensitive to cold food and drinks, like tap water at 6-8 celsius. To be noted it only hurts when in direct contact with cold.

Most importantly, what is the average healing time of this kind of pulpitis? And what are the chances to be irreversible?

I prefer to avoid root extraction as I know it will affect the tooth lifespan. Is it possible to extract only a part of the root or I'm talking nonsense? I've had one filling like this before and pulpitis healed within days.

Here I am 'cause of the covid disaster.

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πŸ‘€︎ u/purdy2020
πŸ“…︎ May 23 2021
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Reversible or irreversible pulpitis?

Hey, I reached out to my dentist because of a pouch on my gum. She did an xray of the tooth and is sending me to an endodentist, she thinks I might have a pulpitis. Can you tell based on the xray if it's irreversible or reversible? Do you think they could save the tooth? Thanks in advance! :)

https://imgur.com/VqVvleb

Edit: also the tooth doesn't hurt at all, if it's any help

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πŸ‘€︎ u/GalaktickyKral
πŸ“…︎ Feb 22 2021
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Inability to get numb = irreversible pulpitis?

I just had a permanent crown put on a live tooth yesterday. The dentist couldn't get me fully numb, even after 4 shots, so they had to go ahead and do the work anyway. My lip and side of the tongue were totally numb, but when air was put on the tooth, it hurt.

When I had the prep done 3 weeks earlier, there was no problem at all with getting numb enough on one shot of lidocaine. I believe the temp crown had lifted ever so slightly on one side, which caused mild pain for 2 weeks (I managed it fine with analgesics and kept it really clean. They said the tooth looked "beautiful"). So, I went in there for the permanent crown with the tooth sore due to a lifted temp.

My question is: Does the difficulty getting numb indicate that I will definitely now need a root canal? ie. "hot tooth"/irreversible pulpitis? I feel much better/fine with the permanent crown on, though still suffering some post-op pain in general in the mouth (it's only been one day). The tooth doesn't hurt. I'm just afraid that this means I have irreversible pulpitis and will need a root canal due to the difficulty in getting it numb.

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πŸ“…︎ Dec 05 2020
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Irreversible pulpitis?

5 weeks ago I had pretty severe tooth and ear pain. Dentist took xrays and visually saw a cavity in upper last molar. She said likely TMJ acting up as cavity didn't look deep enough to be causing pain.

2 days later I called back as the pain went from bad to worse. She said to go to doctor as it wasn't a dental issue. I went to urgent care who said it was likely sinitis and prescribed an antibiotic. The pain went away after a few days, whatever it was from.

Fast forward a month and I go in to get the cavity filled. It's much deeper than she thought, but said it shouldn't need a root canal. She said she could slightly see the pink of the root through the dentin, but the cavity hadn't reached it yet. Since it was deep she said to expect it to be sensitive for a few weeks.

I have had pretty constant ear pain/pressure since then (8 days ago). I dont feel cold or heat sensitivity on the tooth, though it does slightly hurt if I press on it. I've been living on ibuprofen. Does this sound like irreversible pulpitis or could it be tmj pain from the dental work and holding my jaw open for so long? My jaw is still a bit sore, but I don't want to ignore pain if it sounds like an ongoing tooth infection that will get worse.

Edit to add the filling was high and she filed it down 3 days ago (5 days post filling) and filled 2 more small cavities that day. I was in severe pain the rest of that day and constant dull pain since (mainly in my ear).

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πŸ“…︎ Apr 23 2021
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Sprained ligament or pulpitis?

TLDR: I had a toothache that wasn’t that bad but got worst and spread to nearby teeth. Went to dentist who saw no infection on X-ray and said I sprained my ligament and need to heal it. I go home and pain gets 50x more worse (constant, throbbing, intense, pulsating pain), where I can’t sleep, talk, eat, or drink water. I am not sure if I should make another appointment as I am concerned it could be pulpitis which was missed.

I am a 25F who brushes and flosses everyday, only had one cavity ever, don't remember which tooth it was. 5 days ago on Thursday I noticed whenever food touched right behind my right too lateral incisor where the tooth meets the gums, it would hurt. I poked the area and it elicited a lot of pain as if it was tender and sore, however, it wasn’t constant. 2 days later I’m experiencing a toothache with the tooth deep in my gums, still manageable. However then my tooth right below it and the 2 teeth besides it (canines) start to hurt. I take Advil and make a dentist’s appointment for Monday.

Monday morning I have such bad pain, it’s worse than before and also seems as if it’s also in my bottom tooth. I go to the dentist and he taps and pokes around and asks if it feels any different, which it didn’t. At that time, the pain wasn’t toooo bad. He said except for a notch behind my top right lateral incisor (also on the left side, pretty sure it’s been there as long as I can remember) he didn’t notice anything. I had taken a picture at home to see behind the tooth the day before and had noticed the notch and seemed as if it’s almost an indent going toward the inside of my gums (same region where the original soreness in my gums started) but the dentist didn’t mention anything. Here is a picture for reference:

https://preview.redd.it/pf3xz945mac61.jpg?width=1009&format=pjpg&auto=webp&s=3998d10e32078ce770adb56396d0abbb382924b2

https://preview.redd.it/8bu6z8mkbbc61.jpg?width=813&format=pjpg&auto=webp&s=58bb68361a7a3d0e95a24b8deaf3edda966e2de0

He took X-rays said there’s no signs of infection and teeth are alive. He zoomed in on my top right lateral incisor and said there’s a slighttt gap around the root, saying my ligaments are inflamed. He said minor trauma over time can cause it. He said since I’m in med school and have boards coming up I probably grind my teeth at night from stress (I never noticed that and never had anyone tell me that, I’m also not anymore stressed than other times but he said people don’t n

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πŸ‘€︎ u/ahem96
πŸ“…︎ Jan 19 2021
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Irreversible Pulpitis?

Got my tooth hit hard and now its gone numb, tried out the cold test with an ice cube pressed against that tooth, after removing it, the pain lingered for more than 10 secs and im afraid this might be trouble. Its been 7 hours now since my tooth went numb and there's no noticeable change with how my tooth looks and how my gums look.

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πŸ‘€︎ u/Stuff3r
πŸ“…︎ Apr 23 2020
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reversible pulpitis vs. irreversible pulpitis

On 11/02/20, I had a filling on tooth 4 (specifically amalgam restoration- 2 surface OL). Prior to the filling, I had zero pain or cold/hot sensitivity (I only knew I had a cavity because the dentist told me I did). About two days after the filling, I developed sensitivity to cold as well as pain only when biting down on the front quadrant, facing my cheek. The cold sensitivity, at first, lasted for 10+ minutes, however that was only after drinking a refrigerated smoothie that I tend to swish around my teeth and chew. The cold sensitivity now, while deep/sharp, resolves within about 10 seconds after contact. The pain with chewing is still there, but only when that specific quadrant hits. It is a sharp, pointed pain (it feels as if I have a popcorn kernel stuck in between my teeth that I keep biting onto. It hurts with biting down, not release). I have zero pain throughout the day or night or with positional changes. It is only with cold and direct chewing, and resolves quickly; I would otherwise not know anything was wrong.

I did return to the dentist on 11/09/20. The assistant checked for a high bite and it was fine. She had me bite on a bitestick and sure enough there was pain at the front quadrant. She took bitewing x-rays which apparently only showed the deep filling. The dentist came in and, while he did not examine me, he told me I needed a root canal and to refer to endodontics because that tooth has two roots.

I am scheduled with an endodontist 12/07/20 (first available due to COVID); however in the interim I am curious whether this sounds like reversible or irreversible pulpitis?

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πŸ‘€︎ u/spookyaction__
πŸ“…︎ Nov 19 2020
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Irreversible or reversible pulpitis?

4 weeks ago I knocked my front tooth with a steel fork while eating. It was not very painful, just kind of a "wierd" feeling, and I continued finishing the meal. I checked in the mirror and there were no bits or cracks, and the tooth was not loose/movable.

The day after the feeling was still there as kind of a tender feeling. I called a dentist and she said just to take ibuprofen if it was very painful and follow up after some days.

The tender feeling continued, and in addition I started some mornings to have a bit more "sharper but lingering" pain in the tooth after having breathed with my mouth open during the night - but only at a level of 2/10.

I went to the dentist after 1 week. Took x-ray and she looked around in the mouth and blew air on it and knocked at it gently with a metal thing. She said there was nothing found wrong, but to come back after 2 weeks. She put a fluoride varnish on the tooth and said do not eat anything not soft.

The first 4 days after the visit I felt the varnish reduced the tenderness and there was no more sharp pain in the mornings.

At the dentist at week 3, same procedure and same results. The tenderness was however still there. New layer of varnish and told to call if experiencing pain or color changes.

Now is week 4, and after the varnish is mostly gone again there is still a tender feeling and some sharper lingering pain going on. But again, when at work I sometimes even forget about it and don't feel it before thinking about it.

After reading more by myself, I have anyhow started to wonder; Is there any chance this will go away on its own, is the tenderness and vague pain a healing process - or is this now, after 4 weeks, more than likely irreversible pulpits with no other option than root canal treatment?

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πŸ‘€︎ u/kpx85
πŸ“…︎ Nov 25 2020
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Pulpitis after shallow filling. Why?

I went to a new dentist about 4 months ago, someone highly recommended and with great reviews on Google. It turned out I needed a root canal and some fillings. Sucks, but it's my fault, I understand that.

Now, I've had probably 3 - 4 other small fillings in my life prior to this and every one was a breeze. This time around, I have had nothing but trouble with them.

I had them done almost four weeks ago all in one day. 6 fillings in two hours. After the initial visit, I had SEVERE sensitivity to hot and cold. He told me I would have some, but holy cow. I ate a little ice cream about 6 days after they were filled and some of them were in so much pain it made me sick to my stomach. In addition to that, I was getting random toothaches in one of them, not brought on by any holt or cold stimulus. Also, lots of sensitivity when flossing.

I returned to him at the two week mark and told him everything. He told me they needed to be adjusted to make my bite better. So he did that and said to give them a little more time, like a month, to see if everything clears up. He showed me the ex rays and explained that one of the fillings was very deep and that sometimes those become inflamed and don't get better, but that the other one that was giving me trouble was shallow and shouldn't be an issue.

Well, I'm approaching a month and some have mostly improved, except the shallow one on the bottom. The top one, the one he said was deep, feels much better. But the bottom one does not. It is not longer very sensitive to hot or cold, but I still have sensitivity when flossing, some discomfort when chewing, and random toothaches that hurt quite a bit.

After some googling, it seems like it's irreversible pulpitis. I'm obviously very frustrated because if that's the case, I will need a root canal. Part of me wants to chalk it up to bad luck with my teeth, but there were some other issues with the dentist during my root canal that gave me the impression he might be a little sloppy. For example, after placing the permanent crown on my root canal, I told him that it felt sharp on the edge. So he goes in to shave it down and it pops right off. Then he tells me that he thinks that happened because the cement injector thing was not working/mixing correctly to which I'm thinking "why the hell did you use it then?". During the procedure I even heard his tech say "I can't get this thing to go" to which he grabbed the injector and basically forced it to go. Once it was in the second ti

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πŸ‘€︎ u/Davidsbund
πŸ“…︎ Oct 22 2020
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Crown fell off second molar, then got pulpitis after dentist ground the tooth down some more. Root canal or extraction?

Hi everybody.

I am looking some advice as I don't trust the dentist completely as I've had nothing but dramas with this tooth.

The Tooth: lower left second molar. I don't have the upper left second molar, but the upper first molar does contact a bit of the lower second molar.

Situation: 2 years ago she did a filling, after which 3 months the filling broke off. She then recommended a crown. Prep appointment/temp then second appointment for the fitting of the crown. It had to be redone again she stated as it was too high or something. Got the crown on after the next (3rd appointment).

About 2 months after I got the crown on, it got a small hole on the top of it. Dentist said to monitor it rather than fix it. Fast forward one year and whilst flossing it popped off whole.

Went back to the dentist and she said let's do a new one as the old one had a hole in it. The exposed tooth was mildly sensitive to cold, but felt fine. She had this new software which helped her measure the bite distance between teeth and so ground my tooth down for about 90 mins to prep for a new crown.

2 days after this prepping I started getting constant pain in that tooth. After a week I got back into see her and she said I likely have irreversible pulpitis, and my options are likely root canal or extraction, she would recommend root canal. She put some stuff on the tooth to try and "settle it down" but she's not hopeful.

Root Canal is a lot of money, but I would spend the money if I think it would work. But from what I've read, second molars can be iffy with root canal. I also don't smile widely so aesthetics isn't a huge factor, and my bottom teeth are already crowded. I also don't have the corresponding upper tooth as well.

A big part of me thinks that extraction is the safe option because at least then I'm done, pains gone and no real complications after I've recovered.

What are some peoples honest thoughts on the situation.

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πŸ‘€︎ u/dmcneice
πŸ“…︎ Aug 13 2020
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Pulpits- has anyone undergone a root canal for their dog due to Pulpitis? Unsure what to expect at the specialist appointment. Zeus played too hard at daycare at fractured her tooth and it turned purple :(
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πŸ‘€︎ u/Danicak15
πŸ“…︎ Jul 03 2020
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Post-op composite filling symptoms or reversible/irreversible pulpitis?

I had a deep composite filling 5 days ago on my molar which may very likely result in a root canal. There is no pain when biting down on it except the tooth is currently experiencing both cold and hot pain for 2 seconds upon exposure to a source. At random times, there are some minor discomfort on the tooth in the form of light pressure or slight throbbing, but nothing extreme.

Unfortunately, I do not have X-rays so I'd like to know usually about how long will I know for sure if these symptoms are post-op filling symptoms or reversible/irreversible pulpitis?

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πŸ‘€︎ u/rxuart
πŸ“…︎ Oct 22 2019
🚨︎ report
Irreversible Pulpitis from Cosmetic Chip

https://i.imgur.com/Tc1D8od.jpg

Here's my teeth.

That small chip on my right front tooth happened about 6mos back when I bit a metal fork too hard but hasn't been bothering me until about a month ago. The tooth doesn't hurt but is sensitive where the chip is and from the back. When i drink or eat cold things I can feel sensitive feeling in that tooth, but it doesn't hurt.

Dentist said chip should've been cosmetic and have no effect on sensitivity. He did a cold endodontist thermal test on the tooth and the cold sensation(pain?) lasted even after I left the office on that tooth. Diagnosed as irreversible pulpitis and suggested a root canal + crown. Tooth has been even more sensitive after the trip.

Any thoughts dentists of reddit?

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πŸ‘€︎ u/aimory1
πŸ“…︎ Jul 14 2018
🚨︎ report
What is your treatment for an irreversible pulpitis

Hi,

I'm a dentist, but I'm in OMFS and I never feel like I got something right (or more realistically, I have a problem believing that what I am doing is working).

I rarely have to open up a tooth for an irreversible pulpitis. Can someone confirm if I should be doing more? This is my process:

Give Local; Open tooth up further (as usually has large deep cavity/close to pulp) into pulp chamber Usually pulp is gone from chamber, rarely it might bleed/be painful. (If too painful to get close I dress with kalzinol) Once I'm in chamber I apply odontopaste to canals with probe, and put a bunch of ondontopaste in chamber on a cotton wool bud. I then cover with Kalzinol.

This (in my head) allows patient time to book their RCT, or extraction, at a more convenient time. It is by no means meant to be definitive treatment, just provide some temporary relief in an emergency.

I've never had anyone come back with this method, but because of the nature of my work I'm concerned that I wouldn't know about it if they did (or they're all just going elsewhere because I'm useless).

My handbook of clinical dentistry seems to agree-but it only gives a single line ('Removal of coronal pulp and a ledermix (now replaced by odontopaste in UK) dressing should buy time).

Should I be doing something different? The place I work doesn't have much more to offer to be honest (in terms of equipment options).

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πŸ‘€︎ u/kytesky
πŸ“…︎ Nov 10 2016
🚨︎ report
reversible or irreversible pulpitis?

ok, the short of it I got a filling a month ago. (It was deep and had already been filled once) The day after I was chewing on it and it felt like an electric shock and it was sensitive to cold. Would hurt most times after eating but always the pain would go away. Had a trip planned out of the country so I found some antibiotics and took them while away b/c I didn't want to deal with any teeth issues while gone. No issues with tooth while I was away. I get back and I am done with the antibiotics. Three days later I'm mowing yard and it's chilly out and my tooth hurts when I breath in air. The next 2 days it is super sensitive to hot/cold, pain subsides several minutes after the stimulus. I go to the emergency dentist on Monday. They x-ray find no infection, tap on my teeth, and no pain. They tell me that they see nothing and to take ibuprofen/Tylenol for the pain and to avoid the hot/cold fluids. I leave there a bit annoyed and confused. The entire day I dealt with the sensitivity and at times it would feel like the pain was also in my lower teeth and would even go down my neck. I swished with some warm salt water and went to bed on 3 200 mg ibuprofens. The next day my tooth is sore and so are my gums above it, however it is less sensitive to hot/cold. Hurts a bit when I eat but it goes away. The next day the tooth is not sore, no pain when biting down, and no sensitivity to hot or cold. No irritation to eating either but a couple of times during day it would ache slightly. The next day almost no irritation at all, like its back to normal, but I am still a bit apprehensive to chew on it. What could be going on?

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πŸ‘€︎ u/SoIL_girl
πŸ“…︎ Apr 18 2019
🚨︎ report

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