dental disorders
Pulpitis
Treatment of Pulpitis
Drilling and filling for reversible pulpitis Root canal and crown or extraction for irreversible pulpitis Antibiotics (eg,amoxicillinorclindamycin) for infection that cannot be resolved with local measures Inreversible pulpitis,pulp vitality can be maintained if the tooth is treated, usually by caries removal, and then restored. ) ( Treatment reference ). If symptoms persist or worsen, root canal therapy is usually repeated in case a root canal was missed, but alternative diagnoses (eg, temporomandibular disorder, occult tooth fracture, neurologic disorder) should be considered. Very rarely, subcutaneous or mediastinal emphysema develops after compressed air or a high-speed air turbine dental drill has been used during root canal therapy or extraction. These devices can force air into the tissues around the tooth socket that dissects along fascial planes. Acute onset of jaw and cervical swelling with characteristic crepitus of the swollen skin on palpation is diagnostic. Treatment usually is not required, although prophylactic antibiotics are sometimes given. 1.Wilson WW, Gewitz M, Lockhart PB, et al: Prevention of viridans group streptococcal infective endocarditis: A scientific statement from the American Heart Association.Circulation18;143(20):e963-e978, 2021. doi: 10.1161/CIR.0000000000000969 