"What is the treatment approach for acute exacerbations of chronic pulpitis?"

Acute Exacerbation of Chronic Pulpitis

In cases of acute exacerbation of chronic pulpitis, immediate hospital visit for pulpotomy and drainage is necessary to alleviate pain. Furthermore, comprehensive root canal therapy is required for complete treatment. Chronic pulpitis necessitates a professional dentist at a reputable facility to assess the location of pain, perform pulpotomy for open treatment to relieve and release pressure within the pulp chamber, proceed with nerve ablation, and prepare, disinfect, and drain the tooth roots. Ultimately, comprehensive root canal therapy is carried out to thoroughly alleviate tooth pain. Chronic pulpitis cannot heal spontaneously; it may recur when the body's resistance declines or under adverse stimuli, potentially progressing further along the tooth and root canal towards the apex and jawbone, leading to more severe apical periodontitis, space infection, or even osteomyelitis of the jawbone. Therefore, once chronic pulpitis occurs, it is irreversible and necessitates proactive pulp and dentin treatment. Additionally, symptomatic medication is essential to reduce suffering; for instance, severe pain can be managed with acetaminophen or paracetamol and codeine tablets as prescribed by a doctor. Prompt diagnosis and treatment are crucial, and during the treatment period, it is important to drink plenty of water, maintain a light diet, and minimize irritation.