Teeth pain when biting is mainly related to periapical periodontitis and pulpitis. After such symptoms appear, it is necessary to promptly go to the hospital for pulp chamber opening and drainage, along with incision and drainage. Since both of these dental issues are relatively serious dental diseases, it is also essential to maintain good oral hygiene after treatment. It is recommended to develop good brushing habits, and reduce the consumption of high-sugar foods. Here are some specific treatments:
1. Pulp Chamber Opening and Drainage: For acute apical periodontitis involving necrotic pulp, whether in the serous or suppurative stage, the main problem lies in the accumulation and spread of exudates or pus at the root tip. The ideal drainage method is to artificially create a pulp chamber drainage channel, opening the apical foramen to allow the exudates or pus to drain through the root canal, relieving pressure at the root tip and relieving pain. To prevent food debris from blocking the drainage channel, an iodine tincture ball is placed inside the cavity.
2. Incision and Drainage: After 4-5 days of inflammation, mainly targeting subperiosteal or submucosal abscesses, incision and drainage can be performed simultaneously with root canal opening. The incision should be made directly opposite the abscess, parallel to the vestibular sulcus.
3. Conservative Treatment: For acute apical periodontitis caused by root canal trauma, chemical irritation from sealing agents, or poor root canal filling, consider removing the contents of the root canal, sealing with anti-inflammatory and analgesic drugs for several days, and then proceeding with conventional treatment after the acute phase has passed to avoid external contamination or reinfection.
4. Adjustment of Occlusion and Grinding: For acute apical periodontitis involving vital pulp, treatment should be cautious. If caused by trauma, it can be cured by adjusting the occlusion and grinding to eliminate traumatic occlusion. For acute apical periodontitis caused by large apical foramens and pulpitis, pulp removal can be performed under anesthesia. Adjustment of occlusion and grinding is a routine measure for the treatment of necrotic pulp teeth, which can reduce functional stress, promote healing, and reduce the risk of vertical fractures.
5. Anti-inflammatory and Analgesic Treatment: Oral or injected antibiotics or analgesics, local closure, physical therapy, acupuncture, herbal patches, etc.
