Why does smoking from cracks damage teeth

Tooth inflammation - everything about symptoms, causes and treatment

What to do in case of tooth inflammation?

When we talk about tooth inflammation colloquially, we are talking specifically about it


  • a tooth root inflammation,
  • or also tooth nerve inflammation,
  • the dentists call it pulpitis or pulpitis a little more precisely.

What is root inflammation or pulpitis?

A tooth with the visible crown and the root hidden in the gum consists of three layers:

  • on the outside the protective enamel,
  • including the dentin or dentin
  • and finally the pulp soft tissue - the pulp.

The Pulp is criss-crossed by layers of cells and the finest blood vessels or nerve tracts that support the Maintaining the vitality of a tooth. These anatomical structures in the jaw are connected to the rest of the organism via tiny openings - the periodontal or tooth root cleft - in the tips of the tooth roots.


When bacteria reach this tissue, an inflammation occurs - tooth inflammation or tooth root inflammation pulpitis.


Tooth Inflammation Symptoms - How To Identify Root Inflammation Of Teeth

There are essentially three symptoms that occur in the course of pulpitis:

The The most noticeable symptom of inflammation of the tooth pulp is extreme toothachewhich often show a throbbing expression. Any pressure on the tooth and nearby gums, as well as temperature stimuli, increase the pain again for a short time.

The pain signals an inflammation of the teeth in the early stages. If they are ignored or switched off with medication, the infection often spreads. You can easily recognize this spread from a "Big cheek" - an abscess below the tooth. Here the infection has spread to the gums and a collection of pus has formed.


Important: Abscesses can still develop after the toothache is gone. Freedom from pain is then a sign of a dead tooth, but by no means means an end to the tooth inflammation.


In addition, dead teeth soon lose their stability and break under regular chewing loads.


It comes with the abscess too other symptoms such as difficulty swallowing, impaired jaw mobility or major swellings in the face or neck, the infection has spread again. With such serious complications it is imperative to act! Otherwise, the germs can spread throughout the body and attack and damage organs such as the heart. Therefore the following applies:


It is best to go to a dental practice when the first severe toothache occurs.


Causes of root inflammation

Tooth inflammation pulpitis can have three causes:

  • 1. Tooth decay - dental disease is by far the most common cause of dental nerve inflammation
  • 2. mechanical triggers such as a tooth accident or widespread teeth grinding
  • 3. Advanced periodontal disease, when bacteria from the gum disease can enter the pulp through the periodontal gap.

Dental inflammation caused by tooth decay

Tooth decay is caused by the interaction of bacteria and the demineralization of the tooth enamel. The high intake of sugary foods or a lack of salivation in the mouth are the main reasons why minerals are released from the tooth enamel.

It then loses its protective effect, becomes porous and caries holes appear. These are initially not noticed by toothache. It only becomes painful when the bacteria have penetrated the entire tooth enamel. Because tooth decay spreads further and further - over the dentine to the pulp, where the tooth inflammation then occurs.

Mechanical causes

They often lead to damage to the teeth such as cracks or an abraded layer of enamel. Bacteria can also get inside and trigger tooth root inflammation.


Periodontal disease

It is not uncommon for advanced periodontitis to come together with tooth decay. Dentists speak here of a paro-endo lesion, in which one or the other disease can further trigger pulpitis.

Can the tooth inflammation heal on its own?

No - because the inflamed tooth pulp is surrounded by solid material. While other inflammations can create space through swelling on the surface of the skin, for example, there is a congestion in a very small space. The blood vessels try to inflame defense cells and expand. In addition, the inflamed soft tissue swells and both then trigger so much pressure that the tooth nerves die.


Which home remedies help with tooth infections?

The following are recommended here again and again:

  • Vitamin C and
  • garlic
  • a cabbage leaf on the tooth or
  • a mouthwash with oil to remove toxins,
  • a xylitol mouthwash or also
  • some Ayurvedic pastes.

But please always remember:


These products are not a substitute for the necessary dental treatment! At best, they can alleviate the pain somewhat until the dentist's appointment or counteract a rapid spread of the inflammation.


Diagnosing tooth root inflammation - what happens at the dentist?

In diagnostics, practitioners pursue two goals here. On the one hand, they check the vitality of the tooth and then examine the spread of the tooth inflammation.

For example, if your tooth still reacts to a cold stimulus, it has not died. If you can no longer feel the stimulus, the inflammation has already irreparably damaged the pulp and nerves.

For this purpose, X-rays are made that show the spread of the inflammation. The imaging procedure also often helps treat tooth decay.


Treatment of tooth inflammation

At an early stage when the teeth are still vital, treatment of caries and a filling of the crown of the affected teeth are sufficient. The pulp can then fully recover. Often, however, the damage to the pulp is already too great.


Root or root canal treatment

Here, dentists open the inflamed tooth from above to remove inflamed and dead tissue from the inside of the tooth. Therapy takes place under local anesthesia with particularly thin, flexible hand instruments that can penetrate into the tips of the tooth roots.

A computer-aided measurement of the tooth roots or dental microscopes support the treatment. In addition, the inside of the tooth is repeatedly cleaned with antibacterial rinsing solutions. In some cases, ultrasound or laser light supports the cleaning.

The teeth are then often temporarily given an insert with disinfecting, anti-inflammatory medication. In a second session, the tooth root is then sealed with an adaptable root filling paste, which also reaches small root branches before it hardens.

Finally, the tooth is then again given a filling or a crown, depending on the need for restoration. A temporary solution is recommended here to be able to observe for a while whether the tooth remains symptom-free.

Root tip resection for tooth inflammation

In spite of all care and precision, in some patients tooth inflammation occurs again and again or develops chronically. The reasons for this can be the smallest residues of bacteria that were not reached by the first treatment in tiny ramifications of the tooth roots. Older root fillings also tend to be susceptible to new tooth infections over time and need one Root revision.

If the inflammation recurs, then only that remains Tip resection as the last resort. The root tips and any cysts around the tooth root are removed in a small surgical procedure.

The open tooth root is then also sealed again.

A root tip resection is the last option to save a tooth in the case of chronic tooth inflammation. After that or the only alternative is extraction of the tooth and a replacement with dentures.


After treating tooth inflammation

After a root canal treatment or tip resection, the same guidelines apply as for many other dental treatments:

  • do not eat until the anesthetic has worn off
  • Refrain from coffee, smoking or tea for one day - two or three days in the case of a surgical scar after a resection
  • Cool the treatment area regularly to quickly relieve any pain or swelling

How can you prevent tooth infection?

To prevent root inflammation, the following general tips for good oral hygiene and dental health apply:

  • Brush your teeth twice a day with careful cleaning of all tooth surfaces
  • To do this, clean spaces between the teeth with interdental brushes or dental floss once a day
  • Pay attention to toothpaste or mouthwash with a high fluoride content - this strengthens and protects the tooth enamel
  • Make an appointment at the dentist's office for check-ups and prophylaxis at least twice a year

Dental or gum disease can be detected early with regular visits to the dentist. A simple and short therapy is usually still possible before chronic diseases or consequences such as tooth inflammation occur.