Improper or inadequate treatment of oral diseases, or its complete absence, can lead to the development of a pathology such as chronic fibrous pulpitis. The disease is not very pronounced symptoms - a feeling of heaviness and discomfort in the area of the damaged tooth, rare attacks of short-term pain in contact with cold or hot substances, chewing solid food. Because of this, patients turn to the dentist only during periods of relapse or on the advanced stages of pathology.
Symptoms of exacerbation of chronic fibrous pulpitis
When the disease in question is progressing and its recurrence sets in, the following symptoms are observed:
- constant aching pain, aggravated by irritating effects;
- unpleasant smell from the mouth (halitosis);
- increased carious cavities in the tooth;
- development of periodontitis ;
- painful sensations even in contact with cold air;
- increased discomfort in the evening and at night.
Differential diagnosis of chronic fibrous pulpitis
The above symptoms may resemble other diseases of the oral cavity, so to confirm the diagnosis, the dentist conducts not only a special examination, but also the following studies:
- sounding of the dental cavity;
- thermal test;
- percussion;
- electrodontiagnosis;
- X-ray of the tooth.
Treatment of chronic fibrous pulpitis
Therapy of this pathology is carried out exclusively surgically, which involves the removal of pulp (amputation or extirpation).
Operative intervention can be performed by devital and vital methods. Preference is given to the latter because of their less traumatism. In addition, the vital version of surgical treatment allows you to restore the crown part of the tooth in just 2 visits to the dentist.