Irreversible pulpitis

By | October 30, 2023

Clinical examination showed caries involving the distal surface of tooth no.36 along with food impaction. Diagnosis irreversible pulpitis in tooth no.36

Irreversible pulpitis is a significant dental condition that demands prompt attention. It occurs when the dental pulp, the innermost part of a tooth containing nerves and blood vessels, becomes inflamed and damaged beyond repair. This condition typically results from untreated or advanced dental caries, trauma, or deep dental restorations. In this article, we will explore irreversible pulpitis, its causes, symptoms, diagnosis, and available treatment options.

Causes and Contributing Factors:

Irreversible pulpitis is primarily caused by the infiltration of bacteria into the pulp chamber, leading to infection and inflammation. This bacterial invasion can result from untreated cavities, cracked teeth, or deep dental fillings that have failed. Additionally, trauma to the tooth can also cause irreversible pulpitis. Prolonged exposure to hot or cold substances can aggravate the condition.


Patients with irreversible pulpitis commonly experience severe dental pain. The pain is often spontaneous, intense, and may radiate to the ear or other parts of the face. Chewing, especially on the affected tooth, can exacerbate the pain. The tooth may also be sensitive to temperature changes, making it challenging to consume hot or cold foods and beverages.


Diagnosing irreversible pulpitis typically involves a thorough examination by a dentist. Clinical evaluation, alongside a patient’s description of symptoms, plays a vital role in diagnosis. X-rays are also essential, as they can reveal the extent of damage and whether the condition has progressed to affect the root. The dentist may also perform pulp testing to determine the vitality of the affected tooth’s pulp.

Treatment Options:

  1. Root Canal Therapy (RCT): This is the most common and effective treatment for irreversible pulpitis. RCT involves removing the infected pulp, cleaning and disinfecting the root canal, and sealing it to prevent reinfection. It preserves the natural tooth and alleviates pain.
  2. Extraction: In cases where the tooth is severely damaged and cannot be saved, extraction may be necessary. However, preserving natural teeth is always preferred.
  3. Pain Management: Before definitive treatment, the dentist may prescribe pain relievers and antibiotics to manage the discomfort and infection.

In conclusion, irreversible pulpitis is a painful dental condition that necessitates immediate attention. Its causes are mainly related to untreated dental issues and trauma. The hallmark symptom is severe toothache, often requiring professional diagnosis through clinical examination and imaging. Treatment options include root canal therapy, extraction, and pain management. Timely intervention is crucial to alleviate pain, save the affected tooth, and prevent further complications.

While these treatment options are well-established, there may be ongoing research and evolving techniques in the field of endodontics. Therefore, it is advisable to consult with a dental professional to explore the most up-to-date and appropriate treatment for individual cases.