Dental caries (pulpitis)
Background
Clinical Features
- Reversible Pulpitis
- Duration of pain is short (seconds)
- Associated with noxious stimuli (usually cold or heat, can also be elicited by sweat and sour)
- Irreversible Pulpitis
- Duration of pain is long (hours) and intense
- Associated with noxious stimuli or may occur spontaneously
Differential Diagnosis
Evaluation
- Clinical evaluation
- X-Ray images
- Dental referral
Management
- Short term management with local anesthetics
- Antibiotics controversial for dental pain alone without evidence of infection
- Antibiotic choices: Penicillin VK or clindamycin
- Definitive therapy with root canal or extraction (for irreversible pulpitis)
Disposition
- Discharge with dental follow-up
See Also
- Dental Problems
References
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