Disease of Dental Pulp

17 August, 2020 Shivya Soni

What is Pulpal Disease?

The pulp is the vascular organ of the tooth and is considered to be the organ with the least resistance or healing.  But there exists variation in the pulp which depends on age, nutritional supply, metabolic or cellular activity. Injury to pulp leads to various pulp diseases.let's discuss those pulpal diseases below. 

What Are Possible Causes Of Pulpal Disease? 

The causes of pulpal disease are physical, chemical, or bacterial. 

Physical is further categorized into traumatic injuries, pathological wear, or cracked tooth syndrome. 

Chemicals are further categorized into erosions or phosphoric acid. 

Bacterial is related to toxins, direct invasion of pulp. Antibiotics are preferred in such cases and it must be prescribed by the dentist. Medicines can be bought online from medicine purchase app Delhi.

What Are Different Types Of Dental Pulp? 

The different types of pulpal diseases are:

  • Inflammatory Disease
  • Pulp Degeneration
  • Pulp Necrosis

Inflammatory Disease Of Pulp

Inflammation of pulp or pulpitis is further categorized into reversible or irreversible, acute, or chronic. 

Reversible Pulpitis:  It is a mild inflammatory condition of pulp caused due to toxic stimuli but pulp has the ability to return back to the normal state on the removal of stimuli. 

Causes: Trauma, Thermal shock, Excessive dehydration, chemical stimulus from sweet or sour food


  •  Short, sharp long-lasting pain
  • Pain in specific and is relieved of the removal of the stimulus. 
  • It occurs mainly due to cold stuff

Treatment: Best treatment is prevention. Remove the noxious stimuli and pain will subside. It depends on the extent of damage to the pulp. Various modalities are :

  • Filling if the cavity is developed
  • Desensitization of neck of the tooth 
  • Using cavity varnish or base before fillings

Irreversible pulpitis: It's a persistent inflammatory condition of pulp in which pulp becomes incapable of healing even after the removal of stimuli. 

Causes: Bacterial involvement, chemical, or thermal involvement. Sometimes reversible conditions deteriorate into irreversible conditions. 


  • Pain is spontaneous, continuous and nocturnal and it occurs in the following condition -
  • Pressure from packing food. 
  • From hot or cold stimulus
  • Lying down


  • Its treatment includes complete removal of pulp that is known as pulpectomy. 
  • Pulpotomy
  • Surgical removal is the last resort

Pulp Degeneration

The pulp is degenerated as a result of persistent irritation to teeth and is usually seen in older people. Early symptoms are not present and the tooth is not discolored. Degeneration can be calcific, atrophic, or fibrous. 

In calcific degeneration, the pulp is replaced by calcific material. Calcification can occur within the pulp chamber or within the root canal. If it occurs on complete pulp, it is known as calcific metamorphosis. 

In atrophic degeneration, pulp tissue becomes less sensitive than normal and intercellular fluid is increased. 

In fibrous degeneration, cellular elements are replaced by fibrous connective tissue and have the characteristic appearance of leathery fiber. 


  • Endodontic therapy is preferred. 
  • In the case of poor prognosis, surgical removal is the only option. 

Internal Resorption

Internal Resorption is a slow or fast progressive resorption process which occurs in the dentin of pulp chamber or root canals of teeth. 


  • Condition is asymptomatic
  • Clinically it is seen as a reddish area called pink spot. 


  • Extirpation of pulp is important
  • Endodontic therapy with gutta-percha method or MTA. 

Necrosis Of Pulp

Death of pulp is known as necrosis and it may be partial or total. It occurs either as a result of traumatic injury or ischaemic infarction. It is of two types:  Coagulation or  Liquefaction

Causes: Noxious insult injury to pulp such as bacteria or trauma. 


  • Discoloration of tooth
  • The dull or opaque appearance of a crown


  • Pulpectomy followed by complete obturation of root canals. 
  • Antibiotics and analgesics are prescribed by the dentist. Prescribed medicine can be bought online from an online pharmacy store in India. 


Toothache is one of the worst pain and cannot be endured patiently. To prevent them while you can by Maintaining oral hygiene. Brush daily twice a day, rinse your mouth every day.