Pulpitis is one of the most common complications of dental caries and requires immediate treatment. The dental pulp is a living tissue that contains nerve fibres, capillaries, connective tissue and cells responsible for the nutrition and vitality of the tooth. For this reason, inflammation of the pulp leads to intense pain, and lack of treatment almost always results in destruction of the root canals, formation of a cyst and even tooth loss. At Diplomat Med Center, pulpitis treatment is performed strictly in accordance with international protocols, using a microscope and modern biocompatible materials, ensuring high effectiveness and long-term results.
What pulpitis is and why it develops: scientific perspective
Pulpitis develops when infection penetrates the inner cavity of the tooth, most often due to deep dental caries. According to the European Federation of Periodontology (EFP, 2023), up to 68% of all pulpitis cases are associated with delayed treatment of carious lesions. In CIS countries, the situation is even more severe: research by the National Dental Association of Russia (2022) indicates that about 75% of pulpitis cases are the direct result of neglected caries and late visits to the dentist.
Pulpitis can be acute or chronic. Acute pulpitis is accompanied by severe pulsating pain, often worse at night or when exposed to thermal stimuli. Chronic pulpitis has a subtle course, may flare up periodically and often progresses unnoticed, increasing the risk of cyst formation. It is crucial to remember that the pulp is not merely a “nerve”, but a complex microcirculatory system. During inflammation, the pressure inside the pulp rises rapidly, causing sharp pain and damage to the neurovascular bundle.
Why it is important to treat pulpitis as early as possible
Delayed treatment of pulpitis leads to pulp necrosis, spread of infection through the root canals and subsequent inflammation of the tissues around the root — periodontitis. According to the Journal of Endodontics (2021), more than 40% of periodontitis cases result from untreated pulpitis. Ignoring symptoms can result in cyst formation, abscess and even damage to neighbouring teeth.
Late treatment requires complex endodontic procedures, increases the risk of reinfection and significantly raises treatment costs. European clinical guidelines emphasize that the earlier the infected pulp is removed and the root canals are filled properly, the higher the probability of preserving the tooth without surgical intervention. Pulpitis affects people of all ages, being particularly dangerous in children, as inflammation may spread rapidly to the developing permanent teeth.
Modern diagnosis of pulpitis: precision as the foundation of successful treatment
At Diplomat Med Center, diagnostic procedures are performed comprehensively, fully adhering to the recommendations of the European Society of Endodontology. Initial examination includes thermal tests, electric pulp testing, percussion and evaluation of the patient’s symptoms. However, the key role is played by digital X-ray diagnostics and, when necessary, computed tomography.
According to Journal of Dental Research (2022), CT scans detect root canal pathologies 28–35% more effectively than traditional methods. This is especially crucial in anatomically complex root structures or when hidden inflammation is suspected. Due to such precise diagnostics, specialists at Diplomat Med Center can choose the optimal treatment strategy and prevent complications.
Methods of pulpitis treatment: evidence-based dentistry and microscopic precision
Modern pulpitis treatment is based on the principles of evidence-based dentistry and involves complete removal of infected pulp, mechanical and antiseptic preparation of the root canals, and their dense, hermetic filling. According to the FDI World Dental Federation, the density of root filling is the most critical predictor of successful treatment.
Treatment is performed under a microscope, which increases precision by 25–30%, according to studies published in the International Endodontic Journal. This allows visualization of additional canals, cracks, branches and ensures minimally invasive treatment. At Diplomat Med Center, nickel-titanium rotary instruments, ultrasonic systems and modern antiseptics are used to achieve complete disinfection of root canals.
After cleaning, the canals are filled with biocompatible materials. The most effective are gutta-percha and thermoplastic systems, which provide durability and hermetic sealing. For complex anatomical cases, the depophoresis method is used, enabling preservation of even severely damaged teeth.
Preventing complications: what to do after treatment
After pulpitis treatment, regular preventive examinations and professional dental cleanings are essential. According to the EFP, up to 60% of recurrent inflammation cases are caused by improper oral care or lack of regular monitoring. At Diplomat Med Center, patients receive a comprehensive oral-care plan, including monitoring of restorations, evaluation of gingival health and regular AirFlow cleanings, which prevent secondary caries and inflammation around the root.
Pulpitis treatment at Diplomat Med Center
At Diplomat Med Center, pulpitis treatment is carried out in strict accordance with international standards, using a microscope, digital diagnostics and modern biocompatible materials. Our specialists perform all types of endodontic procedures: from early pulpitis therapy to complex multi-stage treatment, including root canal retreatment, reconstruction after caries, periodontitis treatment, as well as restorative procedures with crowns and veneers. Patients are also recommended to undergo regular AirFlow professional cleaning to preserve results and prevent new inflammation.
If you experience pain, sensitivity to cold or heat, or discomfort when chewing — this is a direct signal to visit the clinic. The doctors at Diplomat Med Center will perform diagnostics, preserve the tooth structure and carry out pulpitis treatment with guaranteed quality.
Schedule your consultation today — and we will help you keep your teeth healthy for many years to come.
Diplomat Med Center — professional dentistry for the whole family.