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You're a little hole that hasn't been filled, right?
Now it's the big hole?
Acute apical periodontitis.
I think it should be, because you have suppuration of the gums at the apex of the tooth, and then pulpitis and necrosis.
I think you should have had a severe pain before, but you put up with it and didn't look at it, and then it will develop into apical periodontitis.
Acute purulent apical periodontitis: three stages of abscess.
1 apical abscess.
1) Symptoms: Spontaneous severe and persistent throbbing pain, aggravated elongation, severe pain in bite, dare not face the jaw. Locatable.
2) Check. 1) Pain and loosening of the affected tooth 2) Flushing of the gums at the apical part of the root, but no significant swelling.
3) Slight pain at apical examination.
4) The corresponding submandibular lymph nodes or submandibular lymph nodes may be enlarged and tender.
2 Subperiosteal abscess.
1) Symptoms: 1The persistent, throbbing pain in the affected tooth is intensified, and the pain reaches its peak.
2.The tooth is protruding and loose, and the pain is unbearable when touched lightly.
3.Obvious systemic symptoms: sleep and eating are affected by the aggravation of pain, and the illness period has been more than three to five days, and the patient feels extremely painful.
2) Check. 1) The patient has a painful face and is mentally exhausted. 2) The affected tooth is obvious and loose. The gums are red and swollen, with significant tenderness, and there is a fluctuating sensation in the deep part of the examination.
3 Submucosal abscess.
Symptoms: The patient's pain symptoms are relieved and the systemic symptoms are relieved.
1: Due to the loose submucosal tissue, the pressure of pus has been greatly reduced when the pus reaches the submucosa, 2: Spontaneous swelling and bite pain have been reduced. Systemic symptoms are relieved.
Examination: apical abscess is localized, may be hemispherical, fluctuating to the touch, and the surface of the abscess is easy to break.
Acute periapical abscess: mostly with a long-term tooth defect (such as cavities) and/or a history of toothache and pulp**;
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Let me tell you, because I myself am also in your situation, you may not be pulpitis now, but the dead pulp rots and becomes inflamed in the tooth and causes pain, sometimes this pain is not continuous, such as it hurts at first and then gets better, and then it still hurts, intermittently, so you don't delay, you must go to a professional dentist**, first dig a hole in this tooth, and then extract the dead pulp inside, put in anti-inflammatory drugs, stuff it with cotton, and change the dressing after a week, Then take out the cotton and seal the hole. Teeth are important and need to be well protected. I wish you good teeth.
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My tooth nerve was already dead when I went to kill it, and it didn't hurt at all when they pulled the needle down. I had a toothache for the first time and I ate some bezoar detoxification tablets the next day, the second time it was very painful, my face was swollen, I went to the hospital, and I took a **, the doctor said that the tooth nerve has been necrotic, and this situation should be repaired in time, otherwise the whole tooth will gradually crack piece by piece.
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My tooth hurts when it hurts, and it doesn't hurt if it doesn't hurt, what the hell is going on?
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Acute pulpitis refers to the inflammation of acute pulp tissue, the source of infection mainly comes from the deep pulp, the infection of the pulp can cause apical infection through the apical foramen, the main clinical feature is severe pain, the effect of general analgesic drugs is not obvious, and the pulp gangrene can develop in the later stage, ** mainly pulp opening and drug pain relief.
Step 1 of pulpitis with medication: If you can't go to the hospital immediately when you have a toothache, you can bring your own or buy some analgesic and anti-inflammatory drugs to temporarily relieve the pain.
Step 2 of pulpitis and local emergency treatment: In case of severe pain in pulpitis, you can use the method of gargling or using a small curette to remove the embedded food, dip a small cotton ball in clove oil or camphorol and other analgesics into the cavity to soothe and relieve the pain, and cover the hole with dry cotton. After the pain is relieved, you should go to the hospital as soon as possible for a check-up or endodontic**.
Step 3 of pulpitis to open the pulp to reduce pressure: In the emergency department, the dentist opens the pulp cavity under local anesthesia to drain the inflammatory exudate, quickly reduce the pressure on the pulp cavity, and relieve the patient's pain.
Step 4 of pulpitis is acupuncture or massage acupuncture points to relieve pain: according to the location of the affected tooth, the pain can be relieved by kneading or acupuncture bilateral Hegu acupoints and other acupoints.
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That is to say, the tooth decay is very deep, and the nerve may have been injured, and it cannot be filled directly, so it needs to be done.
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Pulpitis: Pain often comes on suddenly, then lasts for a while, then as the disease progresses, the pain slowly prolongs, and finally develops into a persistent, severe pain that the patient usually can't say.
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Pulpitis is mainly an inflammatory lesion of the pulp tissue, including neurovascular loose connective tissue diseases, as well as deep caries and wedge defects in the pulp cavity located inside the teeth. Symptoms of persistent throbbing and release pain may occur. It hurts all the way to the ear and temporal, similar to a migraine.
During the onset of pulpitis, the patient is restless, which significantly affects the patient's sleep, work and study.
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The symptoms of pulpitis are pain, and then the pain is more severe at night, and it will be more painful after eating hot and cold food, and it will cause migraine if it is severe, which is the symptom of pulpitis, and you need to seek medical attention in time.
Normally, pathogens are in the throat, and when the resistance is low, they multiply in large numbers and cause local inflammation (pharyngitis), and then spread to other parts of the body, causing inflammation of the upper respiratory tract (cold).
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