Pulpitis: Signs, consequences and treatment

Tran Hoai Nam
20/10/2026
Nguyễn Gia Bảo

Professional Consulting

D. Nguyễn Gia Bảo

Dentist

Pulpitis is a serious disease inside the tooth, threatening the health and aesthetics of the smile. Early detection of signs from mild to late stages, understanding the dangerous consequences and the importance of timely treatment will help you preserve your natural teeth in the most effective way.

 

If you want to better understand the signs of pulpitis and how to treat it properly, you can watch a video sharing detailed knowledge from the doctor here:

 

1. Signs of pulpitis 

Pulpitis is an inflammation that occurs in the dental pulp tissue, a soft structure deep inside the tooth that contains important nerves, blood vessels and connective tissue.

This disease can progress silently through many stages, from mild, easily overlooked initial signs to severe symptoms that seriously affect quality of life. 

Early recognition of signs of pulpitis plays a key role in timely treatment intervention, protecting real teeth and preventing dangerous complications.

Viêm tuỷ răng

Pulpitis

Initial signs of pulpitis (early stages)

In the early stages, pulpitis often presents unclearly, causing many people to subjectively ignore it. However, this is the golden time for the most effective treatment intervention. Early signs may include:

  • Mild or transient pain

 You may feel mild, dull or occasional throbbing pain in a particular tooth. This pain can appear spontaneously or after mild impact.

  • Pain when eating or drinking hot or cold foods

When you eat or drink something that is too hot or too cold, your teeth may feel uncomfortable, and this feeling can last from a few seconds to 15-30 minutes after stimulation.

  • A dull feeling of tightness or discomfort in the teeth

Some patients describe their teeth as feeling tight, heavy, or have a persistent dull discomfort, especially at night or when lying down.

  • Slight tooth color changes

In the very early stages, teeth with pulpitis may have slight color changes, such as being slightly yellow or more milky than neighboring teeth. However, this change is often difficult to detect with the naked eye.

Răng có sự thay đổi màu sắc nhẹ

Teeth have a slight color change when suffering from mild pulpitis

Clear signs of pulpitis (late stage)

When pulpitis progresses to the late stage, symptoms often become clearer and more serious, causing a lot of pain and affecting daily activities:

  • Severe and continuous pain: 

The pain becomes severe more, lasts continuously and can appear spontaneously without any impact. Pain can spread to neighboring areas such as the ear, temple, or lower jaw, causing the patient extreme discomfort and insomnia.

  • Pustule swelling and pain in the gum area:

When the infection spreads beyond the tooth pulp and affects surrounding tissues, swelling, redness, and pain may appear in the gum area around the root of the diseased tooth. In some cases, pus (abscess) can form, causing severe pain and a feeling of oozing fluid.

  • Persistent bad breath: 

Ncrosis of the dental pulp and bacterial growth in an infected environment can cause an unpleasant odor in the mouth, which does not improve despite thorough oral hygiene.

  • Significant change in tooth color: 

Teeth with long-term pulpitis often have more obvious color changes, changing from yellowish to gray-green, green-brown or even black. Especially in front teeth, this color change seriously affects aesthetics.

Răng thay đổi màu một cách rõ rệt

Teeth change color clearly when suffering from severe pulpitis

2. Consequences of pulpitis if left untreated

Subjectively ignoring or delaying treatment of pulpitis can lead to serious and difficult to overcome consequences, affecting not only oral health but also overall health:

  • Risk of tooth loss and related dental problems

When the tooth pulp is severely infected and untreated, the inflammatory process can spread to the tip of the tooth, causing periapical inflammation. This long-term condition can destroy the jawbone structure around the teeth, causing loose teeth and eventually leading to permanent tooth loss. 

  • Alveolar bone loss

Prolonged inflammatory process in the tooth apex can lead to alveolar bone loss, reducing jaw bone density and volume.

  • Effects on whole body health: 

Chronic oral infections, such as untreated pulpitis, can cause negative effects on whole body health, increasing the risk of cardiovascular diseases, diabetes and other diseases.

3. Effective pulpitis treatment methods

When you are diagnosed with pulpitis, timely and correct treatment is a decisive factor in preserving your natural teeth and preventing dangerous complications. 

Root canal treatment (Endodontics): The optimal solution to preserve teeth

Root canal treatmentis a complex procedure to remove inflamed or necrotic tooth pulp, clean and shape the root canal system, then fill the root canal with specialized materials. 

The main goal of root canal treatment is to completely eliminate the source of infection inside the tooth, prevent the recurrence of infection and help the tooth continue to exist and perform normal chewing functions.

Điều trị tuỷ (nội nha)

Treatment of pulpitis

Tooth extraction: The final solution when preservation cannot be achieved

In some cases, pulpitis is too severe, cannot be recovered or causes serious complications such as large abscesses, large bone loss, or large broken teeth. can regenerate, the doctor may prescribe a tooth extraction to completely remove the infection and prevent its spread.

Methods to restore teeth after extraction:

Tooth loss due to untreated pulpitis can affect chewing function, aesthetics and confidence. Therefore, doctors often recommend methods to restore lost teeth, including:

  • Dental implant: This is a fixed restoration method, in which a titanium implant is implanted into the jawbone, then a porcelain crown is attached on top, providing functionality and aesthetics similar to real teeth.
  • Dental bridge: This method uses real teeth next to the lost tooth as support to create a false bridge to fill the gap. blank.
  • Removable dentures: This is a lower-cost method of replacing missing teeth, but can cause inconvenience during use and chewing function is not as good as fixed methods.

Nhổ bỏ răng và sử dụng răng Implant thay thế

Remove teeth with pulpitis and use dental implants as replacement

Supportive treatment (temporary pain relief): Do not replace thorough treatment

During the acute period of pulpitis, you can use some home remedies to help temporarily relieve pain before coming to see a doctor. dentist:

  • Over-the-counter pain relievers: Medicines such as paracetamol or ibuprofen can help relieve pain and reduce fever.
  • Prescription pain relievers: In cases of severe pain, your doctor may prescribe stronger pain relievers.
  • Cold compresses: Applying a cold compress to the outside of the cheek near the painful tooth area can help reduce swelling and pain.
  • Warm salt water gargle: Gently rinsing your mouth with warm salt water can help reduce swelling and pain. helps soothe the inflamed area.

These supportive treatments are only temporary and do not address the cause of pulpitis. Thorough dental treatment is necessary to preserve natural teeth and prevent serious complications.

Timely treatment of pulpitis is the key to preventing serious complications and preserving natural teeth. When you notice any signs of suspected pulpitis, do not hesitate and immediately go to a reputable dental facility for examination and advice. In addition, implantation is also a service chosen by many people at Lac Viet Intech today. 

If you are experiencing prolonged pain, sensitivity when eating or drinking, or suspect signs of pulpitis, do not let the situation prolong. Please contact Lac Viet Intech Dental Clinic immediately for examination, accurate diagnosis and advice on appropriate treatment plans - safe, gentle and timely, avoiding dangerous complications. later.

Nha branch system Lac Viet Intech department:

  • TP. HCM: No. 90 - 92 Ngo Gia Tu, Ward 9, District 10, City. HCM
  • Hanoi:
    • No. 91 Hue Street, Hai Ba Trung, Hanoi
    • No. 168 Lang Street, Dong Da District, Hanoi
    • No. 426 Minh Khai, Hai Ba Trung District, Hanoi
    • No. 27 Nguyen Van Huyen, Cau Giay District, Hanoi
  • Nghe An: No. 24 Cao Thang, Hong Son Ward, Vinh City, Nghe An An
  • Hai Phong: 107 To Hieu, Le Chan, Hai Phong City

 

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