Endodontic disease and periapical disease We know the most common dental disease, tooth decay, so what will happen if tooth decay is not treated and filled in time? The answer can only be an aggravation! What else can be done? As we have already mentioned, the microscopic structure of dentin is a hollow canal, once the caries develops to the deep layer of dentin, the bacteria can easily enter the place close to the pulp. Some research shows that within 2mm from the pulp, even if there is no pulp leakage, the pulp can be infected, and this is what we often call “pulpitis”. Thus, the pain begins. In the early stages of pulp infection, which is also known as “reversible pulpitis”, the tooth may experience a transient sensitivity to hot and cold stimuli. What? Have you ever had it? Then see a doctor as soon as possible. What? No tooth decay? Either you didn’t find it, the location of the cavity is very hidden, or it is caused by other causes of pulp filling, such as brushing posture is not correct, near the gum “wedge-shaped defect”, where is the closest to the pulp; or you may have periodontal problems; well, biting hard objects to crack the tooth can also appear so Ah 。。。。 Anyway, good teeth do not appear like this! (Don’t understand, huh? Have you ever seen ice cream? The kind that melts!) The exudation causes a gradual increase in the pressure in the pulp chamber, and the pain begins to increase in intensity and duration. This process of aggravation is clinically referred to as “chronic or acute pulpitis”, depending on the speed and degree of pain. The main symptom in the acute phase can be persistent throbbing pain at night and headache. The eventual development of pulpitis will result in pulpal necrosis and a short period of pain relief, (don’t be happy!!!). Later on, it progresses to the “periapical” stage, where the tooth becomes distended, elongated, and in severe cases, swollen. It is important to note here that there is a chronic form of pulpitis that may occur without any noticeable discomfort from the onset of necrosis or even root lesions. Many patients do not know that something is wrong with their teeth until they develop a “fistula” on the gums. This is why early detection and detection is so important. When it comes to treatment, there is nothing else, except for the early stage of “pulp filling”, which can be soothed with medication and can heal spontaneously in some cases, but most of them require the “root canal treatment + braces protection” program.