Treatment of pulpitis often demands dental general anesthesia. The inflammation of a pulp of the tooth, demonstrated by attacks of pain becomes unbearable too often. Microflora of carious cavities, chemical, mechanical and thermal traumas can cause it. Pathogenesis is connected to progressing of carious and inflammatory reaction to microflora and a trauma of a pulp. The infection can get through a top aperture, for example at illnesses of parodentium.
The pain is spontaneous and paroxysmal, especially at night, provoked by mechanical, chemical and temperature irritants. The irradiation of pain is possible on a course of a corresponding branch of a trigeminal nerve. At dental extreme cases and in the beginning of disease the attacks of the pain are usually whining, infrequent and short-term. In process of progress, they become frequent and extended. At a purulent pulpitis, the attacks are long, pulsing and pains accrue. At a serous pulpitis, the cold causes a painful attack, and at purulent - stops it.
In chronic forms of a pulpitis, the typical painful attacks arise mainly during aggravations. The diagnosis bases on characteristic complaints, revealing carious cavities and sounding of its bottom. At purulent and chronic forms, the percussion is usually painful and can demand the dental general anesthesia.
Treatment is directed by knocking over the inflammatory process and painful attacks. In serous forms experienced by the young, the preservation of a pulp is possible: the excision of struck dentine. The medicament treatment includes antibiotics, calcium hydrate, processing and sealing. The urgent help of sharp serous forms: clarification of carious cavities from softened dentine (dredge) and its irrigation a warm solution of anesthetic (2 % a solution of Novocain, dicain, cocaine) or introduction of the tampon impregnated with a solution of steroid preparations (prednisone, prednisolone) in carious cavity. At a sharp purulent pulpitis, the opening of tooth cavity is necessary. The analginum and amidopyrine should be taken inside.
The jaw fracture is the serious damage of a maxillary bone with infringement of its integrity. Pathological crises are caused by presence of diseases - a chronic osteomyelitis, a malignant tumor, a fibrous osteitis, etc. A painful syndrome, displacement of fragments, their mobility, change of a bite, infringement of speech and chewing, plentiful sialorrhea, determine the clinical picture. The dental general anesthesia is essential. At fracture of dental process, the infringement of an articulation is the determining symptom. Current of fracture can be complicated at osteomyelitis and phlegmon.
The roentgenogram allows specifying localization and character of the fracture. The originality of clinical displays in many respects is determined by the localization of the fracture. Fire fractures of jaw have a different localization and can include the wound of eyes, nose, bones of skull, accompanied with plentiful nasal and oral bleeding. The inspection often demands dental general anesthesia.