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Pain caused by pulpitis can be very severe, especially if the disease is in the acute phase.
The first thing to do is to try to relieve the pain. One way is to take nonprescription pain relievers. The most widely indicated are nonsteroidal anti-inflammatory drugs (NSAIDs). They contain no cortisone and possess anti-inflammatory and analgesic properties. Common agents are acetylsalicylic acid, or aspirin, paracetamol and ibuprofen. Pregnant mothers, children and people with specific medical conditions should take these drugs only as directed by their physician.
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Lying down intensifies the pain.
If the pulpitis is caused by a caries, the lesion resulting from the decay can be treated. The lesion should be cleaned of any particles and then dried with sterile cotton. The cavity may be filled with additional cotton soaked with an analgesic and disinfectant.
Pulpitis should always be treated by a dentist. Treatment comprises a root canal procedure and removal of the tooth pulp. The area is then disinfected and filled with protective material. Root canal work is performed under local anesthesia and is not painful. After the procedure, slight pain may be noticed. If intense pain develops, an analgesic can be taken as directed by the dentist.
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