In most dental situations, you have the time to evaluate your treatment choices. No treatment is always an option, but may not be in your best interest. If you elect to be treated, there is often more than one way to proceed. Common treatment options for this diagnosis are listed on this page.
Irreversible pulpitis generally requires endodontic (root canal) treatment to alleviate symptoms and stop the inflammation. An X-ray image is generally exposed to evaluate the tooth root and surrounding bone for signs of pathology (disease process). Frequently there will also be infection present, which is also taken care of through endodontic treatment.
Sometimes it is necessary to localize the infection with antibiotic treatment before endodontic treatment can comfortably be performed. If the tooth is diagnosed with irreversible pulpitis, and endodontic treatment is not an option, the tooth may need to be removed.



