Pulpitis treatment in Varna
Medically reviewed by Dr. Iva Yordanova, specialist in prosthodontics ·
Pulpitis is inflammation of the dental pulp – the tissue with the nerves and blood vessels inside the tooth – and shows itself as prolonged, often throbbing pain that gets worse at night and when lying down. It is among the most severe pains a person can experience. The good news: treatment stops the pain at the first visit and in most cases keeps the tooth fully functional for years to come.

How do I recognise pulpitis?
Typical symptoms of an inflamed tooth nerve:
- Severe, throbbing pain that gets worse at night and when lying down
- Lingering pain after cold or hot
- Pain that spreads to the ear, eye or neighbouring teeth
- Spontaneous pain with no obvious cause
How is pulpitis treated?
Under full local anaesthesia we remove the inflamed pulp, clean and shape the root canals and fill them tightly. The pain disappears as soon as the inflammation is removed – before you even leave the surgery.
What happens if pulpitis is not treated?
Untreated inflammation turns into periapical periodontitis – an infection around the root that can lead to a cyst, an abscess and loss of the tooth. Painkillers mask the problem but do not treat it – do not put off the examination.
Frequently Asked Questions
Can pulpitis go away on its own?
No. When the pain fades, it usually means the nerve has died and the infection is spreading quietly into the bone. Treatment is the only lasting solution.
How many visits does pulpitis treatment take?
In most cases 1–2 visits. Modern rotary endodontics often allows treatment to be completed at the first visit.
What should I do about severe toothache at night?
Take a painkiller as directed, avoid heat on the area and contact us first thing in the morning for an urgent appointment.