If a tooth with pulpitis is not treated or the treatment was unsuccessful, the next phase of inflammation or periodontitis develops. Periodontitis is characterised by pain when biting on the tooth, which becomes more severe over time. The pain is localised and, therefore, it is easy to determine the affected tooth. In the event of periodontitis, the preserving of the tooth may be attempted in most cases. The dentist shall evaluate the possibility and prognosis of endodontic treatment, based on the X-Ray images and the amount and localisation of the carious lesion.
Another therapeutic alternative is the extraction of the tooth. If a patient has been having pain for a long time and no medical assistance for periodontitis is provided, an abscess develops. As the swelling develops, pain reduces, however, the overall situation deteriorates. Sometimes, the tooth can be preserved even in the event of an abscess, however, the prognosis is negative. The development of an abscess frequently results in the loss of the tooth.