This section is from the book "Dental Medicine. A Manual Of Dental Materia Medica And Therapeutics", by Ferdinand J. S. Gorgas. Also available from Amazon: Dental Medicine.
Irritation of the Dental Pulp is indicated by an uneasy sensation which develops into pain of a gnawing or burning character, the affected tooth being sensitive to changes of temperature, painful in mastication, but exhibiting no symptoms of inflammation of the gum or peridental membrane.
The treatment must vary with the condition producing the affection. First remove all irritants. If the cause is systemic, constitutional treatment for the condition present is indicated. Saline cathartics, as the sulphate or carbonate of magnesia; diaphoretics, as spts. mindererus, or Dover's powder; diuretics, as preparations of nitre, often prove efficacious; also bromide of potassium. If the fluids of the mouth are irritative, they must be corrected. If a carious cavity exists, all foreign substances and the softer parts of carious dentine should be removed, and the cavity syringed with a tepid solution of bicarbonate of soda, potash or ammonia. Dilute carbolic acid, or wood creasote, may then be applied, and a non-conducting filling of a solution of gutta percha and chloroform be introduced. (See Dental Formulae for Odontalgia and Pulpitis.)