1) Pulpitis is inflammation of the dental pulp which can be acute or chronic. Acute pulpitis causes severe throbbing pain that is triggered by hot or cold, while chronic pulpitis causes dull aching pain lasting over an hour. 2) Dental caries is the most common cause of pulpitis, allowing bacteria to reach the pulp. Chemical or thermal injury during dental procedures can also cause pulpitis. 3) In rare cases, chronic pulpitis can lead to the formation of an ulcerated or epithelialized pulp polyp protruding from the tooth. Pulp stones are calcified structures that can form within the pulp as a result of age or previous dental work.