Endodontic treatment of teeth - what is it? Root canal treatment
Dental manipulations, which are carried out through the dental cavity, are endodontic treatments. They are aimed at preserving the native unit. It can also be therapeutic measures that involve cleansing the root canals from their contents. The result is achieved with the help of mechanical, medicinal treatment, which is completed by sealing the channels.
What is the area covered by endodontics?
One of the important parts of therapeutic dentistry is the science of endodontics. The duties of specialists include warning, diagnosis, elimination of diseases of the pulp. What it is? Pulp is the soft tissue that is located inside the tooth.
The goals of endodontic treatment are tooth preservation. To achieve them, a specialist faces several tasks.He needs to gain access to the pulp chamber and, using special tools, remove all the pulp from the tooth (from the channels and the chamber). After the treatment of the root system is completed, the recovery time of the coronal part comes. These manipulations are carried out in the case when it is not possible to maintain the pulp at least partially.
Also, the goal of the doctor is to eliminate pain, prevent the spread of the inflammatory process on the periodontal tissue. At the same time, it is necessary to preserve the functionality of the dental unit and its anatomical structure.
What is the essence of treatment?
Launched caries or other circumstances provoke damage to the deep tissues of the tooth. Such a disease in dentistry is called periodontitis. In this case, the pulp is affected, the patient experiences intense pain. And now he will have root canal treatment. This procedure is popularly referred to as nerve removal.
The essence of the treatment lies in the relief of the inflammatory process. The specialist should prevent its spread, restore bone tissue in the outbreak. It should be noted that endodontic treatment does not always lead to full recovery. Often not all requirements are feasible, which must be met.There are also complications after root canal treatment. After all, the dentist will have to remove the pulp, which is a bundle of nerve endings. The canal structure is often tortuous. In addition, specialist manipulations are carried out almost blindly. And even a small piece of nerve or perforation of the canal wall will necessarily lead to complications after treatment. That is why only in half of the cases it is possible to completely eliminate the focus of the inflammatory process and cure the tooth.
In what cases is the treatment indicated?
There are a number of circumstances that serve as indications for such a procedure as endodontic dental treatment. Consider them:
- The indications are pulpitis of all forms, provided the process is irreversible.
- Apical periodontitis in all forms of manifestation. Provided that endodontic treatment is capable of ensuring successful replantation.
- Various injuries of the tooth with irreversible effects.
- Often, orthopedic indications lead the patient to an endodontist.
When is it impossible or inappropriate to treat?
Consider contraindications to the manipulation.
First, the nerve cannot be removed if the process in the pulp is reversible.
Secondly, it is inappropriate to carry out all the measures for cleaning, decontamination of the canals, restoration of the coronal part in cases where the tooth has a poor prognosis.
Third, some patients have contraindications for dental intervention. They may be temporary or permanent. However, it is not advisable to leave a focus in the body even for a short period. In such cases, doctors recommend removal.
Fourth, the patient himself refuses treatment. Then experts have no right to prevent his desire to remove the molar.
Fifthly, it is impossible to save a unit of the maxillary arch, when the focus affects not one canal of the tooth, but everything.
It remains to add that some diseases of vital organs (heart, kidney, liver, etc.) can also interfere with endodontic manipulations.
Today, painkillers and the technique of the surgical procedure allow root canal treatment to be comfortable for the patient. No pain. They are usually caused by infection, and not by the manipulation of the doctor.Dangerous consequences are the occurrence of bone destruction and the formation of an abscess.
The restoration of the teeth after endodontic treatment will ensure the safety of the unit for a long period (sometimes for a lifetime). The canal treatment procedure is considered less expensive than alternative options for restoring lost function using prosthetics. In addition, modern technologies are considered to be successful, based on statistics from patients who have been treated for the canal of the tooth.
To determine the chances of success, experts examine X-rays. For this it is necessary to compare those that were made before the start of treatment and after it. If the inflammatory process does not develop, and the bone tissue is restored, then it is possible to plan the restoration of the coronal part of the tooth. Otherwise, you will have to say goodbye to him.
Modern materials for endodontic treatment allow the doctor to choose the method of disinfection channels. However, in all cases, the specialist uses the tool “Cofferdam”, which guarantees absolute sterility during the procedure.
It is necessary to understand that the quality of treatment and the service life of the native unit are completely interrelated. And in many respects the result will depend on the correctness of filling the channels with a filling material. The specialist should ensure that they do not have the slightest nerve particle. To complete the destruction of pathogenic microflora doctor, of course, will not succeed. But in his power - to ensure complete sealing. The channel must be tightly filled with material, without the formation of voids. After treatment, a good specialist will send the patient to the x-ray room after treatment The picture will allow you to evaluate the result of the work.
Restoration after treatment
Often, in difficult cases, the specialist is not in a hurry to proceed to the restoration of the crown part of the tooth after processing the roots. After all, the body of each patient can behave differently. For some period, the hole in the tooth is closed with a temporary filling. Sometimes the patient can spend up to six months with her. And only after taking a control picture and making sure that the inflammatory focus has been stopped, the dentist proceeds with the restoration of the supragingival part of the molar.
Bring the dental unit back to normal with the help of filling. If the damage is minor, many polymer compounds can provide reliable sealing. The hue of the paste can also be matched to the color of the enamel. As a result, after carrying out a number of events, it is possible to both preserve the native unit and restore its aesthetics.
If the destruction of the upper part of the tooth is characterized as significant, such units are recommended to be covered with crowns. Designs will provide reliable fixation and protection. Modern materials allow you to choose a crown for every taste. They install both low-cost plastic products and expensive ceramic crowns.
What can result in ineffective endodontic treatment? We have already said that the quality directly depends on the professional actions of the doctor and some factors beyond his control. In any case, as a result of poor-quality channel processing, the patient will sooner or later face the spread of infection. All this may be accompanied by the following symptoms:
- increase in the intensity of pain;
- swelling and swelling of the soft tissues in the area of the treated tooth;
- the appearance of an abscess (flux);
- cyst formation at the apex of the root;
- sometimes an increase in body temperature;
- the appearance of bad breath.
All these symptoms indicate that the desired result was not achieved during treatment. The source of infection failed to stop. In this case, you must immediately go to the doctor.
A few simple tips will minimize turning to endodonts. It is necessary to follow the rules of oral hygiene. Careful cleaning of teeth from plaque will reduce the risk of carious lesions. To do this, you must use the full arsenal of means for the care of the oral cavity. It is not only toothpaste and brush. It is necessary to clean all hard-to-reach places with a thread. The use of rinses also reduces the risk of disease.
It should be noted that even the most responsible attitude to hygienic procedures will not replace the patient's professional teeth cleaning. Only it is able to ensure complete removal of both hard and soft deposits, preventing the development of pathogenic microflora.
Also, experts recommend to get rid of bad habits and enrich your diet with healthy foods.
A visit to the dental office several times a year will provide complete control over the condition of the teeth. During this period, it is possible to detect caries at the initial stage and promptly cure it.
All these rules in the complex allow to exclude the advancement of infection into the deep layers of the tooth. Thus, the patient gets the opportunity to preserve their health and beauty for many years.
In the article, we examined the cases in which endodontic dental treatment is indicated. What it is? How is and what to expect? These questions also found answers.