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Therapy and endodontics

Therapy and endodontics

What is endodontic treatment?

Endodontic therapy is a sequence of treatment for the pulp of a tooth which results in the elimination of infection and protection of the decontaminated tooth from future microbial invasion. This set of procedures is commonly referred to as a “root canal.” Root canals and their associated pulp chamber are the physical hollows within a tooth that are naturally inhabited by nerve tissue, blood vessels and other cellular entities.
Endodontic therapy involves the removal of these structures, the subsequent cleaning, shaping, and decontamination of the hollows with tiny files and irrigating solutions, and the obturation (filling) of the decontaminated canals with an inert filling such as gutta percha and typically a eugenol-based cement. Endodontic therapy is a complex technique ,performed in 2 or 3 days depending on the injury. In order to choose the best treatment the dehtist will take x rays films and also use intraoral camera to spot the injury.

Pulp injury symptoms :

  • uneasiness , annoying pain
  • sudden pain which develops , no reaction to painkillers
  • pain when chewing ,clenching teeth pain
  • neuralgia brought on by exposure to hot and cold food and beverage items.
  • What are the effects of untreated tooth pulp injuries?
  • the injury will develop further reaching to the alveolar bone which causes strong and nocturnal pain
  • can develop into abscess or phlegmon
  • can influence on endodontic treatment

What is an abscess?
When the tooth pulp gets infected , the infection spreads to the bone tissue surrounding the tooth root.,becoming abscess.

What is a phlegmon?
Phlegmon is an inflammatory process of the soft tissue. This is the result of infected tooth pulp. It poses tissue damage and formation of suppurative exudate or pus.

What are the advantages of endodontic treatment compared to extraction?
The alternative to endodontic treatment is extraction. Losing one or more teeth poses aesthetics, mastication and speaking problems. The other teeth might loosen after extraction. The patient shows pain and occlusion differences. In this case extracted teeth need fixed replacing, removable prosthesis or dental implant. Today dental market provides the fornt line of prosthesis but no prosthesis can compare to your natural teeth.

What should you do besides the endodontic treatment?
A tooth treated endodontically has no root canal tissue and it’s easily broken and prone to fracture. We recommend finally crown restauration instead plain filling , because in the latter procedure tooth may easily brake .The corwn restauration should be performed in a month after the endodontic treatment in order to prevent saliva penetration into the root canal which might cause infection.