Endodontics: Dentristry Of The Dental Pulp

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The branch of dentistry concerned with the pathology, physiology, and morphology of human periradicular tissue and dental pulp is known as endodontics. Endodontics practitioners treat and diagnose periradicular and pulpal diseases. The discipline encompasses a variety of procedures and proficiency in the field is reached by skillfully combining both science and art.

What Happens During A Root Canal?

Every single year, more than 14 million root canals are performed making this procedure one of the most common in dentistry. When performed in a timely manner, it is possible to prevent the need for either bridges or dental implants because natural teeth can be saved.

Pulp is located within the center of every tooth. It consists of many small blood vessels which help the surrounding tooth to grow and remain healthy. Decay located deep within the teeth, repeated dental procedures, or chips and cracks in the teeth can cause the pulp to become infected due to the trauma created by these events. When the gums and teeth become increasingly sensitive to pain or cold temperatures, the area around a tooth shows signs of swelling, or signs of injury become visible, these may be symptoms that the pulp is infected.

In order to eliminate the diseased pulp, a non-surgical treatment will most likely be recommended by your dentist if your experience any of these symptoms. The treatment includes removal of the pulp that is injured followed by a complete cleaning and sealing of the root canal system. Depending upon the level of required treatment, the procedure many be done in one or more visits and generally involves local anesthesia. About 90% of all cases are successfully treated using this treatment method.

If your dentist determines that your teeth are not in a good position for the results of a root canal to be favorable, at the consultation, you will be told what the difficulties are and which complications you are most likely to be subject to wither before, during, or following such a treatment. In order to reduce the level of discomfort during a root canal, our office uses local anesthesia.

Following the root canal procedure, you should be able to immediately resume your normal routines and can expect to be able to drive yourself home following the procedure.

What Happens After A Root Canal?

Once the procedure has been completed at our office, your dentist should continue within a few weeks with any required dental restoration and other follow up. In order to make sure that your teeth are protected, your restorative dentist will decide which type of restoration is needed in your case.

Following microsurgery or routine endodontic treatment, complications are rarely experienced by endodontic patients. However, should a problem arise, we are always available to respond to your needs. Practice good dental hygiene in order to prevent further tooth decay. Generally, treatment from an endodontist is much less costly that the replacement with an artificial tooth following tooth removal.

Endodontic retreatment

Any teeth that have been treated with endodontic procedures can last as long as other natural teeth when appropriate care is given. However, problems may continue to exist even after treatment when failure occurs and pain persists after treatment fails. In these cases, pain may persist for many months and even years afterwards. In these cases, endodontic retreatment may be required.

The causes of improper healing may be:

  • During the initial treatment, narrow or curved canals weren’t treated.
  • During the initial treatment, some canals that were very complicated were not found.
  • Following the root canal procedure, the restoration or crown was not placed within the appropriate time frame.
  • Saliva was not prevented from contaminating the tooth’s interior section by the restoration or crown.

Even when a tooth was successfully treated, there are some cases in which a new problem can arise. Some of these are:

  • Infection can be caused after new decay exposes the filling material used in the root canal.
  • New infection can happen when a crown or filling is cracked or loose.

In order to gain access to the filling material, your doctor will reopen your tooth. To enable access to the root canal, the restorative material will be removed, the canals cleaned and an examination will take place. A temporary filling will be placed after this work is done. To restore full functionality, a return for restoration at your dentist office is required.

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