A 'root canal' is the term that refers to the natural cavity or space within the center of the tooth. It is made up of the pulp chamber which provides nutrients and nerves to each tooth and the 'canals' that connect to each other or to the surface of the root of the tooth.
Teeth can become damaged and infected due to severe decay, repeated dental procedures, cracks in the tooth or trauma to the face. Constant pain, swelling and tenderness of the gums, prolonged sensitivity to heat or cold and discoloration of the tooth are signs that one may need a root canal. A visit to the dentist will best determine the ways to deal with each particular case.
We’re leaving no spot unexamined. Global dental microscope provides enhanced visualization and access to even the most difficult angles of the teeth, mouth and jaws, and allows for a better, earlier and more accurate diagnosis and treatment of many dental conditions. With its unmatched precision, the need for of x-rays is reduced without compromising a procedure. That alone significantly improves quality of treatment and no one has to stay long hours for a treatment.
A dental post is added to an existing tooth that is still in place but needs to be reinforced. Dentists use a dental post to help stabilize and secure a tooth that has undergone root canal treatment.
The decision to use a post when restoring an endodontically treated tooth should be based on remaining tooth structure after the removal of all caries and remaining restorative materials. If the coronal structures of a tooth are primarily intact, the primary preparation is the access opening for endodontic treatment, and the tooth has favourable occlusion (egg, an anterior tooth that has been traumatized but not fractured becomes nonvital), a routine restoration without a post would be indicated. When significant portions of the crown are missing due to caries and/or fracture or the presence of an existing restoration that restores multiple tooth surfaces, there may be the need to use a post to provide the coronal restoration with accessory retention.
A root end surgery, also known as apicoectomy, retrograde root canal treatment (c.f. orthograde root canal treatment) or root-end filling, is an endodontic surgical procedure whereby a tooth's root tip is removed and a root end cavity is prepared and filled with a biocompatible material. It is an example of a peri radicular surgery.
An apicoectomy is necessary when conventional root canal therapy has failed and a re-treatment was already unsuccessful or is not advised.[1] Removal of the root tip is indicated to remove the entire apical delta ensuring no uncleaned missed anatomy. The only alternative may be extraction followed by prosthetic replacement with a denture, dental bridge or dental implant.
State-of-the-art procedures make use of microsurgical endodontic techniques, such as a dental operating microscope, micro instruments, ultrasonic preparation tips and calcium-silicate based filling materials.
In an apicoectomy, only the tip of the root is removed. This is in contrast to root resection, where an entire root is removed, and hemi section, where a root together with its overlying portion of the crown are separated the rest of the tooth and optionally removed.
The degree of tooth development is a major consideration when dealing with young patients who exhibit infected or damaged pulp. Only two-thirds of the roots are developed when a tooth erupts. If there is any kind of damage to the pulp before full development, further root growth and formation of the dentin stops. As a result, these under-developed roots will have a reverse or flaring taper and open apex. If this is left untreated the future root canal treatment will have a minimal success due to difficulties in sealing the apex of the root. Besides, thin dentin walls will raise the likelihood of tooth fracture. Apexogenesis and apexification are two procedures that are commonly used under these STANCES.
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