Endodontic Therapy
- Developing the treatment plan. ...
- Lasers in Endodontics. ...
- The Definitive Phase of Treatment. ...
- Pulp and Periapical Disease. ...
- Definitive phase of treatment. ...
- Bleaching and related agents. ...
- Surgical endodontics. ...
Full Answer
What is endodontic treatment and how can be it done?
Endodontics is the branch of dentistry concerning dental pulp and tissues surrounding the roots of a tooth. “Endo” is the Greek word for “inside” and “odont” is Greek for “tooth.” Endodontic treatment, or root canal treatment, treats the soft pulp tissue inside the tooth. An endodontist is a dentist who specializes in saving teeth.
What is endodontic care and what treatments does it include?
Endodontics A severe toothache can take over your life. Highly trained endodontists (dental specialists) repair tissues inside the tooth in intricate ways. They diagnose and treat complex causes of tooth pain, such as tooth abscess (infection). Endodontists perform root canal treatments and other procedures to relieve pain.
What is the difference between endodontics and orthodontics?
Nov 09, 2017 · Root canal treatment; Endodontic retreatment; Endodontic surgery; Traumatic dental injuries; Dental implants; While endodontists are specialists in saving teeth—meaning they are trained in performing root canals and other procedures to save the tooth— they will look at all treatment options to determine the best for each individual patient and case.
What are the most common endodontic procedures?
Endodontic Treatment. A typical endodontic treatment or root canal therapy for irreversible pulpitis is pulpectomy, involving pulp extirpation followed by root canal enlargement and obturation of root canal with gutta percha, a bioinert thermoplastic material (Ingle and Bakland, 2002). From: Preprosthetic and Maxillofacial Surgery, 2011. Related terms:
What procedures do endodontists do?
What is an Endodontist? Endodontists are dentists who specialize in maintaining teeth through endodontic therapy – procedures, involving the inner tissues of the teeth, called the pulp (or nerve). The word "endodontic" comes from "endo" meaning inside and "odont" meaning tooth.
What is an example of endodontic treatment?
As an example, if the pulp of the tooth has infection or inflammation due to deep decay, a chip or crack, endodontic treatment will solve the problem. The endodontic treatment removes the inflamed/infected pulp, cleans the inside of the tooth, disinfects it, and fills/seals the tooth.Aug 20, 2014
What does endodontics deal with?
An endodontist is a highly trained dental specialist. Endodontists focus on caring for complex tooth problems that primarily affect the tooth pulp (the inside of teeth). They use advanced techniques to treat the dental pulp and root tissues.Oct 22, 2020
What type of patients are treated in endodontics?
An endodontist is a dental specialist who has received additional training in the diagnosis of tooth pain and performing root canals and other treatments that deal with the interior structures of the tooth.
What is an endodontic infection?
Endodontic infections are polymicrobial and are made up of predominantly anaerobic bacteria and some facultative bacteria. A tooth with an infected nonvital pulp is a reservoir of infection that is isolated from the patient's immune response and will eventually produce a periradicular inflammatory response.
What is the most common endodontic procedure?
Root canal This is the most common endodontic procedure and is typically done to save a tooth that would otherwise need to be removed. Root canal treatment is necessary when the pulp, which is the core layer of the tooth, or the canals holding the pulp becomes inflamed or infected.
What is the difference between endodontics and periodontics?
Both of these professionals are specialists in the field of dentistry. Periodontists are concerned with the health of gums and treating gum disease and inflammation. On the other hand, Endodontists specialize in tooth roots and oral pain. Patients are most commonly referred to them for a complicated root canal.Jan 8, 2020
Why did my dentist refer me to an endodontist?
Why Would a Dentist Refer You to an Endodontist? If the infected tooth has a complex root canal system—which is frequently an issue with multi-rooted teeth like molars or premolars—dentists may refer their patient to an endodontist.
Why is endodontics important in dentistry?
When patients ignore tooth decay to the point where it reaches the inner chambers of their teeth, an endodontist can help disinfect the area and save the tooth. Endodontists also help with abscesses, old fillings, chipped and fractured teeth, and infected dental pulp.
Why is apicoectomy done?
In most cases, root canals last a lifetime, but sometimes, the tooth doesn't heal well and becomes reinfected. Your dentist will use an apicoectomy to remove damaged tissue to save the tooth and avoid pulling it out. You might also need a root end resection to: Remove calcium deposits in the root canal.Nov 11, 2021
What is the main cause of periodontal disease?
Periodontal (gum) disease is an infection of the tissues that hold your teeth in place. It's typically caused by poor brushing and flossing habits that allow plaque—a sticky film of bacteria—to build up on the teeth and harden.
What is an endodontic exam?
Most endodontists use a series of tests to evaluate the vitality of a patient's dental pulp. Tests assess the reaction of the pulp to temperatures (cold or hot), as well as how it responds to an electric test and cavity tests. Your pulp contains a network of highly sensitive nerves.Jul 29, 2021
What is an endodontist?
An endodontist is a highly trained dental specialist. Endodontists focus on caring for complex tooth problems that primarily affect the tooth pulp (the inside of teeth). They use advanced techniques to treat the dental pulp and root tissues. These specialists focus on relieving your toothache while saving your natural tooth, whenever possible.
What is the purpose of endodontists?
Endodontists primarily treat tooth’s pulp (interior tissues) or root tissues that have undergone damage from some of the following causes: Tooth decay, such as an untreated cavity from plaque that damages a tooth’s root tissues. Tooth abscess, a buildup of pus that forms when bacteria gets inside your tooth or gums).
What is the best treatment for tooth pain?
Endodontics. A severe toothache can take over your life. Highly trained endodontists (dental specialists) repair tissues inside the tooth in intricate ways. They diagnose and treat complex causes of tooth pain, such as tooth abscess (infection). Endodontists perform root canal treatments and other procedures to relieve pain.
How long does it take for a tooth to feel sore after a root canal?
Some people feel well enough to return to work the same day. Your mouth or tooth may feel sore for a few days after your procedure. More extensive surgery may cause discomfort that’s more severe or lasts longer.
What is endodontic retreatment?
Endodontic retreatment: Removes and replaces materials used during a previous root canal that did not heal properly. Emergency dental surgery: May involve repairing complex dental injuries or treating severe tooth infections. Tooth extraction (removal) surgery: Pulling a tooth when its tissues are too severely damaged to be saved.
Can root canals help with tooth pain?
Root canal treatment provides many people with lasting tooth pain relief. It also offers the potential of saving your natural tooth. If you have ongoing tooth or mouth pain, reach out to an endodontist to discuss your treatment options. ##.
What is a tooth abscess?
Tooth abscess, a buildup of pus that forms when bacteria gets inside your tooth or gums). Tooth injuries due to trauma (such as a hard fall). Cracked tooth, when a crack extends to a tooth’s pulp tissue.
Can you take a car in for repairs?
You wouldn’t take a car in for repairs or have work done on your home without understanding the problem and how it would be fixed. It’s even more important to know and understand your treatment options when it comes to your teeth, something you use every day to cut and chew your food.
Can you save your teeth with endodontics?
With the right treatment, your teeth can often last a lifetime, something we can all smile about. In the majority of cases, your tooth can be saved with endodontic treatment.
Why is endodontic treatment important?
It is carried out because preserving the natural teeth is important in maintaining full function of the dentition, with the associated health benefits that a fully functional set of teeth confers.
How does endodontics treat decay?
Endodontics deals with the treatment of root canals in teeth in which, due to the advanced decay, the tooth crown is destroyed. The modern lateral condensation method gives the possibility of hermetically closing the individual root canal by its filling. This approach prevents bacteria entering from the mouth into the canal. Laser radiation can reduce 99% of microbial pathogens during the endodontic treatment. It also leads to decontamination of the infected lateral canals. During laser irradiation, organic substances are completely removed, and coagulation of proteins in the dentinal tubules is achieved.
What is endodontic material?
Endodontic materials are used in endodontic treatment, which is the procedure to save the tooth when the pulp and/or periradicular tissues are injured. These materials can be generally classified into two groups: materials used to maintain the vitality of the pulp (pulp capping materials), and materials used to disinfect (irrigants and intracanal medicaments) and fill the pulp in root canal therapy.
What are stem cells in the apical papilla?
Stem cells isolated from this region were named ‘stem cells from the apical papilla’, or SCAPs. SCAPs, like DPSCs and SHEDs, are able to differentiate into odontoblast-like cells, and to produce a dentin-pulp complex in vivo, and were found to exhibit even higher in vitro proliferation rates than DPSCs and SHEDs. Furthermore, since SCAPs are nourished by blood supply from surrounding tissues, they have the added advantage of being able to survive pulp necrosis or endodontic treatments.
What is implant supported prosthesis?
Implant-supported prosthesis rehabilitation of a single tooth is indicated in cases of trauma, tooth longitudinal fracture and endodontic treatment failure. Single-tooth implant-supported prosthesis in the posterior region of the mouth is subjected to more occlusal forces. Problems such as loosening of crowns or implant or the fracture of various components were initially reported. Changes in implant format, with larger diameters and/or internal fixation, addressed many of these problems.
What is a non-vital tooth?
A non-vital tooth is one that has a dead pulp or has had the pulp removed as part of an endodontic treatment. A non-vital tooth can appear much darker and discoloured compared to the adjacent teeth. This type of discolouration has been successfully treated by the ‘Walking Bleach Technique’ whereby a bleaching composition is sealed inside the pulp cavity for a number of days (Sulieman, 2005a ). The types of bleach compositions that have been used typically include sodium perborate alone or in combination with low levels of peroxide ( Greenwall, 2001; Attin et al., 2003; Plotino et al., 2008 ). Much shorter exposure times of the pulp cavity with relatively high levels of peroxide (30-35% w/w) are also used, which may be activated with heat or light, in a technique termed ‘Internal Non-Vital power Bleaching’ ( Suliemann, 2005a ). Bleach compositions can also be applied simultaneously to the pulp and the external enamel surfaces in a technique called ‘Inside/outside Bleaching’ ( Sulieman, 2005a; Kelleher, 2008 ).
What is surgical emphysema?
Surgical emphysema refers to the ingress of air into soft tissue as a result of injury or surgical operation. This may be caused if there is a breach in the oral epithelium, or when a tooth is opened for endodontic treatment, and any equipment is used that exhausts compressed air into the mouth. Air-turbine handpieces have been recommended in a number of contexts where there would seem to be a particularly high risk of this, and there have been many such reports:170–194 including pneumoparotid, 195 subcutaneous facial and cervical, mediastinal, and orbital. There may be grave or fatal complications: dogs may die if air is introduced under pressure into the root canals of their teeth, and indeed several people are thought to have died in similar circumstances.
How will I know when I need it?
Endodontic treatment is necessary when the pulp becomes inflamed or infected. Symptoms of pulp damage include pain, prolonged sensitivity to heat or cold, tooth discoloration, and swelling. Occasionally, the tooth may have no symptoms. Endodontic therapy is concerned with removing the pulp tissue, cleaning and filling/sealing the space.
How can endodontic treatment help my tooth?
The endodontist removes the inflamed or infected pulp, carefully cleans and shapes the canal system and then seals the prepared space. Most treatment is now performed in a single appointment ranging from 30-90 minutes (depending on the number of canals). After successful endodontic treatment, the tooth continues to function normally.
What is endodontic treatment?
Endodontic treatment helps you maintain your natural smile, continue eating the foods you love and limits the need for ongoing dental work.
What are the benefits of root canals?
Saving the natural tooth with root canal treatment has many advantages: 1 Efficient chewing 2 Normal biting force and sensation 3 Natural appearance 4 Protects other teeth from excessive wear or strain
What is the soft tissue inside a tooth called?
Inside your tooth, beneath the white enamel and a hard layer called dentin, is a soft tissue called pulp. This tissue contains blood vessels, nerves and connective tissue, which help grow the root of your tooth during its development.
How many appointments does a root canal take?
A modern root canal treatment is nothing like those old sayings! It’s very similar to a routine filling and can usually be completed in one or two appointments, depending on the condition of your tooth and your personal circumstances. Getting a root canal is relatively painless and extremely effective.
What are the signs of a root canal?
There are a few symptoms that mean you might need a root canal—. Severe pain while chewing or biting. Pimples on the gums. A chipped or cracked tooth.
How long does it take for a root canal to go away?
Although you will most likely be numb for 2-4 hours following the procedure, most patients are able to return to school or work directly following a root canal. However, it is advised against eating until the numbness is completely gone.
Is root canal pain worse than filling?
Since patients are given anesthesia, a root canal isn’t more painful than a regular dental procedure, such as a filling or getting a wisdom tooth removed. However, a root canal is generally a bit sore or numb after the procedure, and can even cause mild discomfort for a few days.
