ENDODONTICS
Golden rule of endodontics: the root canal must be clean, dry and full to the apex along the entire length and width.
This is a kind of operation to extirpate nerve fibers from the tooth cavity. For high-quality work, there must be a clean operating field, sterile instruments and inert biomaterials. Endodontic treatment is practically blind work, therefore, special operating microscopes and radiographs are increasingly used for this during treatment.
The doctor uses his knowledge, tactile sensations and experience during work, since the channels are very curved and thin, like a hair. After the operation to remove the nerve, the cavity is mechanically processed in order to eliminate the remnants of dead tissue and also to create maximum linear access to the tooth apex.
At the same time, irrigation and active washing of canals are carried out using special solutions, aggressive acids and alkalis with obligatory ultrasonic activation. Not least important is 3D obturation of all gaps, cavities and canal branches after treatment. The dental materials industry offers many materials. They are designed for specific clinical situations and the doctor himself chooses which one is needed in each specific situation, based on clinical data. The completion of endodontics is the restoration of the treated tooth, depending on the destruction. In most cases, when stopping acute processes, a direct restoration is sufficient to restore the tooth. But when the process has been long and chronic, it is better to use orthopedic restoration methods to increase the life of the tooth. It must be remembered: a tooth without a nerve is dead. It does not receive nutrition, biochemical processes do not take place in it. This means it becomes brittle and brittle. Therefore, usually such teeth need to be covered with crowns.
Endodontics is a delayed extraction.
SHORTLY ABOUT THE MAIN STAGES OF TREATMENT:
Stage |
Description |
Photo |
|---|---|---|
Stage 1: |
Removal of the nerve from the crown and root. This procedure takes place only under local anesthesia. If the picture of the course is chronic, then the patient may experience slight discomfort, there is no pain. This is a very responsible stage. It is necessary to slowly remove the nerve from all hidden cavities and not miss anything. This process can take up to 2:00. |
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Phase 2 |
Irrigation with solutions and machine-mechanical cleaning in order to smooth and expand access to the lumen of the root canals. The final removal of all remnants of the pulp and its dead parts from the outer walls of the inner cavity of the tooth is carried out. Powerful irrigation with acidic solutions and complete drying is mandatory before filling. At this stage, several x-rays of the control are usually taken. |
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Step 3: |
Obturation of a clean and sterile cavity with injector-type obturation materials along the entire length to the very top. Also, the channel must be filled volumetrically. The sealer and filler can be bio inert or with the addition of medicinal substances. It all depends on the specific clinical situation. Control x-ray. Restoration of the tooth cavity. |
