Endodontics and Conservative Dentistry
What is Endodontics?
Endodontics The morphology, physiology, pathology of the human female and especially the pulp (the living tissue that accommodates the vascular-nerve package) is a dental hygienist that deals with tissues that surround the tooth root and the root end.
The study area of Endodontics, dental pulp (living tissue containing the vascular-nerve package), the biology of the tissues that surround the tooth root and root, and the etiology, diagnosis and treatment of diseases and injuries affecting these tissues.
What are the areas of interests of endodontics?
- Differential diagnosis and treatment of Oro-facial pain (Oral-facial pain) from pulp and periapical tissue origin
- Prevention of pulp diseases and live pulp treatments
- Root channel treatment
- Repetition of root channel treatment in endodontic failure (retreatment)
- Treatment of dental traumutated teeth
- Endodontic Surgical Procedures
- Whitening of Endodontic treated teeth
- Post placement in the root channel cavity in order to make kuronal restorations
- Endodontic treatments to support prosthetic, periodontal and orthodontic treatments
What is channel treatment?
The pulp (living tissue containing the vascular-nerve package), which is surrounded by the hard tissues of the tooth, is responsible for the development, nutrition and defense of the tooth, giving vitality to the tooth. A lot of this tissue can therefore be inflated or infected due to microorganisms. In this case, the pulp tissue must be removed and the duct cavity should be filled with the duct filler after removal. These operations are defined as channel treatment.
What are the reasons and complaints for channel treatment?
Deep cavities, filling or pain after crowns (coating), pre-made deep fillings or crowns (coating) reformed under the formation of the PULPA (live tissue containing the vascular-nerve package) loses its vitality Damage to tooth pulp (living tissue containing the vascular-nerve package) due to habits such as teeth grinding, or injuries to the tooth, or buried in the jaw bone prior to some prosthetic treatments, or as the cysts in the mandible or the 20-year-old teeth In cases such as teeth withdrawal, channel treatment may be required prior to surgical operation.
In the teeth that start spontaneously, especially during the night, increasing or cold or hot, starting with an effective and ongoing pain, tooth infection in the area around the tooth should be performed in the swelling of the duct. However, in some cases, the infections that have been induced by the tooth or the loss of vitality do not give symptoms such as pain or swelling, but can be diagnosed with radiographs. In such cases, channel treatment is required.
How many times do I have to visit you during the channel treatment?
Channel treatment is a process that lasts an average of 1 hour. It is essential to finish the duct treatment of a live tooth in a single session. However, if the tooth loses its vitality, the root end of the infection, and the channel treatment is repeated in the first session of the root channel cavity cleaning after the removal of the stem ducts to apply an antiseptic substance The number of sessions may be two or more because it is required.
At least 2 radiographs are taken from the tooth during this operation. In some cases, this number may increase.
May I have channel treatment during pregnancy?
The radiograph must be taken to control the process phases when an ideal channel treatment is performed. For this reason, it is preferable to make these procedures after the birth, or to be done before pregnancy. However, if there is pain during pregnancy, there is no harm in the immediate intervention to relieve pain.
Does it make feel pain during the channel treatment?
Channel treatment is not a painful procedure. The tooth and surrounding tissues to be treated in the channels are drugged with local anesthesia. In some cases where anesthesia is not provided, it is easy to avoid pain during treatment using different anesthesia techniques.
Is it necessary to use anti biotic before channel treatment?
In cases where the patient does not have a general health problem, there is no need to use antibiotics before the channel treatment is performed. However, in cases where the patient has a known heart disease, diabetes or immunosupressive drug use, it may be necessary to prescribe antibiotics by consulting the patient’s medical doctor prior to treatment.
Does the channel treatment can be applied to an inflammatory tooth?
Channel treatment is applied to treat tooth infection due to the pain and swelling of the surrounding tissues because of this infection. In cases where there is no general health problem, there is no harm in the use of antibiotics in the presence of abscess without antibiotic treatment. Antibiotics can be prescribed depending on the condition of the infection after treatment.
Does it make pain after channel treatment?
In the first few days following the treatment, it is normal to feel a slight pain in cases where pressure on the tooth is particularly like chewing. However, since a tooth has been removed from a pipe treatment; There is no pain in the teeth against stimuli such as cold-hot.
What are the thing do a patient should take care after channel treatment?
It is normal to feel discomfort in the tooth for a few days after channel treatment. The patient may use a painkiller suggested by the dentist. It is recommended not to eat any food before the anesthetic wears off. In the teeth that are treated in the channel, it is often more prone to fracture than substance loss. In particular, very hard food should be avoided before permanent filling is completed. If an unexpected situation occurs, the patient should contact the physician immediately.
What is the lifetime of a tooth treated with channel treatment?
The channel treatment is a treatment that is done to prevent tooth withdrawal and gives the last chance for the teeth. As a result of a channel treatment made under appropriate conditions, dental care and regular physician controls can function in the mouth for a lifetime. However, the teeth that passed channel treatment are more fragile than natural teeth. According to the condition of the tooth, the physician’s restoration proposal should be taken into consideration without wasting time, permanent filling or crowns(coating).
Can a tooth become inflamed after channel treatment
The success rate for well-made channel treatments is around 90-95%. However, due to the patient’s oral hygiene, a new bruise on the teeth or the formation of teeth in the filling of the tooth for reasons such as, in cases where the root channels of the bacteria leakage again; The root channels may be infected again. Due to the complicated structure of the root channel system, areas that cannot be cleaned during the cleaning of the channels or the refilling of the bacteria with full-fill gaps during the refill are also infected with the proliferation of may not be repeated or fully recovered.
What can be done if channel treatment fails?
It should be noted that the success of channel treatment may not always be 100%. In the case of failure, the channel treatment may be renewable, apical resection (surgical cleaning of the inflammation around the root of the teeth) can be applied to the surgical method called or the dental Retractable.
What kind of complications can occur during channel treatment?
During the channel treatment, it is very rare; The root channels can be experienced with complications such as tool breakage, root overflow of duct filler, overflow of duct washing solutions out of root, perforation in root channel (teeth puncture). These complications can be addressed by experienced physicians in time intervention.
Implant treatment of channel treatment?
No prosthetic does not exactly replace the natural tooth. For example, when our natural teeth are sensitive enough to feel even a thin little wire, there is no such feeling in the implants. It is also much less costly to properly restore a tooth by making a channel treatment instead of an implant or a bridge.