More and more people will encounter dental problems, and over time they will find that their teeth are becoming increasingly unhealthy. Root canal treatment is currently a relatively advanced treatment technology. You may experience pain during the process, but this pain is different. Some are local pain, and some are systemic pain that requires further diagnosis. In addition, regular examinations should be performed according to the patient's recovery, and related restorative work should be done. complication During and after treatment, you may experience discomfort such as pain. Most of these are normal reactions and you can return for a follow-up visit at the scheduled time. If the pain is severe and accompanied by local swelling and systemic reactions, you should seek prompt follow-up treatment and receive further treatment as appropriate. risk During root canal treatment, the doctor can only have a general understanding of the root canal system based on X-rays or apex locators. In case of complex root canals (curved, narrow, calcified and blocked, instrument broken, lateral penetration) or other special situations, the difficulty of root canal treatment increases, special equipment and materials need to be used, and the treatment time will be increased accordingly. Instrument breakage may occur during complex root canal treatment. It is not required to forcibly remove the broken instrument. The instrument can remain in the root canal and be checked regularly. Precautions After root canal treatment, the body goes through a repair process and regular checkups can be performed to understand the healing status of the tissues. The patient may experience discomfort in the treated tooth for quite some time. If the condition is not gradually getting worse, you can adopt an observation approach, but you should follow the doctor's advice and have a follow-up check in time. Re-treatment There are a few cases where root canal treatment is unsuccessful and where conventional root canal treatment is unsuccessful or cannot be treated. Some cases can be treated further with apical surgery, while others can be treated with extraction. During and after root canal treatment, teeth are prone to splitting, which may lead to tooth extraction. If the tooth defect is large, please follow the doctor's instructions to promptly perform crown restoration after treatment. Cause of failure Root canal therapy is one of the main methods for treating pulp and periapical periodontitis, so people are very concerned about the efficacy of root canal therapy. Many cases strictly follow the treatment procedures, but still fail. The reasons can be summarized as follows: 1. Anatomical factors Lateral canal Accessory canal Divergence Of root apex FurcatlonOfrootapex 2. Iatrogenic factors 1. Lateral penetration of the root canal wall (not found) 2. Apical superfilling Overfill failure is mainly caused by infection inside or outside the root canal. In many cases, the overfilled apical sealing is incomplete. The tissue fluid that penetrates into the root canal is rich in glycoproteins, which can provide nutrition to the residual bacteria, allowing the bacteria to grow and reach a certain number, causing recurrence of apical periodontitis. |
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