How to treat root canal treatment

How to treat root canal treatment

Many people have the habit of eating sweets in their lives. Eating sweets is certainly bad for the body. First of all, it will cause damage to the teeth and make the teeth look black and yellow. Even brushing your teeth every day will be difficult to remove. The damage caused by these sugars to the teeth will cause tooth disease and inflammation over time. Root canal treatment comes in handy at this time. How can root canal treatment achieve the therapeutic effect?

Introduction

Root canal therapy is the most commonly used and effective treatment method for pulp disease and periapical periodontitis internationally. The principle of root canal therapy is to remove most of the infected substances in the root canal by mechanical and chemical methods, and to prevent the occurrence of periapical lesions or promote the healing of periapical lesions that have already occurred by filling the root canal and sealing the crown.

introduce

Root canal treatment is a relatively complex endodontic treatment method that uses many instruments and has many steps. It requires multiple treatment steps and multiple X-rays to complete the entire process.

Indications

Root canal therapy is suitable for teeth diagnosed with pulp or periapical disease. It requires the removal of pulp tissue and the removal of root canal system infection in order to preserve the entire tooth or root. However, the tooth must have sufficient periodontal tissue and bone support.

In some cases, some including trauma, dental restoration, periodontal surgery or other treatment needs, pulp removal and root canal treatment are also required.

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.

3. Crown closure status

Incomplete crown sealing is one of the important reasons for the failure of root canal treatment. In some cases, root canal fillings can still be contaminated again, such as temporary or permanent fillings are broken, and permanent repairs are not made in time. Bacteria can invade and colonize in the root canal system, resulting in failure of root canal treatment.

3. Remaining paper tips and cotton twists 4. Opening of the root canal

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