Root canal treatment (pulpitis, periodontitis)

The patient came to the dentist with a small hole, and the tooth almost didn't hurt, and then suddenly the nerve was removed from the tooth, and even a huge "hole" was drilled…

On top of the tooth is covered with a fairly strong fabric – enamel. With the development of caries on the enamel, a carious lesion occurs in the form of a small hole in the tooth. Under the enamel there is a less durable tissue - dentin, which undergoes the carious process much faster. The tooth seems to deteriorate faster from the inside than visually from the outside. When the doctor opens the hole in the enamel and removes all the dentin affected by caries, that's when this huge cavity is formed.

Inside the tooth there is a neurovascular bundle (the so-called "nerve" in the people).

When the carious process spreads deep into the tooth and reaches the "nerve", then it, this nerve, has to be removed. In addition to the tooth cavity, the neurovascular bundle is located in the root canals. Cleansing and filling of root canals is called endodontic treatment. This is a technologically complex process. The root canals of the tooth, most often, have a curved shape and a complex structure. A lot of tools and electronic equipment are needed for the treatment of channels. A doctor who is not armed with this arsenal will not be able to treat a tooth qualitatively.

Initially, the channels run the entire length and are expanded with various hand tools, then they give the channel the necessary shape with the help of machine tools, then the channels are thoroughly washed with antimicrobial solutions, dried and sealed tightly along the entire length. If the channels are not sealed for the entire length, sooner or later inflammation will develop in the tooth. If the channels are not thoroughly washed with antiseptic solutions before filling, then inflammation will also develop.

At the end of treatment, the doctor should show the patient a control X-ray, where it is clearly visible that all root canals are sealed along the entire length, up to the tip of the root.

You can often hear from a dentist: "You have impassable channels", there are practically no impassable channels, there are impassable channels and different levels of professionalism of doctors.

Attention!!!

Endodontic canal treatment takes even longer than caries treatment – two, three hours.

With poor-quality treatment of channels, an inflammatory process occurs on the tops of the roots. Most often, the inflammation has a chronic form. The tooth does not hurt, the patient will say, what other problems? But the problems are huge because the tooth is the same organ as the heart, kidneys, liver, and the blood flow in the body is one to all organs. So an infection from a tooth can get into any vital organ through the bloodstream and cause inflammation there, for example, chronic endocarditis, and this is, sorry, not a tooth, but a heart. Now you understand the importance of high-quality endodontic treatment.

Treatment of Periodontitis

If you have already had a nerve removed and the canals sealed and suddenly the tooth got sick again, or the doctor revealed the formation of a cyst on the X-ray image, this means that the treatment of the canals was carried out poorly: the canals were not sealed to the tip of the root, or the root canals were washed with antiseptic solutions poorly. On the X-ray image, there is periapical inflammation, it can also be chronic when the patient does not complain. But any focus of inflammation in the tooth, including chronic, negatively affects the whole body as a whole and individual vital organs, such as the heart, kidneys, liver, etc. in particular.

For a doctor, the situation of canal re-treatment is always much more complicated than the initial passage and filling. Firstly, the doctor who treated the channels earlier could make a ledge in the channel, which can be very problematic to bypass, a false move can be made past the channel, with perforation of the channel wall, the previous doctor could break a fragment of the instrument in the channel, which can be almost impossible to remove. In such cases, repeated endodontic treatment may be unsuccessful. The tooth in such a situation is subject to surgical treatment: resection of the root tip or removal is performed.

If, during repeated endodontic treatment, the doctor manages to pass the channels, then they are thoroughly washed with antiseptic solutions and hermetically sealed. The focus of inflammation at the top of the root disappears over time.

Control what doctors do to you, choose professionals!