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Pulpitis, Its Causation and Consequences

You know that there is a hole in your tooth, but the tooth does not bother you yet. Time goes on, the cavity in the tooth grows, but you somehow lack the courage to go to the dentist. And so the time X arrives, when visiting the dentist becomes unavoidable: toothache won't let you sleep at night, pain episodes are triggered by any temperature or chemical irritant (sour, sweet food), and it is impossible to remove the pain without assistance. This means you have pulpitis.

Pulpitis is the inflammation of pulp, i.e. the neurovascular bundle inside the tooth. The most efficient pulpitis treatment method is tooth depulpation – removal of tooth pulp with further filling of the root canals. The future fate of the tooth depends on the quality of the canal filling. If the canal filling is of poor quality, as a rule, it may result in such complications as the development of periodontitis, when the inflammatory process goes beyond the tooth root into periodontium. That is why it is necessary to visit a good dentist in good time.

A competent doctor will perform X-ray study and anaesthesia. After the injection the pain goes away and all the further manipulations are pain-free. All you need to do is to trust the qualification and skills of the doctor.

 

What are the steps taken by the doctor to treat pulpitis?

At stage one the carious cavity is cleaned out to make an access to coronal pulp.

At stage two the nerve is extracted, in most cases, painlessly. If there is a feeling of pain, anesthetic is used additionally. Sometimes, if the canals are thin or curved, the nerve extraction takes a long time.

Stage three is the preparation and widening of the canals, and it allows to partially even out and smooth down the walls of the root canal and finally remove the residual nerve or its parts. Stages two and three are almost always performed together. These stages are very important and haste is absolutely inappropriate here. Often, it is necessary to make several X-rays with the instrument inside the canal in order to make sure that everything is done correctly. It is very important to do the whole canal up to the apex – no more, no less. At our clinic, with the help of modern endodontic tips and endodontic files we can go through the channel thoroughly up to the apex, clean it and shape it, and prepare it in the best way for filling. Mechanical treatment of the canal is always accompanied by medication. The canals are constantly washed through with special solutions in order to wash off the remains of the pulp, chips appearing upon the instrument's contact with the tooth walls, as well as to disinfect the canal cavity before filling.

The task of stage four is to fill the root canal with special filling material. If the canal is very infected, then, naturally, it is necessary to put treatment paste or solution into the canal, and perform the filling a while later (usually after a week or two).

Today the choice of filling material for root canals is quite diverse: pastes, thermoplasticized gutta-percha, the combination of filling paste and lateral condensation of cold gutta-percha.

The ultimate goal of stage four is to get the filling material to the root apex and filling the canal avoiding voids and taking up all of its volume. To ensure that, X-ray monitoring is obligatory. A well-treated tooth can be installed fillings and crowns on, or restored.

 

Periodontitis

Periodontitis is an inflammatory process that occurs in tissues surrounding the root of a tooth.

Due to inflammation and then atrophy of the pulp, when microbes move from carious cavity through root canal, they get beyond the apical foramen of the tooth, and that is where the inflammatory process develops. Inflammation can also occur as a result of a chemical or mechanical trauma, or as a result of wrong pulp treatment.

Some of the kinds of mechanical trauma are, first of all, bad habits (cracking nuts, sunflower seeds, biting off threads, holding pins or nails with one's teet, etc.).

In case of acute serous periodontitis the patients complain about dull pain, and accurately locate the tooth causing it. Slight tapping and chewing load increase the painful feelings. The tooth does not react to thermal irritation. The mucosal tissue in the area of the affected tooth can get slightly reddened and the tooth may become slightly movable. Regional lymph nodes may be enlarged and painful on palpation.

The cyst is basically the last stage of chronic periodontitis development. A cyst is a cavity containing exudate (liquid). Its growth usually occurs slowly and is unnoticed by the patient. As it grows it applies pressure on the surrounding bone tissue.

Various forms of chronic periodontitis are the foci of hidden infection. When treating the patients we strive to save the teeth.  

 

Dental Dislocations and Fractures

Dental dislocations and fractures are serious traumas and we wish you that nothing like that ever befalls you. Yet, life is full of surprises...

First off, it is necessary to warn you that such unpleasantries are not necessarily a result of a direct hit on your jaw. They can occur as a result of an unexpected fall or in other totally unpredictable situations. One should try to get dental help as soon as possible.

The most favorable option after such an unhappy incident is when the tooth remains in its place, is not damaged, yet is movable. In this case the doctor can splint the tooth, i.e. fixate it in its place. Such tooth will most likely take and won't cause any problems in future.

Tooth root fracture occur quite often. In this case the tooth remains in the jaw, but it becomes movable. Tooth root fracture is diagnosed with the help of X-ray. In such cases it is also possible to try and save the tooth. Everything should be done very carefully: the tooth is prepared, the nerve is removed, the canal is filled, with the help of a special paste the pin is inserted, which will connect the two parts of the root. Thereafter, one should rely on one's organism, and if the latter overcomes the inflammation and the trauma consequences, such a pin may hold the tooth for many and more years to come.

And, most importantly: in any situations, even the most complicated ones with your teeth, rely on the dentist's qualification and never give up the hope of saving the tooth.