الأقسام
الاقسام
الاقسام
What Is Dental Pulp?
The pulp or pulp chamber is the soft area within the
center of the tooth. The tooth’s nerve lies within root canals, which lie within the rootsof the tooth.The root canals travel from the tip of the tooth’s root into the pulp chamber, which also
contains blood vessels and connective tissue that nourish the tooth.
A tooth’s nerve is not vitally important to a tooth’s health and function after the
tooth has emerged through the gums. Its only function is sensory — to provide the
sensation of hot or cold. The presence or absence of a nerve will not affect the
day-to-day functioning of the tooth.
What Damages a Tooth’s Nerve and Pulp in the First Place?
A tooth’s nerve and pulp can become irritated, inflamed, and infected due to deep
decay, repeated dental rocedures on a tooth and/or large fillings, a crack r chip in
the tooth, or trauma to the face.
A root canal is a treatment used to repair and save a tooth that is badly decayed or becomes infected. Root canal procedures are performed when the nerve of the tooth becomes infected or the pulp becomes damaged. During a root canal procedure, the nerve and pulp is removed and the inside of the tooth is cleaned and sealed. Root canal procedures have the reputation of being painful. Actually, most people report that the procedure itself is no more painful than having a filling placed. The discomfort experienced in the period leading up to a seeking of dental care is truly the painful period of time, not the root canal procedure itself.
Why Does the Pulp Need to Be Removed?
When nerve tissue or pulp is damaged, it breaks down and bacteria begin to multiply within the pulp chamber. The bacteria and other decayed
debris can cause an infection or abscessed tooth. An abscess is a pus-filled pocket that forms at the end of the roots of the tooth. An abscess occurs when the infection spreads all the way past the ends of the roots of the tooth. In addition to an abscess, an infection in the root canal of a tooth can cause:
- 1. Swelling that may spread to other areas of the face, neck, or head.
- 2. Bone loss around the tip of the root.
- 3. Drainage problems extending outward from the root. A hole can occur through the side of the tooth with drainage into the gums or through the cheek with drainage into the skin.
What Are the Signs That a Root Canal Is Needed?
Signs you may need a root canal include:
- 1. Severe toothache pain upon chewing or
application of pressure. - 2. Prolonged sensitivity/pain to heat or
cold temperatures (after the hot or
cold has been removed). - 3. Discoloration (a darkening) of the
tooth. - 4. Swelling and tenderness in the nearby
gums. - 5. A persistent or recurring pimple on
the gums. - 6. Sometimes no symptoms are present.
What Are The Steps In Root Canal Treatment?
• Access: This
is the
stage of which the canals opening are located through the cavity access. Isolation of the
tooth with the use of rubber dam is heavily recommended. After isolation of the tooth is
done, openings of the canals can be located with rotary instrument..
• Preparation:
The canals
then is instrumented, or prepared by a series of files with increasing in size.. Rotary
endodontic handpiece is preferred at the last stage as to prepare a taper all the way down
to the apex. Copious irrigation with sodium hypochlorite is recommended regularly.
Periapical radiograph should be taken to confirm the working length.
• Obturation:
The canals
after prepared are now ready to obturated. The canal should be dried with paper point and be
void of any bleeding from the apical area. Next, the canals will be filled with the gutta
percha filling material.
• Placement of a post
and
filling material and we prefer to do a crown after RCT to ensure maximum strength
for the tooth.
What Are The Steps In Root Canal Treatment?
- 1. The protaper system.
- 2. The hero shaper system.
- 3. The Endo wave system.
We also have new Retreatment systems
- 1. The protaper system D1 D2 D3.
- 2. The hero system R1 R2 R3.
The European dental center uses the latest
technology in obturation of the canals:
Calamus Dual System B
that is used to obturate the canals by injection
instead of the traditional way that is used in other clinics and this technique
gives very accurate results and helps in the treatment of difficult cases and only
in one session.
The treatment is done in our clinic by a
specialist in root canal therapy not a general practitioner. It’s a very meticulous
and sophisticated treatment that demand the use of high tech instruments and a lot
of patience, in order to achieve a long term result. For many patients, it’s a time
consuming treatment, but for us it’s the first step to a successful treatment. Even
if the final crown is done correctly but with an inadequate root canal treatment,
the risk of having a future infection in your bone is still very high.
