- ROOT AND CANAL TREATMENT
Endodontics is the main branch of science where root canal treatments are carried out.
When it comes to endodontic treatment, Root canal treatment usually comes to mind. The most feared dental treatment is usually root canal treatment. Nowadays, root canal treatment is performed in a single session on living teeth, and generally in two sessions on teeth that have lost their vitality.
- Anatomy of the Tooth
The visible part of the tooth in the mouth. The part of it that is not visible in the mouth and remains inside the bone is called the root. Our teeth consist of several layers. The outermost part of the crown, that is, the part seen in our mouth, is called enamel. Enamel is one of the hardest tissues in our body. A layer of cementum covers the root part of our tooth, which is under the gum and surrounded by bone. There is a dentin layer under the enamel and cementum layers. The feature of dentin is that it is the largest layer of the tooth and, unlike the enamel layer, it contains nerve endings. With this feature, it plays a role in the pain mechanism.
There is the pulp of the tooth under the dentin layer. This part contains the veins and nerves of the tooth. Pulp plays an important role during tooth eruption and development. In addition, it informs us about the problems encountered by our teeth through the pain mechanism after tooth eruption.
- How does the pulp become inflamed?
Every person's oral cavity. There are bacteria. They do not cause any harm unless undesirable conditions occur. Bacteria combine with many foods we consume and cause acids to form in our mouth. If we cannot remove these acids from our mouth, these substances will damage the enamel and cause decay in the enamel layer. If the caries that occur in the tooth enamel are not treated, they spread to the dentin layer under the enamel layer. Although the dentin layer warns us through pain, if the resulting caries is not treated, microorganisms move towards the pulp. Meanwhile, the pulp activates various ways to protect itself. One of these ways is to stimulate us through pain. However, if we do not get our teeth treated, after a while microorganisms will destroy the vessels and nerves in the pulp and cause inflammation.
Another way that inflammation occurs in the pulp is trauma. A blow to the tooth may cause the vessels and nerves entering the root of the tooth to rupture, thus causing the tooth to lose its vitality. Adding microorganisms to this situation in any way causes inflammation of the pulp.
Another way for the pulp to become infected is the presence of long-term periodontal (gum and surrounding area) disease around the tooth. p>
- How can it be understood that a tooth is infected?
Pain and sensitivity to cold and hot food and drinks in the tooth, and pain that occurs during eating. Pain can indicate inflammation and the beginning of an inflammation. Again, extreme color changes in the teeth may also be perceived as a sign of inflammation. Apart from these, in teeth where the decay reaches the pulp but is not treated, the infection spreads from the root tip to the jawbone and may cause small or large swellings on the face. In this case, the use of antibiotics is appropriate in addition to the procedures performed by the dentist in the fight against infection. The general opinion is that the tooth that causes swelling on the face should be removed after the swelling subsides. However, this is a very old idea. Even teeth that cause such major infections can be kept in the mouth by performing root canal treatment, and this tooth can serve you for years, just like a healthy tooth.
Stages of root canal treatment
- Detection of the problematic tooth by taking radiography.
If the tooth is alive, local anesthesia is applied to eliminate the sensitivity of the tooth and surrounding tissues.
Enamel and Cleaning the caries in the dentin layers and creating a space to reach the pulp.
- Isolating the tooth by attaching a rubber dam.
Determining the working length using electronic devices. and confirmation by radiography.
Destruction and removal of infected dentin layers and microorganisms in the root canal by using rotary instrument systems.
- Various root canal disinfectants when using rotary instrument systems in root canals. Destruction of microorganisms with.
Rotary tools Destruction and removal of infected dentin layers and microorganisms in the root canal using the following instructions.
If the tooth is not alive when starting the root canal treatment, waiting for a certain period of time with a canal antiseptic placed in the root canal and filling the root blood at the next meeting.
Root After the root canal treatment, the aim is to prevent the infection from occurring again by cutting off the connection of the tooth with the surrounding tissues and to repair any damage that has occurred in the surrounding tissues of the tooth. Pain or pain may occur when pressing on the tooth. This is a normal pain that occurs after root canal treatment. It disappears in a short time with some protection of the root canal treated tooth. Today, the success rate of root canal treatments with the correct treatment method is up to 90%.
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