Endodontics, which is one of the most significant disciplines of dentistry, involves the removal of tissue consisting of nerves and vessels called pulp in the root canal for any reason by shaping the canals and filling them with appropriate filling materials. Failure to perform appropriate canal treatment may result in the complete loss of the tooth and the prosthetic planning for that tooth in the future.
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When to use Root Canal Treatment?
Canal therapy is generally applied in two cases, except for special cases.
The first of these is the cause of pain and failure to control the pain by filling and similar methods as a result of damage such as dental caries, trauma or prosthetic teeth causing damage to the dentin and enamel layer covering the pulp tissue. The other is unsuccessful treatments that fail the pulp tissue to maintain its viability despite the pain has passed with conservative methods.
As we mentioned before, dental caries, after passing the enamel and dentin tissues of the tooth, approaches the pulp tissue containing the nerves of the tooth. The pulp tissue, which is unprotected against external factors such as heat and bacterial reproduction, creates a stimulus such as pain and informs the individual about this condition.
In early responses, both the vitality of the tooth and the pain can often be eliminated with conservative methods. In these cases, the dental cavity is removed from the tooth and restoration is completed by using appropriate filler agents or inlay/onlay porcelain fillings.
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In cases where irreversible damage is done to the pulp tissue during the cleaning of decay, and where caries cause inflammatory conditions in the pulp tissue, first, canal therapy and then prosthetic restorations should be completed.
One of the significant points in dentistry is the loss of vitality of the teeth in restorations such as filling, crowns, dental bridges and laminates. In such cases, the individual spends a long time unaware of this developing problem since the teeth that lose their vitality, and a pain-like stimulus will not be present. An individual who neglects routine checks is likely to face bone destruction caused by an inflammatory condition called osteitis, which will occur at the root end of the tooth. This condition, which proceeds as chronic inflammation, may cause consequences such as swelling in the tooth area, piercing the bone and purulent discharge into the mouth by piercing the bone during periods of acute attacks. In these cases, the formation of cystic lesions on the root of the teeth.
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The first thing to do in such cases is to detect the situation before the tooth reaches this state. There are many tools in dentistry that determine whether teeth are alive or dead. Canal therapy should be performed before these conditions occur and take the necessary precautions against inflammation. If the inflammation has occurred and the situation has progressed, treatment should be completed with appropriate medical approach and canal therapy sessions.