The main goal of endodontic treatment is to prevent or heal apical periodontitis. The cleaning and shaping procedures are adversely affected by the highly variable root canal anatomy. The presence of additional canals needs to be detected in to avoid incomplete instrumentation and preservation of bacteria and their toxins, which can compromise the outcome of the root canal treatment. Therefore, the knowledge of the internal anatomy of teeth is a prerequisite for successful endodontic therapy(1).
The American Association of Endodontists has stated that even if teeth have had a root canal treatment, they can potentially last a lifetime. However, a tooth may not heal properly. The tooth may also become diseased or painful. If your tooth develops problems or does not heal properly, then there is another procedure that you can get. You should consult with an endodontist.
If left untreated, pulp infection can lead to abscess, destruction of bone, and systemic infection (Cawson et al. 1982; USDHHS 2000). Various sources have concluded that water fluoridation has been an effective method for preventing dental decay (Newbrun 1989; Ripa 1993; Horowitz 1996; CDC 2001; Truman et al. 2002). Water fluoridation is supported by the Centers for Disease Control and Prevention (CDC) as one of the 10 great public health achievements in the United States, because of its role in reducing tooth decay in children and tooth loss in adults (CDC 1999). Each U.S. Surgeon General has endorsed water fluoridation over the decades it has been practiced, emphasizing that “[a] significant advantage of water fluoridation is that all residents of a community can enjoy its protective benefit…. A person’s income level or ability to receive dental care is not a barrier to receiving fluoridation’s health benefits” (Carmona 2004). As noted earlier, this report does not evaluate nor make judgments about the benefits, safety, or efficacy of artificial water fluoridation. That practice is reviewed only in terms of being a source of exposure to
evaluated the effects of calcium hydroxide and triple and double antibiotic pastes on the bond strength of an epoxy resin–based sealer to the root canal dentin(AH-plus). Sixty-four single-rooted human mandibular premolars were decoronated at the cemento enamel junction and root canals were prepared. The samples were randomly divided into a control group (without intracanal medication) and 3 experimental groups that received an intracanal dressing with either calcium hydroxide , triple or double antibiotic pastes. The intracanal medication was removed and the root canals were then filled with gutta-percha and AH Plus Jet sealer. A push-out test was performed to measure the bond strength between the root canal dentin and the sealer. The push-out
Dentin is the bone-like connective tissue of the middle layer of a tooth that is found to play an important role in the structure and integrity of teeth. Dentinogenesis is the process of forming dentin during tooth development. The cells responsible for this process are called odontoblast. These odontoblast cells are differentiated ectomesenchymal cells at the basal membrane of the inner enamel epithelium. These cells grow and secrete a collagenous matrix called the predentin that is later mineralised with hydroxyapatite crystals. Many proteins interact with the collagenous matrix in the mineralization process. As the odontoblasts continue to grow longer and deeper into the pulp cavity,
Orthodontic experts recommend that children be screened for braces by the time they turn 7. This is the recommended age because the child’s permanent first molars (upper and lower) should already be in: Furthermore, the child’s four front upper and lower incisors may be in or about to erupt. At Pediatric Dentistry of Central Florida, we know the importance of a healthy, vibrant smile. For this reason, our patients receive an orthodontic evaluation at each routine visit.
A Prisma diagram of the inclusion process for this review can be seen in Figure 3. The diagram shows that 3181 citations were found using Medline and Embase through OvidSP. Google Scholar produced 12 citations that were believed to possibly have relevant data and 4 citations were found in the references of other studies. These were included because, based on their titles and the information that was cited from them, it was believed that they could provide relevant outcome information. Through EndNotes and visual scanning, 570 duplicate citations were deleted leaving 2627 for title and abstract review. After the preliminary inclusion and exclusion criteria (found in the methods section) were applied to the studies, 2529 articles were excluded, leaving 98 to scan through the full-text. Based on a preliminary scan of the full article, 81 articles were excluded. 17 articles underwent a more thorough review during the data extraction process; 13 articles were excluded, leaving 4 articles with relevant information for this review.
A tooth that has become so severely decayed that the soft pulp at the center is infected can still be saved with a root canal from Vail Valley Dental Care. For this dental procedure, we will remove the infected material from the center of your tooth. We will then treat the remaining tooth with antibacterials to ensure the infection does not return or spread. The hollowed root canals will be filled with a bacteria-resistant resin to further protect the health of your tooth. The top of your tooth will be replaced with a dental crown to restore full function to the once weakened
Consequently, I was involved in the mechanical testing of bioceramic endodontic materials with regards to their physical properties and hydration behavior. Also, I am participating in an ongoing Micro-CT study to evaluate the quality of root filling using different filling techniques and sealers.
Root canal treatment usually fails when treatment falls short of usual standards. The causes of failure of initial endodontic therapy include intraradicular and extraradicular causes. Many of the teeth undergoing root canal treatment do not respond to initial therapy due to intraradicular causes i.e. procedural errors that prevent the control and prevention of intracanal endodontic infection. The procedural errors include poor access cavity design, untreated canals (both major and accessory), poor cleaning and obturation, complication of instrumentation (ledges, perforations or separated instruments), overextension of root filling materials and coronal leakage.5 Extraradicular causes of endodontic failures include periapical actinomycosis,
Are you experiencing pain or discomfort due to a dental problem? The team at Jeffrey Busch, DDS can help. We are trained to handle most situations and can help eliminate your oral pain. Whether you are experiencing discomfort due to gum disease, a tooth infection, or something else, we are here for you!
The success of endodontic therapy depends on complete cleaning and shaping of the root canal, disinfection of the canal and obturation of the canal space. However, despite the use of aseptic techniques during these procedures, reinfection may occur. One of the possible explanations may be the use of contaminated gutta-percha.1
Then, the dentist drills a hole in your tooth so the canal can be reached. Once that's done, the dentist uses small files to scrape the pulp tissue from the sides of the canal. The pulp and nerve are pulled out and the canal is rinsed. The dentist may go ahead and seal the canal on the same visit, or a temporary filling might be placed until the tooth is sealed on the next visit. Your dentist may decide to insert medication into the canal to fight any remains of the infection before the tooth is sealed. Once the canal is sealed, restoration work on your tooth can begin. You may need a filling or a crown to cover the cavity that lead to the infection. The root canal procedure only addresses the pulp infection. You'll need a separate treatment to repair the enamel of your
Whether you’ve recently made the decision to have your teeth straightened, or your dentist has recommended braces for your child, it’s helpful to understand, the mechanics of how braces work, as well as the problems they can correct and the variety of orthodontic appliances available today. And, keep in mind, there’s also a lot you can do to assure a successful outcome and beautiful smile.