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An x-ray of a root canal operation. Before endodontic therapy is carried out, a correct diagnosis of the dental pulp and the surrounding periapical tissues is required. This allows the endodontist to choose the most appropriate treatment option, allowing preservation and longevity of the tooth and surrounding tissues.
After endodontic therapy has been executed, or re-executed, successfully, and the canals can no longer provide a nutrient-rich habitat for microbes, [31] the issue of bone healing comes into focus. Ostensibly, then, for regeneration to occur, the root canal system must have been decontaminated and further access to microbial invasion must be ...
Symptoms may be due to infection in the periradicular tissue around a root-treated tooth, which can impede healing of the tooth after conventional root canal treatment. [2] After removing the pulp, the aim of endodontic treatment is to seal the pulpal space to prevent further bacterial contamination and allow healing of the periradicular tissue ...
A phoenix abscess is an acute exacerbation of a chronic periapical lesion. It is a dental abscess that can occur immediately following root canal treatment.Another cause is due to untreated necrotic pulp (chronic apical periodontitis). [1]
Endodontic files and reamers are surgical instruments used by dentists when performing root canal treatment. These tools are used to clean and shape the root canal, with the concept being to perform complete chemomechanical debridement of the root canal to the length of the apical foramen. Preparing the canal in this way facilitates the ...
Root canal treatment should be performed on the tooth if it is determined that previous therapy was unsuccessful. Removal of the necrotic pulp and the inflamed tissue as well as proper sealing of the canals and an appropriately fitting crown will allow the tooth to heal under uninfected conditions.
If the tooth can be restored, root canal therapy can be performed. Non-restorable teeth must be extracted , followed by curettage of all apical soft tissue. Unless they are symptomatic, teeth treated with root canal therapy should be evaluated at 1- and 2-year intervals after the root canal therapy to rule out possible lesional enlargement and ...
The proximity of the root to the canal can be assessed radiographically and there are several factors which can indicate high risk of nerve damage: [21] Darkening of the tooth root where it crosses the canal [21] Deviation of the canal [21] Narrowing of the roots [21] Loss of the lamina dura of the canal [21]
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