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The filling promotes cementum and bone formation, [21] [22] blocks bacteria, and is a barrier for the root canal. Inflammation of the periradicular site due to bacteria could cause recovery to deteriorate and induce periradicular infection. [22] Careful evaluation of root canal filling material is required to optimise healing after the procedure.
Regenerative endodontic procedures suggests that free nerve endings of the root end are guided into the canal by specific chemical signals. Nonetheless, the presence of nerve endings suggests the presence of a vital tissue that is immune-competent due to the intimate association of innervation with blood vessels and the immune system.
Laminectomy is an open or minimally invasive surgical procedure in which a portion of the posterior arch of the vertebrae and/or spinal ligaments is removed from the spine to alleviate the pressure on the spinal canal contents. This procedure is usually performed when decompression of more than one nerve root is needed.
Root canal treatment (also known as endodontic therapy, endodontic treatment, or root canal therapy) is a treatment sequence for the infected pulp of a tooth that is intended to result in the elimination of infection and the protection of the decontaminated tooth from future microbial invasion.
Coronectomy should be considered if there are signs that the patient is at a high risk of nerve damage during extraction: Lower wisdom tooth is shown to be close to the inferior alveolar canal radiographically: [6] Signs of narrowing or diversion of the canal; Roots are darkened/ Canal is interrupted; Interruption of lamina dura
A nerve decompression is a neurosurgical procedure to relieve chronic, direct pressure on a nerve to treat nerve entrapment, a pain syndrome characterized by severe chronic pain and muscle weakness. In this way a nerve decompression targets the underlying pathophysiology of the syndrome and is considered a first-line surgical treatment option ...
Examples of this are undercuts, slots/grooves or root canal posts. In some cases this may necessitate excessive amounts of healthy tooth structure to be removed. Hence, alternative resin-based or glass-ionomer cement-based materials are used instead for smaller restorations including pit and small fissure caries.
When nerve repair cannot be performed without tension, nerve grafting can be used and is considered the most suitable treatment of peripheral nerve injuries, injuries to nerves outside of the brain and spinal cord. Nerve grafts are used to avoid tension at the proximal and distal ends, to reduce the likelihood of postoperative distraction.