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A specialist can often re-treat failing root canals, and these teeth will then heal, often years after the initial root canal procedure. [citation needed] The survival or functionality of the endodontically treated tooth is often the most important aspect of the endodontic treatment outcomes, rather than its apical healing alone. [48]
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.
The cost of the restoration is typically cheaper than composite restorations. Disadvantages of amalgam include poor aesthetic qualities due to its colour. Amalgam does not bond to tooth easily, hence it relies on mechanical forms of retention. Examples of this are undercuts, slots/grooves or root canal posts.
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 ...
Regenerative endodontic procedures [1] is defined as biologically based procedures designed to replace damaged structures such as dentin, root structures, and cells of the pulp-dentin complex. [2] This new treatment modality aims to promote normal function of the pulp. It has become an alternative to heal apical periodontitis.
A root end surgery, also known as apicoectomy (apico-+ -ectomy), apicectomy (apic-+ -ectomy), retrograde root canal treatment (c.f. orthograde root canal treatment) or root-end filling, is an endodontic surgical procedure whereby a tooth's root tip is removed and a root end cavity is prepared and filled with a biocompatible material.
The root canal treatment procedure is often carried out over single [4] or multiple appointments. [5] Root canal treatment involves: [9] Removing the damaged and infected pulp; Shaping the entire root canal system; Cleaning and disinfecting the entire root canal system; Filling and sealing the root canal system
The pain is localized to the socket, and may radiate. It normally starts two to four days after the extraction, and may last 10–40 days. [14] [26]: 122 [27]: 216–217 [29] Healing is delayed, and it is treated with local anesthetic dressings, which are typically required for five to seven days.
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