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It must have enough structure to support restoration. Filling the root canals of the tooth from the crown (orthograde root canal therapy) should be the first treatment option to resolve inflammation caused by the tooth. Periradicular surgery is only considered if the inflammation persists after conventional root canal treatment.
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.
Root canal procedure: unhealthy or injured tooth, subsequent creation of an access cavity with a dental handpiece, cleaning and shaping the root canals with an endodontic file, and restoration with gutta-percha filling and a crown Removing infected pulp during a root canal procedure. Root canal treatment (also known as endodontic therapy ...
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]
When extracting lower wisdom teeth, coronectomy is a treatment option involving removing the crown of the lower wisdom tooth, whilst keeping the roots in place in healthy patients. This option is given to patients as an alternative to extraction when the wisdom teeth are in close association with the inferior alveolar nerve , and so used to ...
It is a likely outcome of untreated dental caries (tooth decay), and in such cases it can be considered a sequela in the natural history of tooth decay, irreversible pulpitis and pulpal necrosis. Other causes can include occlusal trauma due to 'high spots' after restoration work, extrusion from the tooth of root filling material, or bacterial ...
Root resection or root amputation is a type of periradicular surgery in which an entire root of a multiroot tooth is removed. It contrasts with an apicoectomy, where only the tip of the root is removed, and hemisection, where a root and its overlying portion of the crown are separated from the rest of the tooth, and optionally removed. [1]
These teeth often have thin root canal walls which are susceptible to fracture after treatment. Therefore, complete cleaning and shaping as well as obturation of these teeth are difficult or sometimes impossible, due to high risk of fracture during the procedure [ 48 ] Clinical outcome of regenerative endodontics can be observed within 6 months ...
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