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Infiltration analgesia is deposition of an analgesic (pain-relieving) drug close to the apex of a tooth so that it can diffuse to reach the nerve entering the apical foramina. [1] It is the most routinely used in dental local treatment.
The inferior alveolar nerve block is probably one of the most common methods used by dentist to anaesthetise the mandibular teeth in adults. This technique aims to inject the needle and deposit local anaesthetic close to the nerve before it enters the mandibular foramen, which locates on the medial aspect of the mandibular ramus.
In an immature permanent tooth pulpal necrosis causes the development of the root to stop. This causes the walls of the root to become fragile and thin which can make these teeth more prone to cervical root fracture and ultimately the tooth may be lost. These teeth in the past were treated with the calcium hydroxide apexification technique.
The risk associated with wisdom tooth surgery is commonly accepted to be 2% temporary and 0.2% permanent. [4] Warning patients of nerve injury prior to administration of deep dental injections has a risk of injury in approximately 1:14,000 with 25% of these remaining persistent.
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 ...
The tooth is then washed and dried, and the protective material placed, followed finally by a dental restoration which gives a bacteria-tight seal to prevent infection. [ 4 ] Since pulp capping is not always successful in maintaining the vitality of the pulp, the dentist will usually keep the status of the tooth under review for about a year ...
Atraumatic restorative treatment (ART) [1] is a method for cleaning out tooth decay (dental caries) from teeth using only hand instruments (dental hatchet and spoon-excavator) and placing a filling. It does not use rotary dental instruments ( dental drills ) to prepare the tooth and can be performed in settings with no access to dental equipment.
As the dental pulp is a highly vascularised and innervated region of the tooth, it is the site of origin for most pain-related sensations. [12] The dental pulp nerve is innervated by one of the trigeminal nerves, otherwise known as the fifth cranial nerve. The neurons enter the pulp cavity through the apical foramen and branch off to form the ...
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