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Treatment will depend on whether the tooth has an open or closed apex and how long the tooth has been out of the mouth prior to dental clinic arrival (see Dental Trauma Guide for full treatment details) 4 weeks: splint removal, clinical and radiographic examination 3 months: clinical and radiographic examination
When toothache results from dental trauma (regardless of the exact pulpal or periodontal diagnosis), the treatment and prognosis is dependent on the extent of damage to the tooth, the stage of development of the tooth, the degree of displacement or, when the tooth is avulsed, the time out of the socket and the starting health of the tooth and ...
A comparison of the outcome of periradicular surgery in teeth that had previously undergone surgical treatment versus teeth that were undergoing a surgical procedure for the first time showed that, after 5 years, 86% of surgically treated teeth healed with complete bone filling of the surgical cavity while only 59% of resurgically treated teeth ...
After all, a toothache can be a sign that something more serious is happening with your teeth and gums. "Cavities, gum disease and tooth abscess are the most common causes of pain in the mouth ...
Depending on severity of displacement, tooth may be left to allow for spontaneous eruption. If severe then orthodontic reposition or surgical repositioning is needed. Root canal treatment after 12 weeks: Tooth is extracted if apex of the root is in the developing tooth bud Avulsion: Tooth is completely displaced out of the socket.
Intruded teeth with closed apex will likely become necrotic. Recommended root canal therapy within 2–3 weeks after repositioning. Where surgical or orthodontic reposition required, after repositioning tooth must be stabilize with a flexible splint for 4 weeks.
Bone formation starts after about 10 days from when the tooth was extracted. After 10–12 weeks, the outline of the socket is no longer apparent on an X-ray image. Bone remodeling as the alveolus adapts to the edentulous state occurs in the longer term as the alveolar process slowly resorbs.
In a large-scale study of over 1.6 million patients who had root canal therapy, 97% had retained their teeth 8 years following the procedure, with most untoward events, such as re-treatment, apical surgery or extraction, occurring during the first 3 years after the initial endodontic treatment. [50]