Single rooted anterior teeth has endodontic treatment is best treated by:
a- Casted post and core. ***
b- Performed post and composite.
c- Performed post and amalgam.
d- Composite post and core.
Endodontics is the part of odontology that deals with the inside of the tooth. It consists in the prevention, diagnosis and treatment of diseases of the dental pulp and periapical infections (in the bone around the roots).
The dentist performs the endodontic treatment of a tooth when it can no longer be kept alive, either because it is already necrotic or because it may become so.
Endodontic treatment consists of:
- remove what remains of infected or potentially infected living tissue inside the tooth (dental pulp).
- Thoroughly clean the inside of this tooth, by mechanical action: Scraping the inner surface of the pulpal channels (using manual or mechanical endodontic files), associated with a chemical action: Irrigation with sodium hypochlorite (bleach diluted 3%), which is the most effective disinfectant.
- Shape the canal lumen to the apical foramen, using manual files or mechanized files so that the irrigation solution penetrates everywhere.
- Dry the canal system.
- achieve canal filling, usually using heated or cold gutta-percha, bonded to the dentinal walls with canal cement (most often a mixture of zinc oxide and idothymol, called Roy's pasta ).
For this the dentist usually performs local anesthesia, so that the gesture is not painful (the tooth, even partially necrotic, remaining generally sensitive). An adequate opening is made at the occlusal surface of the tooth, to access the cameral and root pulp.
Then it will be necessary to reconstitute the tooth, either with a coronal filling if this tooth is not too dilapidated, or by a prosthetic reconstitution (crown) if it is too dilapidated, in order to ensure the sealing of the treatment and to prevent the root is not recolonized by bacteria.
Pulp pathologies:
- reversible pulpitis:
Stimuli such as hot and cold cause vascular changes (hyperemia). Whatever the stimulus, the pulp reacts at the vascular and cellular level. A brief and not too important stimulus causes ephemeral, reversible vascular changes. The degree of pulpal response increases proportionally to the stimulus. Stimuli do not always cause pain; reactions are often asymptomatic.
- Irreversible pulpitis:
A pulp that has undergone alteration beyond its healing potential can no longer heal, even if the stimulus disappears. Moreover, as soon as bacteria reach the pulp tissue, the pathology becomes irreversible. Symptoms: spontaneous pain amplified by lying down, nocturnal pain, pulsatile. The pain can last a very long time and not give in to analgesics or anti-inflammatories.
Endodontics is the part of odontology that deals with the inside of the tooth. It consists in the prevention, diagnosis and treatment of diseases of the dental pulp and periapical infections (in the bone around the roots).
The dentist performs the endodontic treatment of a tooth when it can no longer be kept alive, either because it is already necrotic or because it may become so.
Endodontic treatment consists of:
- remove what remains of infected or potentially infected living tissue inside the tooth (dental pulp).
- Thoroughly clean the inside of this tooth, by mechanical action: Scraping the inner surface of the pulpal channels (using manual or mechanical endodontic files), associated with a chemical action: Irrigation with sodium hypochlorite (bleach diluted 3%), which is the most effective disinfectant.
- Shape the canal lumen to the apical foramen, using manual files or mechanized files so that the irrigation solution penetrates everywhere.
- Dry the canal system.
- achieve canal filling, usually using heated or cold gutta-percha, bonded to the dentinal walls with canal cement (most often a mixture of zinc oxide and idothymol, called Roy's pasta ).
For this the dentist usually performs local anesthesia, so that the gesture is not painful (the tooth, even partially necrotic, remaining generally sensitive). An adequate opening is made at the occlusal surface of the tooth, to access the cameral and root pulp.
Then it will be necessary to reconstitute the tooth, either with a coronal filling if this tooth is not too dilapidated, or by a prosthetic reconstitution (crown) if it is too dilapidated, in order to ensure the sealing of the treatment and to prevent the root is not recolonized by bacteria.
Pulp pathologies:
- reversible pulpitis:
Stimuli such as hot and cold cause vascular changes (hyperemia). Whatever the stimulus, the pulp reacts at the vascular and cellular level. A brief and not too important stimulus causes ephemeral, reversible vascular changes. The degree of pulpal response increases proportionally to the stimulus. Stimuli do not always cause pain; reactions are often asymptomatic.
- Irreversible pulpitis:
A pulp that has undergone alteration beyond its healing potential can no longer heal, even if the stimulus disappears. Moreover, as soon as bacteria reach the pulp tissue, the pathology becomes irreversible. Symptoms: spontaneous pain amplified by lying down, nocturnal pain, pulsatile. The pain can last a very long time and not give in to analgesics or anti-inflammatories.
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Endodontics