Whether you have an impacted tooth, a decayed tooth, or even a refractory endodontic disease, there are several ways that you can treat the problem. Some of the ways that you can treat these issues include using a dentist, taking care of your teeth, and even using a home remedy.
Radicular dentine
Surgical intervention in the treatment of the endodontic disease depends on the type and severity of the disease. This includes root canal treatment, overdentures, and dental implants.
Several inherited dentine disorders are characterized by an abnormal dentine structure. This can lead to amber discoloration of the teeth, narrow roots, and small root canals. Some of the diseases include amelogenesis imperfecta, dentin dysplasia type I (DD-I), dentin dysplasia type II (DD-II), and Koch’s disease.
Inflammatory resorption (IRR) is a condition where the dentin of the root canal is eroded by clastic cells. It is caused by inflammatory reactions between the periapical and pulpal tissues. In addition to the clastic cells, there may be granulation tissue in the resorbed area. The granulation tissue is composed of collagen-type I fibrils oriented parallel to the dentine-enamel junction. The collagen type I fibrils are formed in the odontoblasts at the bell stage of tooth development.
The inflammatory resorption process may result from mild or pathologic stimuli. In the former case, the pulpal inflammation and granulation tissue are triggered by bacterial products that have been applied to the exposed dentin. In the latter case, the inflammatory reaction is triggered by orthodontic procedures.
Dentine dysplasia type I, also known as radicular dentine dysplasia (RDD), is a hereditary disorder that affects the formation of dentine in the root canals of the teeth. It is characterized by abnormal pulp chambers, short root lengths, and periapical pathosis.
Pulpitis
Symptoms of pulpitis can include tooth pain, swelling, and infection. If left untreated, pulpitis can result in irreversible damage to the tooth. Therefore, it’s important to seek help from a dentist.
In the early stages, pulpitis may be reversible. Treatment may involve removing the affected pulp and repairing the tooth’s structure. In more severe cases, tooth extraction may be necessary.
The pulpal tissue in a tooth contains a network of sensory nerves that transmit signals from the tooth to the brain. When the nerves are damaged, the tooth becomes more sensitive. The tooth may also be more susceptible to decay.
In severe cases, the tooth may become very sensitive to cold or warmth. The tooth may even ache when the dentist taps on it. A cold test is one way to diagnose pulpitis.
X-rays and digital imaging can also be used to diagnose pulpitis. A dental x-ray will help your dentist see the area that’s infected. Digital imaging can also show you whether or not the infection has spread.
The pulpal tissue in teeth is more resilient to microbial attacks than other parts of the tooth. During the healing process, the body’s immune system breaks down dead tissue. This process can improve treatment outcomes.
Pulpitis is caused by inflammation of the pulpal tissues. If you have pulpitis, your dentist may recommend a root canal or a simple filling.
Refractory endodontic disease
Despite routine treatment, persistent periapical periodontitis remains a challenging problem to treat. The success of treatment depends on the ability to remove the biofilm. In addition, the use of MTA (metal trioxide acetate) may be of benefit in cases where obturation using conventional materials such as cement and plastics is difficult.
The study population consisted of 27 patients with refractory periapical periodontitis. The periapical lesions were classified into granulomas, cysts, and abscesses based on their histological characteristics. The presence of secondary infection was observed in more than 25% of histologically analyzed cases. Metalloproteinases 2 and 9 were found to be immunopositive in periapical lesions from primary endodontic infection. These factors may be associated with the presence of pain and inflammation.
Materials used to obturate the root canal spaces include plastics, cement, and solids. The most common technical error was underfilling. This is due to the fact that root canal spaces contain voids that allow microorganisms to enter the periapical tissue.
The use of MTA has been found to be effective in promoting root formation and cementogenesis. It is believed that MTA stimulates odontoblasts and cementoblasts, allowing cells of the apical papilla to complete the apical closure.
Several studies have investigated the presence of apical periodontitis bacteria (APC) in accessory canals of teeth. The presence of cementum in these canals has been demonstrated in research conducted in dog models.
The presence of inter-radicular biofilms was also found in large periapical lesions. These biofilms are commonly found in refractory cases. It has not been determined whether or not APC favors bone regeneration.
Occlusal problems
Several diseases have a negative impact on the teeth. They include malocclusion, periodontal disease, and occlusal problems. They cause structural damage to the jaw joint, which leads to headaches, sore muscles, and pain.
The first step in determining if you have occlusal problems is a comprehensive dental examination. The dentist will assess your teeth, jaw, and neck muscles to determine if your bite is causing problems.
The dentist will also determine whether your bite is properly aligned, which will help prevent future damage. The dentist will also look for any signs of damage, including worn, chipped, or cracked teeth.
Several diseases affect the teeth, including malocclusion, periodontal disease, occlusal problems, and bruxism. Teeth that have been worn down, cracked, or chipped will need restorations. They will also need to be reshaped.
Teeth that are shortened or out of alignment can indicate occlusal problems. They can also be difficult to open your mouth, and they may feel tender. Several other symptoms can indicate occlusal problems, including frequent headaches, jaw and neck pain, and sensitivity to temperature.
Having an occlusal problem can lead to dental problems, including jaw joint pain, sore muscles, headaches, and premature tooth wear. It can also affect your breathing, and cause chronic jaw joint pain. The earlier you are treated, the better.
Occlusal problems can also lead to malocclusion, which can require restorations to fix the teeth’s alignment. The dentist may also use orthodontics as part of the treatment process.
Dental radiographs
During an endodontic procedure, radiographs are vital to assess the condition of the root canal system and to evaluate healing. During a treatment, radiographs can be taken several times to determine the condition of the tooth and the surrounding structures. In addition, they can be used to identify structures that are containing or harboring disease.
For the purposes of this study, periapical radiographs were used to assess the teeth of patients who were suspected of having root-filled teeth. For each tooth, an intraoral periapical radiograph was taken. In addition, the lateral oblique view was used to assess the clinical area of interest.
General dental practitioners are better equipped to detect moderate to extensive periapical changes. However, they miss the presence of PDL width changes and lamina dura changes. In addition, they may miss the presence of canal calcification changes.
Periapical radiographs should be taken with a paralleling technique. This technique ensures high quality without shortening the image. The practitioner must also make sure that there is sufficient periapical bone present. Periapical radiographs should include at least 3 mm of periapical bone. Depending on the location of the tooth, a different amount of periapical bone may be required.
A special sensor holder is used to position the x-ray beam parallel to the tooth. The sensor is held in place by a rubber dam. A lead apron and collar are also used to protect the patient from exposure to radiopaque shadows.
Treatment
Surgical and nonsurgical treatment of endodontic disease is an important method to combat the damage caused by infection. Performing root canal treatment to save a tooth from pulp damage is a good first step. Surgical treatments like apicoectomy can be used to expose the infected area.
A percussion test is another procedure that can be performed on a tooth that is bothering a patient. The test entails tapping the tooth with a finger or the handle end of a mouth mirror. The results are important in determining the periapical status and attachment apparatus inflammation.
In general, the best method to save a tooth involves preserving its surrounding bone. If the tooth is severely compromised, extraction is a viable option. The traditional prosthesis may be used in conjunction with extraction.
A systematic review was conducted to evaluate the pros and cons of various treatment options. The aim was to identify important factors in the treatment planning process. Several databases were consulted, including EMBASE, MEDLINE, and the Cochrane Library.
The results indicate that microsurgical endodontic treatment is superior to conventional endodontic treatment. This type of treatment offers high success rates.
Endodontic treatment is also associated with favorable long-term survival rates. However, the endodontic community needs to determine which measures are effective in combating endodontic disease.
Several studies have indicated that a compromised tooth can outlive a standard implant. This is the most important of all the signs and symptoms associated with the endodontic disease.
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U.S. National Library of Medicine. (n.d.). https://www.ncbi.nlm.nih.gov/
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