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Root canal treatment
Tooth #13, the upper left second premolar, after excavation of DO decay. There was a carious exposure into the pulp chamber (red oval), and the photo was taken after endodontic access was initiated and the roof of the chamber was removed.
Specialty
endodontics
[edit on Wikidata]
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 crownRemoving infected pulp during a root canal procedure
Root canal treatment (also known as endodontic therapy, endodontic treatment, or root canal therapy) is a treatment sequence for the infected pulp of a tooth which is intended to result in the elimination of infection and the protection of the decontaminated tooth from future microbial invasion.[1] Root canals, and their associated pulp chamber, are the physical hollows within a tooth that are naturally inhabited by nerve tissue, blood vessels and other cellular entities. Together, these items constitute the dental pulp.[2]
Endodontic therapy involves the removal of these structures, disinfection and the subsequent shaping, cleaning, and decontamination of the hollows with small files and irrigating solutions, and the obturation (filling) of the decontaminated canals. Filling of the cleaned and decontaminated canals is done with an inert filling such as gutta-percha and typically a zinc oxide eugenol-based cement.[3] Epoxy resin is employed to bind gutta-percha in some root canal procedures.[4] Another option is to use an antiseptic filling material containing paraformaldehyde like N2.[5] Endodontics includes both primary and secondary endodontic treatments as well as periradicular surgery which is generally used for teeth that still have potential for salvage.[6][7]
^Cohen S (2006). Pathways of the Pulp. Mosby. ISBN 978-0-323-03067-0.
^Nanci A (2012). Ten Cate's Oral Histology: Development, Structure, and Function. Mosby. ISBN 978-0-323-07846-7.
^Patel S (2013). The Principles of Endodontics. OUP Oxford. ISBN 978-0-19-965751-3.
^Marciano MA, Ordinola-Zapata R, Cunha TV, Duarte MA, Cavenago BC, Garcia RB, Bramante CM, Bernardineli N, Moraes IG (April 2011). "Analysis of four gutta-percha techniques used to fill mesial root canals of mandibular molars". International Endodontic Journal. 44 (4): 321–9. doi:10.1111/j.1365-2591.2010.01832.x. PMID 21219361.
^(Venuti P. 2014) A dynamic prospective cohort study of initial endodontic treatments of 627 teeth: Long term results. International Journal of Dental and Health Sciences Volume 01, Issue 03.
^Setzer FC, Kim S (January 2014). "Comparison of long-term survival of implants and endodontically treated teeth". Journal of Dental Research. 93 (1): 19–26. doi:10.1177/0022034513504782. PMC 3872851. PMID 24065635.
^Kishen A, Peters OA, Zehnder M, Diogenes AR, Nair MK (May 1, 2016). "Advances in endodontics: Potential applications in clinical practice". Journal of Conservative Dentistry. 19 (3): 199–206. doi:10.4103/0972-0707.181925. PMC 4872571. PMID 27217630.
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irreversible damage to the pulp, via rootcanaltreatment. Rootcanal anatomy consists of the pulp chamber and rootcanals. Both contain the dental pulp. The...
developed new lesions, e.g., when rootcanal re-treatment is required, or periradicular surgery. Endodontic treatment is one of the most common procedures...
periodontal disease (or combinations of these factors). A failed rootcanaltreatment may also create a similar abscess. A dental abscess is a type of...
root end surgery, also known as apicoectomy (apico- + -ectomy), apicectomy (apic- + -ectomy), retrograde rootcanaltreatment (c.f. orthograde root canal...
instruments used by dentists when performing rootcanaltreatment. These tools are used to clean and shape the rootcanal, with the concept being to perform complete...
termed "pink tooth of Mummery". Internal staining is common following rootcanaltreatment, however the exact causes for this are not completely understood...
Success rates for root-canaltreatment range from 47 to 97 percent; failures may be due to spaces in the root-canal filling, a root filling which is too...
dentistry when accurate information regarding rootcanal anatomy is required when rootcanaltreatment is required. Olga A.C.Ibsen, Joan Andersen Phelan...
resulting treatment prioritises the safety of the adult tooth, and should avoid any risk of damaging the permanent successors. This is because the root apex...
remaining to retain a conventional crown. A post is cemented into a prepared rootcanal, which retains a core restoration, which retains the final crown. The...
apexification, repairing root perforations during rootcanal therapy, and treating internal root resorption. It can be used for root-end filling material...
to rootcanal therapy (RCT). There is another term, which is also related to vital pulp therapy, which is apexogenesis. Apexogenesis is a treatment in...
small risk of pulp necrosis. If rootcanaltreatment is attempted it can be difficult or impossible on a tooth with pulp canal obliteration. Internal resorption...
irreversible, leading to pain and pulp necrosis, and necessitating either rootcanaltreatment or extraction). The ultimate goal of pulp capping or stepwise caries...
rootcanaltreatment in such cases to prevent nerve injury or extrusion of rootcanal filling materials. Several variations of the mandibular canal exist...
preventing dental disease. The treatment of a toothache depends upon the exact cause, and may involve a filling, rootcanaltreatment, extraction, drainage of...
lesion. It is a dental abscess that can occur immediately following rootcanaltreatment. Another cause is due to untreated necrotic pulp (chronic apical...
not E. faecalis. In root-canaltreatments, NaOCl and chlorhexidine (CHX) are used to fight E. faecalis before isolating the canal. However, recent studies...
with crown. Rootcanaltreatment then surgically divide the tooth into two teeth. If the tooth is not suitable for rootcanaltreatment, then extraction...
Delrin). It was used in the past in the discredited Sargenti method of rootcanaltreatment. Paraformaldehyde is not a fixative; it must be depolymerized to...
asymptomatic and benign, in most cases the tooth will require rootcanaltreatment. endodontic treatment. The offending tooth should be tested for vitality of...
then this issue needs to be addressed. The treatment plan may vary with the addition of a rootcanaltreatment or a temporary crown for the reconstruction...
undergone extensive prior treatment. It is thought that excessive removal of dentine during procedures such as rootcanaltreatment weakens the tooth. For...
dental procedures such as tooth extractions, implant placement, or rootcanaltreatments, particularly if they involve the posterior maxillary teeth, can...
is widely accepted.) Treatment options may include antibiotic therapy (in the short term, augmented by chewing gum), rootcanal therapy, or extraction...
occurs in 20-44% of root fracture cases, this can be treated through rootcanaltreatment or endodontic surgery. When the coronal fragment of the tooth is...
whitening, orthodontic movement, periodontal treatment) in the rootcanal/s or beside the external surface of the root, cytokines are produced, the RANKL system...
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