Root Canal Treatment

Copy Link

Root Canal Treatment CANADIAN DENTAL ASSOCIATION DENTAL INFORMATION SYSTEM The Dental Information To learn even more about your System (D.I.S.) is a series of dental health, talk to your booklets by the Canadian dentist. To learn more about Dental Association (CDA). the CDA, visit our web site at The CDA is the national www.cda-adc.ca. organization of the dental The CDA would like to thank profession. The CDA’s goal is the following people for their that you have the best dental contribution to this edition of health possible. The D.I.S. Root Canal Treatment: can help you reach this goal. on behalf of the Canadian The booklets in the D.I.S. are: Academy of Endodontics, •Bleaching, Bonding and Veneers Dr. Howard Fogel. •Care After Minor Oral Surgery The CDA would also like •Dental Care for Seniors to thank: •Growing Up...What It Means Dr. Tom Breneman for Your Child’s Dental Health Dr. Chantal Fortier •Gum Disease Dr. Patricia Main •Orthodontics Dr. Elizabeth Van Heyst. •Personal Dental Care The CDA is grateful to •Restoring and Replacing Colgate-Palmolive for its Your Teeth generous support of the •Root Canal Treatment D.I.S. Colgate-Palmolive’s •Taking Care of Cavities sponsorship has made this • The ABCs of Caring for Your program possible. The D.I.S. Child’s Teeth booklets are produced and • The Check-up distributed by Canadian • TMD (Temporomandibular Dental Service Plans Inc. Disorders) •You and Your Dentist — Oral Health Care Partners © 1999 Canadian Dental Association Root Canal Treatment Dentists today believe that This booklet is about root the best teeth are your canal treatment. own, and they try their Here’s what you will best to make sure you do learn about in this not lose any of them. booklet: Successful root canal treat- ▼ What is root ment lets you keep your canal treatment? page 2 tooth. The only other ▼ When root canal option is to have your treatment is tooth removed. needed page 3 Keeping your tooth helps ▼ Dentists and root to prevent your other canal treatment page 4 teeth from drifting out ▼ How it is done page 5 of line and causing jaw ▼ Things to problems or gum disease. consider page 7 Saving a natural tooth ▼ Root canal retreatment avoids having to replace and root canal it with either a bridge or surgery page 9 an implant. What is root canal treatment? Teeth are made up of three nerves and blood vessels that hard layers: help the tooth grow and • enamel develop. Once a tooth is fully • dentin, and grown, it can survive without • cementum a pulp. If the pulp of a There is a space inside the tooth becomes infected, then hard layers of each tooth. It is a root canal (or endodontic called the root canal system treatment) is needed. When and it is filled with soft dental this is done, the pulp is pulp. This pulp is made up of removed. Enamel Dentin Crown Gum Pulp Chamber Root Canal Containing Pulp Tissue Root Supporting Ligament Accessory Canal Root End Opening Bone A healthy tooth 2 When root canal treatment is needed The pulp inside a tooth can be • changes in your gums or damaged by cracks in the tooth, • changes picked up by a deep cavities or accidents. dental x-ray. Germs (or bacteria) can get into Sometimes, if a great deal of the tooth and can lead to infect- dental work is needed, your ed tooth pulp. This may cause dentist can tell from your exam pain and/or swelling. Some- and x-rays that the pulp of a times, a pulp becomes infected tooth is not likely to survive. or dies, but does not cause any In all these cases, root canal pain. Your dentist may notice: treatment can ease or prevent • changes in the colour of symptoms, and save the tooth. the tooth, Decay Damaged Pulp Abscess An abscessed tooth 3.

Recommended publications

Glossary of Dental Terms

1 GLOSSARY OF DENTAL TERMS A PATIENT’S DENTAL PRIMER Amalgam - Silver filling. Bonding - Method of adhering a filling ( amalgam or composite ) to a tooth. Uses a white light to harden the material. Bridge - A cemented structure used to replace missing teeth. Composed of several caps soldered together using a pontic to replace the missing tooth. Calculus -Tartar, a hard substance that forms on the teeth. Once formed, it must be professionally removed. Composite - White filling used in front or back teeth. Crown - 1. Same thing as a cap. Can be all metal ( either gold or a combination of other met- als) or a combination of metal and an esthetic material such as porcelain. 2. The part of the tooth that is visible in the mouth. Denture - A Removable Prosthesis - can be either a full or partial ( replaces a few or several teeth) denture. Sometimes called a ' plate '. Should not be confused with a bridge. Endodontist - A dentist that specializes in performing root canal therapy. Explorer - The pointed instrument used during the examination. Frenum - The little piece of tissue which goes from the inside of your lip to the gum tissue just above your front teeth. There is also a frenum which goes from the under surfac your tongue to the bottom of your mouth. Frenum are not essential structures and very often need to be removed if they are causing physical or esthetic problems. Gingiva - Gum tissue. Inflammation - Red, sore, puffy bleeding gums tissue. Due to the accumulation of bacteria and lack of required home care. Inlay/Onlay - A type of restoration that replaces a part of the tooth.
Teeth What Do I Need to Know?

Teeth What do I Need to Know? Enamel Enamel is a semitranslucent, highly mineralized crystalline solid which covers the crowns of teeth and acts as a barrier to protect the teeth. Dentin Dentin is less mineralized than enamel, but more mineralized than bone; it acts as a cushion for the enamel and a further barrier to the pulp. Pulp Questions? The pulp is the area in the middle of the tooth containing the blood vessels and nerves for that tooth. If you would like more Pulp Horns information or have any The projections of the pulp underneath the taller parts of the tooth, or the “cusps.” specific questions, contact*: These are the areas of the pulp which are closest to the functional (or “occlusal”) part of the tooth which is used to chew food. Leslie Blackburn Cementum XLH [email protected] Protects the dentin and pulp of the roots the and way enamel protects it in the crown. or [email protected] My Teeth XLH Network contact: Raghbir Kaur, DMD; [email protected] Scientific Advisory Board *Please include XLH in the subject line of the email. Challenges Yale-New Haven Pediatric Dental Center 1 Long Wharf Dr, Suite 403, New Haven, CT 06510 Suggestions http://www.ynhh.org/medical-services/dental_pediatric.aspx What is the Most Important Thing to Know? It is not your fault. People with XLH have unique dental challenges. Sometimes even when you are doing everything right you may still have dental problems. While it is important to do everything you can to keep your mouth healthy, it is also important to remember that you some things about your oral health are out of your control.
Pulpotomy Treatment for Primary Teeth

2010 National Primary Oral Health Conference October 24-27 Gaylord Palm, Orlando, Florida Pulpotomy treatment for primary teeth Enrique Bimstein Professor of Pediatric Dentistry University of Florida College of Dentistry. Pulpotomy treatment for primary teeth Goal The participants will become familiar with the basic knowledge and procedures required for the performance of the pulpotomy treatment in primary teeth. Pulpotomy treatment for primary teeth Topics Introduction Definition and rationale. Indications and contraindications. Materials and techniques. Pulpotomy technique (clinical procedures). Pulpotomy follow up. Summary and conclusions. Pulpotomy treatment for primary teeth Topics Introduction Definition and rationale. Indications and contraindications. Materials and techniques. Pulpotomy technique (clinical procedures). Pulpotomy follow up. Summary and conclusions. Preservation of the primary teeth until their time of exfoliation is required to: a. Maintain arch length, masticatory function and esthetics. Preservation of the primary teeth until their time of exfoliation is required to: a. Maintain arch length, masticatory function and esthetics. Preservation of the primary teeth until their time of exfoliation is required to: a. Maintain arch length, masticatory function and esthetics. b. Eliminate pain, inflammation and infection. Preservation of the primary teeth until their time of exfoliation is required to: a. Maintain arch length, masticatory function and esthetics. b. Eliminate pain, inflammation and infection. c. Prevent any additional pain or damage to the oral tissues. Despite all the prevention strategies, childhood caries is still a fact that we confront every day in the clinic. The retention of pulpally involved primary teeth until the time of normal exfoliation remains to be a challenge. Primary teeth with cariously exposed vital pulps should be treated with pulp therapies that allow for the normal exfoliation process.
Endodontic Retreatment V/S Implant

Journal of Dental Health Oral Disorders & Therapy Review Article Open Access Endodontic retreatment v/s implant Abstract Volume 9 Issue 3 - 2018 One of the most popular current debates covered by dental associations is the Sarah Salloum,1 Hasan Al Houseini,1,2 Sanaa comparison of the endodontics retreatment’s outcome with that of the implant 1 1 treatment’s, taking into account the patient’s best interest. With the advent of new Bassam, Valérie Batrouni 1Department of Endodontics, Lebanese University School of endodontics’ technologies and the struggling of implant innovations to achieve and Dentistry, Lebanon maintain high search results rankings, Data analysts are facing more difficulties when 2Department of Forensic Dentistry, Lebanese University School performing meaningful cross-study comparison. Accordingly, this literature review of Dentistry, Lebanon aims to answer one of the principal questions addressed by risk-benefit analysis of two long term treatments, that is “How safe, is safe enough?” Correspondence: Sarah Salloum, Department of Endodontics, Lebanese University, Lebanon, Tel 0096170600753, Email sas. Keywords: implant, root canal, retreatment, success rate, NiTi, study, evolution [email protected] Received: May 24, 2018 | Published: June 25, 2018 Introduction the reason for failure, the integrity of the tooth and its roots, and the patient’s overall health, both oral and general—and, importantly, “There are living systems; there is no living matter”, Jacques what may be involved in a root canal re-treatment. Saving a
Full-Jaw Dental Implant Solutions

A Consumer’s Guide To FULL-JAW DENTAL IMPLANT SOLUTIONS Ira Goldberg, DDS, FAGD, DICOI 15 Commerce Blvd, Suite 201 Succasunna, NJ 07876 (973) 328-1225 www.MorrisCountyDentist.com TABLE OF CONTENTS Introduction & Definition Intended Audience The Internet What Qualifies Dr. Goldberg To Write This e-Book The American Board of Oral Implantology / Implant Dentistry Testimonials Dental Implants Are Not A Specialty NJ State Board of Dentistry Advertising Regulations Full Jaw Dental Implant Solutions (FJDIS): What On Earth Are You Talking About? The Process Explained Is There Pain? Mary’s Story Bone Grafting Material Options Advantages, Disadvantages, & Alternatives Maintenance & Homecare: “Now That I Have Implants, I Don’t Have To Go To The Dentist Anymore” Price Shopping & Dental Tourism: The Good, The Bad, & The Ugly. How To Choose A Doctor / Office How Much Does This Cost, & Can I Finance It? One-Stop Shopping: No Referrals Needed. Appendix A: Testimonial Appendix B: Parts & Pieces Appendix C: Alternatives: Dentures & Other Implant Options INTRODUCTION & DEFINITION One of the most amazing developments in modern dentistry are dental implants. They have given people new leases on life by eliminating pain, embarrassment, endless cycles of repairs to natural teeth, and the like. Dental implant solutions now exist where advanced problems can be reversed in just one appointment. These solutions are known as “Full Jaw Dental Implants (FJDI).” In a nutshell, 4 to 6 implants are placed and a brand new set of teeth are attached to the implants. People can walk out the door and immediately enjoy the benefits of solid, non-removable teeth! They can smile, chew, speak, and enjoy life instantaneously.
Study of Root Canal Anatomy in Human Permanent Teeth

Brazilian Dental Journal (2015) 26(5): 530-536 ISSN 0103-6440 http://dx.doi.org/10.1590/0103-6440201302448 1Department of Stomatologic Study of Root Canal Anatomy in Human Sciences, UFG - Federal University of Goiás, Goiânia, GO, Brazil Permanent Teeth in A Subpopulation 2Department of Radiology, School of Dentistry, UNIC - University of Brazil’s Center Region Using Cone- of Cuiabá, Cuiabá, MT, Brazil 3Department of Restorative Dentistry, School of Dentistry of Ribeirão Beam Computed Tomography - Part 1 Preto, USP - University of São Paulo, Ribeirão Preto, SP, Brazil Carlos Estrela1, Mike R. Bueno2, Gabriela S. Couto1, Luiz Eduardo G Rabelo1, Correspondence: Prof. Dr. Carlos 1 3 3 Estrela, Praça Universitária s/n, Setor Ana Helena G. Alencar , Ricardo Gariba Silva ,Jesus Djalma Pécora ,Manoel Universitário, 74605-220 Goiânia, 3 Damião Sousa-Neto GO, Brasil. Tel.: +55-62-3209-6254. e-mail: [email protected] The aim of this study was to evaluate the frequency of roots, root canals and apical foramina in human permanent teeth using cone beam computed tomography (CBCT). CBCT images of 1,400 teeth from database previously evaluated were used to determine the frequency of number of roots, root canals and apical foramina. All teeth were evaluated by preview of the planes sagittal, axial, and coronal. Navigation in axial slices of 0.1 mm/0.1 mm followed the coronal to apical direction, as well as the apical to coronal direction. Two examiners assessed all CBCT images. Statistical data were analyzed including frequency distribution and cross-tabulation. The highest frequency of four root canals and four apical foramina was found in maxillary first molars (76%, 33%, respectively), followed by maxillary second molars (41%, 25%, respectively).
All-On-4 Is a Non-Removable Dental Implant Option Designed to Maximize the Use of Available Bone in Just 4 Implants

All-On-4 is a non-removable dental implant option designed to maximize the use of available bone in just 4 implants. Creates a whole new smile in just one day. Insertion of implants All-On-4 Securing of multi-unit abutments Advanced Dental Care of Norton 100 West Main St Norton Ma 02766 Securing of provisional prosthesis with prosthetic screws 508-285-8301 Advantages www.adcofnorton.com • Your new replacement teeth • Requires minimal recovery time. require only four implants for • Eliminates the need for bone each jaw. With fewer implants grafting, in most cases. Replace missing teeth required, the cost is lowered. • Allows for easy maintenance • Your replacement arch can through proper oral hygiene. with modern dental be attached to your implants • Relieves the many frustrations of immediately after insertion. removable appliances. technology There is no need to wait for • Ensures long-term results with healing time between surgery the potential to last a lifetime. and tooth replacement. ADC Services Dr. Alvaro Gracia Dr. Gracia graduated from Boston University’s School of Dentistry in 1994. Since joining Advanced Dental Care of Norton, Dr. Gracia completed advanced graduate studies in General Dentistry, Prosthodontics, Implant Dentistry, Laser Dentistry and IV and Oral Conscious Sedation. He also averages approximately 250 annual credits in continuing education. Working side by side, our entire staff of dentists, specialists, dental assistants and hygienists evaluates patients’ teeth and gums to ensure that each person Cosmetic Dentistry receives a treatment plan to meet his or her needs. Children’s Dentistry Dental Implants Prosthodontics You can choose a final prosthetic Oral Surgery Treatment planning solution that is best for you, Sedation Dentistry Based on 3D CT diagnostic imaging of patient and radiographic guide, such as a fixed option (one Nitrous Oxide (laughing gas) the four implants are placed virtually in the NobelClinician Software, with highest durability and Gum Care optimizing position, angulation and distribution.
Root Canal Safety AAE Fact Sheet About This Document the Relationship of Our Teeth and Mouth to Overall Good Health Is Indisputable

Distribution Information AAE members may reprint this position statement for distribution to patients or referring dentists. Root Canal Safety AAE Fact Sheet About This Document The relationship of our teeth and mouth to overall good health is indisputable. Endodontics plays a critical role in maintaining good oral health ©2014 by eliminating infection and pain, and preserving our natural dentition. A key responsibility of any dentist is to reassure patients who are concerned about the safety of endodontic treatment that their overall well-being is a top priority. The American Association of Endodontists website (www.aae.org) is the best place for anxious patients to obtain comprehensive information on the safety and efficacy of endodontics and root canal treatment. While plenty of good information is available online from the AAE and other reliable resources, patients sometimes arrive in the dental office with misinformation. This has occurred with the long-dispelled “focal infection theory” in endodontics, introduced in the early 1900s. In the 1920s, Dr. Weston A. Price presented research suggesting that bacteria trapped in dentinal tubules during root canal treatment could “leak” and cause almost any type of degenerative systemic disease (e.g., arthritis; diseases of the kidney, heart, nervous, gastrointestinal, endocrine and other systems). This was before medicine understood the causes of such disease. Dr. Price advocated tooth extraction—the most traumatic dental procedure— over endodontic treatment. This theory resulted in a frightening era of tooth extraction both for treatment of systemic disease and as a prophylactic measure against future illness. Dr. Price’s research techniques were criticized at the time they were published, and by the early 1930s, a number of well-designed studies using more modern research techniques discredited his findings.
1 – Pathogenesis of Pulp and Periapical Diseases

1 Pathogenesis of Pulp and Periapical Diseases CHRISTINE SEDGLEY, RENATO SILVA, AND ASHRAF F. FOUAD CHAPTER OUTLINE Histology and Physiology of Normal Dental Pulp, 1 Normal Pulp, 11 Etiology of Pulpal and Periapical Diseases, 2 Reversible Pulpitis, 11 Microbiology of Root Canal Infections, 5 Irreversible Pulpitis, 11 Endodontic Infections Are Biofilm Infections, 5 Pulp Necrosis, 12 The Microbiome of Endodontic Infections, 6 Clinical Classification of Periapical (Apical) Conditions, 13 Pulpal Diseases, 8 Nonendodontic Pathosis, 15 LEARNING OBJECTIVES After reading this chapter, the student should be able to: 6. Describe the histopathological diagnoses of periapical lesions of 1. Describe the histology and physiology of the normal dental pulpal origin. pulp. 7. Identify clinical signs and symptoms of acute apical periodon- 2. Identify etiologic factors causing pulp inflammation. titis, chronic apical periodontitis, acute and chronic apical 3. Describe the routes of entry of microorganisms to the pulp and abscesses, and condensing osteitis. periapical tissues. 8. Discuss the role of residual microorganisms and host response 4. Classify pulpal diseases and their clinical features. in the outcome of endodontic treatment. 5. Describe the clinical consequences of the spread of pulpal 9. Describe the steps involved in repair of periapical pathosis after inflammation into periapical tissues. successful root canal treatment. palisading layer that lines the walls of the pulp space, and their Histology and Physiology of Normal Dental tubules extend about two thirds of the length of the dentinal Pulp tubules. The tubules are larger at a young age and eventually become more sclerotic as the peritubular dentin becomes thicker. The dental pulp is a unique connective tissue with vascular, lym- The odontoblasts are primarily involved in production of mineral- phatic, and nervous elements that originates from neural crest ized dentin.
Root Canal Treatment a Root Canal Is a Dental Treatment to Treat Infection in the Centre of a Tooth Before It Spreads and Causes an Abscess

Root Canal Treatment A root canal is a dental treatment to treat infection in the centre of a tooth before it spreads and causes an abscess. The tooth’s nerve and pulp are removed and the inside of the tooth is cleaned and sealed. The tooth doesn’t need the nerve to stay healthy. The only difference is that tooth won’t feel hot or cold food or drink. Why does the pulp need to be removed? When nerve tissue or pulp is damaged, it breaks down and bacteria begin to multiply within the pulp chamber. The bacteria and other decayed debris can cause an infection or abscessed tooth. An abscess is a pus-filled pocket that forms at the end of the roots of the tooth. An abscess occurs when the infection spreads all the way past the ends of the roots of the tooth. In addition to an abscess, an infection in the root canal of a tooth can cause: • Swelling that may spread to other areas of the face, neck, or head • Bone loss around the tip of the root • Drainage problems extending outward from the root. A hole can occur through the side of the tooth with drainage into the gums or through the cheek with drainage into the skin. What damages a tooth’s nerve and pulp in the first place? Nerve and pulp can become irritated, inflamed and infected due to deep decay, repeated dental procedures on a tooth and/or large fillings, a crack or chip in the tooth, or trauma to the face.
Pulp Therapy for Primary and Young Permanent Teeth: Foundational Articles and Consensus Recommendations, 2021

Pulp Therapy for Primary and Young Permanent Teeth: Foundational Articles and Consensus Recommendations, 2021 Alqaderi H, Lee CT, Borzangy S, Pagonis TC. Coronal pulpotomy for cariously exposed permanent posterior teeth with closed apices: A systematic review and meta-analysis. J Dent. 2016;44:1-7. American Academy of Pediatric Dentistry. Pulp therapy for primary and immature permanent teeth. Reference Manual, 2014. Available at: https://www.aapd.org/globalassets/media/policies_guidelines/bp_pulptherapy. pdf. Accessed, March 1, 2020. Barros MMAF, De Queiroz Rodrigues M, Muniz FWMG, Rodrigues LKA. Selective, stepwise, or nonselective removal of carious tissue: which technique offers lower risk for the treatment of dental caries in permanent teeth? A systematic review and meta-analysis. Clin Oral Investig. 2020;24:521-32. Coll JA, Seale NS, Vargas K, Marghalani AA, Al Shamali S, Graham L. Primary Tooth Vital Pulp Therapy: A Systematic Review and Meta-analysis. Pediatr Dent. 2017;39:16-123. Coll JA, Vargas K, Marghalani AA, Chen CY, Alshamali S, Dhar V, Crystal Y. A Systematic Review and Meta-Analysis of Non-vital Pulp Therapy for Primary Teeth. Pediatr Dent 2020;42(4):256-272. Cushley S, Duncan HF, Lappin MJ, Tomson PL, Lundy FT, Cooper P, Clarke M, El Karim IA. Pulpotomy for mature carious teeth with symptoms of irreversible pulpitis: A systematic review. J Dent. 2019;88:103158. El Meligy OA, Allazzam S, Alamoudi NM. Comparison between biodentine and formocresol for pulpotomy of primary teeth: a randomized clinical trial. Quintessence Int. 2016;47:571‐80. Farsi DJ, El-Khodary HM, Farsi NM, El Ashiry EA, et al.
Insight Into the Role of Dental Pulp Stem Cells in Regenerative Therapy

biology Review Insight into the Role of Dental Pulp Stem Cells in Regenerative Therapy Shinichiro Yoshida 1,* , Atsushi Tomokiyo 1 , Daigaku Hasegawa 1, Sayuri Hamano 2,3, Hideki Sugii 1 and Hidefumi Maeda 1,3 1 Department of Endodontology, Kyushu University Hospital, 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, Japan; [email protected] (A.T.); [email protected] (D.H.); [email protected] (H.S.); [email protected] (H.M.) 2 OBT Research Center, Faculty of Dental Science, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, Japan; [email protected] 3 Department of Endodontology and Operative Dentistry, Faculty of Dental Science, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, Japan * Correspondence: [email protected]; Tel.: +81-92-642-6432 Received: 20 May 2020; Accepted: 5 July 2020; Published: 9 July 2020 Abstract: Mesenchymal stem cells (MSCs) have the capacity for self-renewal and multilineage diﬀerentiation potential, and are considered a promising cell population for cell-based therapy and tissue regeneration. MSCs are isolated from various organs including dental pulp, which originates from cranial neural crest-derived ectomesenchyme. Recently, dental pulp stem cells (DPSCs) and stem cells from human exfoliated deciduous teeth (SHEDs) have been isolated from dental pulp tissue of adult permanent teeth and deciduous teeth, respectively. Because of their MSC-like characteristics such as high growth capacity, multipotency, expression of MSC-related markers, and immunomodulatory eﬀects, they are suggested to be an important cell source for tissue regeneration.