Caries cannot be treated “after the sleeves”. This is a fairly serious disease, the consequences of which can be unpredictable. First of all, they can touch the tooth root, i.e. that part of the tooth where the nerves are located, and cause pulpitis. Pulpitis is easy to recognize, as the tooth begins to whine first, then hurt. Subsequently, the pain can be simply unbearable. If you turn to the dentist for help in a timely manner, you can still save the tooth and nerve. Although, if there is already a severe pain in the tooth, then there is no doubt that the nerve will have to be removed.
If caries is in its infancy, then treatment is usually done with a medication. In addition, in some cases, a damaged carious tooth cavity is removed. This is done in order to keep the tooth “alive”. However, the main thing here is to guess the stage of caries. For otherwise, inflammation cannot be prevented.
I must say that the removal of a nerve in the tooth is the last measure of treatment. Usually it is used when it is necessary to preserve the tooth itself and prevent its removal. This process, which is also called depulpation, is used when caries deeply affected the tooth and laid the foundation for pulpitis.
In fairness, it is worth saying that just some 15 years ago, the removal of the dental nerve was very painful. In principle, this should not be surprising, because the dentist had to work hard to drill a drill to get to the nerve endings. Then they put arsenic in the tooth for 2-3 days, put a temporary filling and waited for the medicine to kill the nerve.
When the pain in the patient went away, this meant that the nerve was "killed." The temporary filling was removed, the dead nerve was pulled out using a special thin needle, and a permanent filling was placed on the tooth.
However, not everything went smoothly. Removal of the nerve by arsenic in some cases depended on the physiological structure of the tooth and the mental state of the patient, so for two or three days it was also insufficient to kill the nerve. This means that the removal of a nerve in a tooth that has not yet completely died out was accompanied by severe pain and a certain discomfort.
But that was before. Now the removal of the nerve in the tooth is very different. Be sure to give the patient a dose of pain medication to block the pain. This method sometimes allows you to perform such an operation without killing the nerve, which has a beneficial effect on the inner surface of the tooth, because she remains alive.
After the nerve in the tooth is removed in this way , the dental canals must be filled. As a rule, a permanent filling is established immediately, however, if it is planned to re-test the cavity for the presence of possible inflammatory processes, then in this case a temporary seal is placed.
The modern procedure for removing the nerve lasts no more than an hour. However, although the nerve has already been removed, it no longer affects the tooth, but the latter becomes fragile, so you can’t give a big load on it when chewing solid food so that it does not split.
Despite the fact that the possible risks of complications during depulpation are minimized, they cannot be completely ruled out. Therefore, if the removal of the dental nerve was carried out poorly, then even a second intervention is possible.
Thus, in order to prevent further such troubles and to keep your teeth healthy, you need to take care of them regularly and, at the slightest suspicion of caries, consult your dentist to prevent the further spread of the disease. Teeth should be cleaned regularly with toothpaste and mouth rinsed after each meal.