Neglected caries often leads to pulpitis. This pathology refers to inflammation of the internal tissues of the tooth. For its treatment, it is necessary to remove the nerve and clean the channels. Otherwise, this procedure is called “tooth removal”. What is it, in which cases they resort to her help, let's try to figure out in today's article.
Short description
Depulpation is a procedure for removing nerve bundles and loose fibrous tissue. It fills the entire cavity of the tooth and is represented by a large number of blood vessels. Timely implementation of the procedure helps to slow down pathological processes in the oral cavity. In addition, with its help, extraction of units of the dentition can be avoided.
It seems to many patients that nerve removal is always accompanied by infernal pain. However, do not panic ahead of time. Dentistry has stepped far forward. Today, tooth depulpation is performed using local anesthesia, so pain is almost completely absent. The traditional method of arsenic removal was replaced by modern methods.
Indications for
Tooth removal is recommended by the dentist for the following disorders and disorders:
- mechanical damage to the oral cavity;
- deep caries ;
- periodontitis (a disease accompanied by damage to the root shell of teeth and soft tissues);
- pulpitis of the tooth (what is it, how to treat the disease in order to avoid the development of complications - the dentist must answer all these questions);
- before prosthetics;
- tooth prone to abrasion.
Only a doctor can decide whether it is advisable to carry out manipulations or not. The main indication for nerve removal is still pulpitis of the tooth. What is it, how to treat a disease, every dentist knows. Not everyone follows the recommendations for its prevention. Therefore, pulpitis is one of the common dental diseases.
To avoid unpleasant consequences after the procedure, the dentist should use only modern equipment. Usually used diamond boron and air-water cooling system. Particular attention should be paid to drugs for anesthesia. The fast effect and the absence of an allergic reaction are characterized by “Ubistesin” and “Ultracain”.
Preparation for manipulation
A few days before the start of therapeutic procedures, the patient needs to take an x-ray of the problem tooth. From the picture, the dentist will be able to assess the depth and width of the channels, the level of complexity of the operation. Also, at the consultation, the specialist selects an anesthetic, and then sends the patient to an allergy test.
If the test shows a negative result, the selected drug can be used. After an injection of anesthesia, a little time should pass before the medication begins to act.
Stages and features of nerve removal
Tooth removal involves the use of a dental drill and sterile tips. After preparing the patient for the procedure and the onset of the action of the anesthetic, the doctor proceeds to excise the inflamed nerve.
At the first stage, the dentist removes the destroyed enamel along with dentin, dissects carious tissues. After conducting antiseptic treatment, he proceeds to cutting off part of the dental cavity, capturing the coronal region of the inflamed pulp. Moreover, the whole process is necessarily accompanied by a cleansing of the root canals. It is in them that the nerve and vascular bundles are located.
After depulpation, the dentist proceeds to prepare the root canals for subsequent filling. To this end, he uses a variety of tools to help partially align and cleanse the cavity of the remnants of soft tissues.
At the next stage, the doctor fills the root canals with composite material. At the same time, it is very important that air bubbles do not form during the filling process. Otherwise, the patient will experience discomfort every time with food.
Many doctors, as a safety net, first establish a temporary seal. If after 2-3 days the pain does not appear, it is replaced with a constant one. Some private clinics practice the procedure for fluoridation of tooth surfaces. It allows you to enhance the strength of enamel and serves as the final stage of manipulation.
Contraindications
There are a number of factors in the presence of which it is better to refuse the procedure. These include:
- leukemia;
- cardiovascular diseases;
- hepatitis;
- pregnancy;
- hemorrhagic diathesis;
- stomatitis.
In the above cases, the depulpation of the tooth is considered inappropriate. The doctor should offer the patient alternative treatment options.
Possible complications
The process of removing the nerve is quite difficult. Therefore, the doctor requires not only a high level of professionalism, but also the usual care. According to statistics, approximately 70% of patients annually experience poor-quality filling or incomplete pulp removal. As a result, inflammation develops in the tooth. Symptoms may indicate it:
- pain discomfort, worse at night;
- pronounced reaction of the tooth to hot food;
- swelling of the gums;
- swollen cheeks.
Teeth can be sore after depulpation. However, it is necessary to distinguish the natural healing process from the pathological one. In the first case, the pain is aching in nature. It can appear when biting fruits or vegetables, because the tissues need time to recover. To reduce discomfort, dentists often prescribe analgesic drugs to patients.
If the tooth is already undergoing an active inflammatory process, the likelihood of a flux or cyst is likely. To avoid such problems, if you experience pain, you should consult your dentist. The doctor will open the canals and reseal them.
What other complications can tooth deculpation end in? Consequences of a negative nature, as a rule, are observed as a result of gross errors in the work of a specialist. Among them are:
- yield of filling material ;
- stuck tool debris in the cavity;
- perforation of the walls of the root.
You can reduce the risk of such complications if you seek help from a doctor with a positive reputation. The clinic itself plays an important role in this matter. Unfortunately, not all medical institutions have modern tools for dental procedures.
Cost of services
How much can a depulpation cost? The price of the procedure depends on several factors: the number of channels, the amount of material used, the prestige of the clinic, the qualification of the dentist. The total cost of the service varies between 500-1000 rubles. The doctor will be able to announce the exact number at the first consultation after the examination.
Preventive measures
How can tooth deculpion be prevented? What is it, why is this procedure needed - the answers to these questions are presented in our article. How to avoid it?
Removal of pulp always entails a decrease in enamel resistance to external influences. It takes on a dark shade. A pulled tooth gradually loses its natural defense function. To prevent nerve removal, dentists recommend:
- avoid soft tissue pathologies;
- monitor oral hygiene;
- treat caries in a timely manner, giving preference to quality fillings.
Following these simple tips, you can always minimize the need to remove the inflamed nerve of the tooth.