The root canal is the space inside the root of the tooth. This is a pulp chamber connected by one or more major tubules and complex branches, which usually connect the root canals to the surface or between themselves.
Dental root canal rupture is needed in situations where the tooth has already been treated, but is currently in need of treatment again. The reasons for this may be the incorrectly closed canal lumen closure, micro-filling of the seal and many other factors.
A complex rasplombirovka called the one in which you have to grind the dental canal, which in the process of obturation used cements or treatment was carried out resorcinol-formalin method.
content
- Indications for root canal unsealing
- Methods unsealing
- Methods for removing seals
- removal using a special paste
- use-solvent gel
- Removal gutta
- hardware method
- Steps unsealing procedure
- removal of affected tissue
- Removal pulp
- Processing mechanically
- Filling Methodschannels
- Possible consequences and complications
Indications for tooth root rupture
Forth, in order to carry out this procedure, the following violations should be observed in the patient:
- in the apical part of the root there is a repeated development of the infection;
- in hermetically sealed hermetism;
- at primary treatment it is not possible to establish and eliminate the pathological focus of infection at the top of the root, and the toothache continues to bother even after treatment;
- aching aching in the tooth manifests when biting after some time after treatment;
- changes in the root canal, found on the roentgenogram;
- incomplete filling of the tooth canal;
- re-treatment of pulpitis, granulomas, cysts or periodontitis.
rippling methods Two main methods are used to root root canal rooting.
- First .For rasplombirovany used drugs containing solvents based on organic substances, which change the structure of the filling material. Basically, this method is good for removing seals consisting of hardening pastes. The material dissolves in just a few minutes. If the materials from the cements are ground with medical solvents, the drug is placed for a couple of days at the mouth of the tubule, after which the seal is removed mechanically.
- Second .Root canal root canal dissection by ultrasound. The method involves the use of endosaccharides that work with ultrasound to remove the seal during one visit. The grinding carried out for the installation of the anchor pin. It is used if there is no need for obturation. Such situations occur when a tooth crown is restored on the pin, which was previously treated.
Methods for the removal of seals
Poorly established or broken seal often causes caries. In this case, you need a retreatment or repolping, which will cure and seal the tooth again. The previously cured tooth has already removed the nerve, so it can be treated repeatedly, no longer using anesthesia.
There are two ways to remove the seals - medicamental and hardware. The drug method has several options, depending on the remedy.
Removal with special paste
For this method of dental treatment, special pastes are often used. To remove the seal located at the top of the tooth, burs of different sizes are used, allowing the doctor to reach the canals.
Use of solvent gel
In the second variant, a special solvent gel is applied to the filling material. It acts very quickly, a couple of minutes and the material begins to dissolve.
If the seal material is very durable, a solvent is applied to it and, to destroy the unnecessary filling material, it is covered with a temporary seal for several days. When the material is destroyed, it is also removed with the help of boron, at the same time removing the carious formations.
Removing the gutta-percha
To dissolve the channel, there are also special materials, such as pastes or gutta-percha, used only to remove the remnants of the fillings directly from the root of the teeth.
In their composition, the active substance is a phenolic resin based on resins that break down soft filling materials. These materials are safe for both the teeth and the body as a whole. These materials are fast acting, do not cause discomfort and strong salivation.
Hardware method
First remove the seal from the top of the tooth with boron. Then the seal or laser is removed by boron or laser. After the cleaned surface is treated with an antibacterial drug, a new seal is placed - a refinishing is done.
Stages of the
grouting procedure Before filling the tubules with special material, the doctor should clean them thoroughly and prepare the cavity. This process is carried out in several stages.
Removal of affected tissues
Very often, treatment is treated as a consequence of another disease, for example, caries, not suspecting that there are other pathological changes. To the dentist with the help of a boron machine, it is necessary to remove the diseased and dead tissue, there by removing the foci of infection. Inevitably, a part of the healthy tooth will retire.
Removal of pulp
This name has a soft sensitive tissue in which there is a plexus of vessels and nerves that are in the crown part and inside the roots. The pulp is removed with a special tool. The procedure in most cases is performed under local anesthesia, excluding pain and discomfort.
For effective treatment, the doctor must measure the channels. Their length in all teeth is individual and depends on the size of the root and the degree of curvature of the canal. A sighting radiograph is simply necessary before treatment.
Mechanical machining
Before installing the seals, the tubules need to be cleaned and expanded using the dental instruments intended for this procedure. This is necessary for complete removal of the affected part and for dense and uniform filling. Machining by mechanical means is done by specific thin tools - protekpers for channeling. With them, the channels need to pass from the tip to the mouth.
Having completed all these stages of preparation, the doctor can begin sealing.
Sealing methods for
channels There are several effective sealing methods:
- Single paste method .A method in which the dentist uses only a low-cost paste and allows one to close well even the most curved and narrow channels. The disadvantage of the method is not too reliable closure of the lumen.
- Method of single pin and paste .In the method, when one pin is used, not only the hardening paste is introduced into the channels, but also the metal pin. The method is quite reliable.
- The lateral( lateral) condensation method .The canal of the tooth is filled with gutta-percha pins together with the hardening paste. This method is characterized by very high reliability and excellent filling of the seal.
- System "Thermophile" .It will allow obturation of the main and lateral tubules, it is effective and very reliable.
- Technology of liquid gutta percha .Will allow gutta-percha and the sealer to penetrate into the main and dentinal tubules, securely sealing them.
The choice of the method of filling depends on the complexity of the situation and the skills of the treating doctor.
Filling allows you to restore the shape and function of a tooth decayed carious process. The doctor has already cleaned and sealed the channels, chose the method of filling, the material, now it remains to seal the cavity of the crown part of the tooth.
Possible consequences and complications
A common complication after filling teeth and tubules is post-filling pain. This is a common phenomenon, because during the treatment of the tooth, they are cleansed, carious stains removed and nerve removed.
These procedures can be performed under anesthesia, but when it passes, the pain can stay for a while.
If the patient is too nervous and uncomfortable to behave during treatment or if the doctor has insufficient qualifications, there may be consequences such as a pulp burn caused during tooth preparation, damage to the enamel, or acid on the dentin.
If after the treatment there are prolonged pains it can be concluded that the dentist made one of the following mistakes: the
- channel was not completely filled with a seal, there are unfilled seats;
- after treatment, the material of the filling spreads and enters periapical tissues;
- in the tooth with several channels one of them was missed, then he began to react to the influence of temperatures.
If you feel pain for a long time, be sure to contact the clinic where the dental procedure was performed.
The cost of rasplombirovaniya can vary depending on the complexity of the treatment and materials used.
After rasplombirovki you can read a variety of reviews. All depends first of all on the qualification of the specialist who conducted the treatment.
If the materials are selected correctly, as well as all the necessary measures are taken to eliminate the foci of infection, the necessary seal is placed, it lasts a very long time and the patient will only have positive emotions from visiting the clinic.
Therefore, choosing a clinic for the treatment of teeth and oral cavity, pay attention to reviews of doctors who work there.