1 When and how the
method is used This is the treatment method for the following indications:
- During the accidental exposure of the pulp.
- If the patient has an acute foci of pulpitis.
- If other treatments have proven ineffective.
- When it is necessary to treat teeth with unformed roots in children.
This method can be used only in the treatment of molar and premolar structures, which have a clear distinction for root and crown pulp.
It should be noted that this method is not applied to teeth with one root, but it can be used if the channels are obstructed on the roots. Now dentists have very flexible tools from nickel and titanium, allowing to process even curved channels, which in the previous period doctors were not available.
This type of amputation is performed as follows:
- During the first visit to a patient with a dentist, the physician makes anesthesia in order to relieve soreness on the tooth.
- Then, with the sterilized burs, remove the entire area of the infected dentin along with the enamel.
- The so-called carious cavern is being processed.
- A vault from this abrasive is cut with a sterile boron from an abrasive.
- Crown pulp should be removed to the level of the root canal mouth.
- In this part, a playground is made and the doctor stops bleeding.
- Then calcium hydroxide and some special cement are added to install the temporary seal.
- The tooth, near which there was pulpitis, must be constantly monitored. He is checked for pain when tapping. The doctor examines the transitional folds with his fingers. X-rays may be required to detect changes in bone tissues.
- If everything is in order, then during the second visit to the doctor( after 6 months or a year) the dentist will put a permanent seal. For this, its temporary analogue is removed, the cavern is treated with an antiseptic.
- Using a composite of so-called light curing, the doctor makes a new seal that polishes and polishes( it should have a "dry" sheen) until it becomes invisible and no plaque adheres to it.
- To strengthen the enamel, fluoridation is done( deep or simple).
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2 Characteristics of therapeutic actions
It is used to treat any form of pulpitis or inflammation on the root pulp after amputation. On the first visit, the initial stage of treatment is as described above for vital amputation. After removing the affected dentin, the doctor measures the depth of the canal in the tooth and expands it with boron so that the hole looks like a cone.
For the destruction of microorganisms that caused infection, processing the obtained channel with the necessary medication. After that, a temporary seal is applied.
During the second visit to the patient's dentist, the doctor checks the tooth with a tap, and the tissue around it by palpation. If the patient has no signs of pain, then you can proceed with the installation of a permanent seal. During this process, the dentist creates the external shape of the tooth and restores its performance.
The inserted seal is ground and polished. And then drugs containing fluoride are applied to the surface.
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Since this technique is very effective, it is used in almost all clinics and allows curing most people with dental problems.
3 How do the devital amputation
This is a method of preliminary removal of the affected area and mummification of the pulp on the root system. At the first visit to the doctor for anesthetizing the tooth, the patient removes the damaged dentin along with the enamel.
The doctor processes the carious cavity with an antiseptic solution. After this, the cavity is dried. The dentist uses a sterile boron to open the cavern of the tooth in the zone of the so-called horn of the pulp. After that, the paste with arsenic( a limited amount) is applied. If the tooth is single-root, then the medicine should lie day, and if it has two or more roots - then 48 hours.
If the patient is busy and can not reach the doctor's specified time interval, the dentist will apply the paste with paraformaldehyde or arsenic with a delayed effect. Such compounds can be consumed from a week to two. The cavity in the tooth is closed with a temporary filling.
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During the second visit, all this is removed and the hole in the channel expands with the help of boron. The doctor removes the coronal pulp. After that, the entire area is treated with medicines. Then mummification of the pulp is done on the root. This is done using special pastes. Again, a temporary filling is used and the next treatment session is prescribed.
Then, if everything is in order, apply a permanent seal with a polymer. The resulting surface is ground and polished, the preparations containing fluorine are applied to it. In this case, the doctor forms the surface of the tooth, giving it an anatomical shape.