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8/14/2019 Root Canal Treatment Cons 1 .
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ROOTCANAL
TREATMEN
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INTRODUCTION.
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ROOT CANAL TREATMENT
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NORMAL TOOTH.
.HOW IT LOOKS?
.STRUCTURE?
.CONTENTS?
.IDENTIFICATION OF VARIOUS AREAS/PARTS?
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ROOT
CROWN
ENAMEL
DENTIN
PULP CHAMBER
CEMENTUM
ROOT CANAL
END OF ROOT
PERIODONTAL
LIGAMENT
NERVE & BLOOD VESSELS
BONE
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QUESTIONS ARISING ABT ROOT CANALTREATMENT !!!!
Q.1:- WHAT IS ROOT CANAL TREATMENT ?
Q.2:-WHY WOULD YOU NEED ROOT CANAL TREATME
Q.3:- WHY DO WE FEEL PAIN BEFORE ROOT CANALTREATMENT ?
Q.4:- SIGNS AND SYMPTOMS ?
Q.5:- HOW DOES THE PULP GET INFECTED ?
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.6:- WHAT HAPPENS WHEN A PULP GETS INFECTED
Q.7:- HOW IS ROOT CANAL TREATMENT DONE ?
Q.8:- HOW LONG IS THE TOOTH LIKELY TO LASTAFTER IT IS ROOT FILLED ?
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Q.1:- WHAT IS ROOT CANAL TREATMENT ?
..ROOT CANAL TREATMENT (ALSO KNOWN AS ENDODONTICEATMENT) IS THE PROCESS WHERE THE DENTIST REMOVESE PULP. i.e. PULP EXTIRPATION. FROM AN INFECTEDOTH AND REPLACES IT WITH DENTAL FILLING.
.ROOT CANAL TREATMENT IS ALSO NECESSARY IF THE TOOTH HST ITS VITALITY[DIED] BUT GENERALLY IS BECAUSE DECAY HAETRATED BOTH THE ENAMEL AND DENTIN TO THE CENTRE OF
TH AND IT MAY CAUSE AN ABSCESS ALSO.
..IF YOU DONT WANT YOUR TOOTH TO BE ROOT FILLED THAN
E ALTERNATIVE IS USUALLY AN EXTRACTION.
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2:-WHY WOULD YOU NEED ROOT CANAL TREATMENT
..ROOT CANAL TREATMENT IS NEEDED FOR FOLLOWING REASFECTION OR IRREVERSIBLE DAMAGE. AN UNTREATED CAVITYA COMMON CAUSE OF PULP INFECTION.THE REDUCED BLOOD
UPPLY ALSO LIMITS THE PULPS ABILITY TO HEAL ITSELF.
..THE PULP CAN BECOME DAMAGED FROM TRAUMA, ORACTURE OVER A PERIOD OF TIME.
..ONCE THE PULP BECOME INFECTED,THE INFECTION CANPREAD TO THE BONE AROUND THE TOOTH, ABSCESS TO FORMTHE RCT IS NOT DONE,THE TOOTH MAY HAVE TO BE EXTRACT
UT THE BONE STILL MAY HAVE TO BE TREATED.
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..IF AN INFECTED TOOTH THAT NEEDS RCT IS IGNORED, NOTNLY CAN U LOOSE THE TOOTH. BUT ALSO INFECTION CAN
PREAD TO OTHER PARTS OF UR BODY.
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..AN INFECTION IN THE ROOT CANAL OF A TOOTH CAN CAUSE
..A SWELLING WITH PUS IN THE AREA AROUND THE TOOTH R
..A SWELLING THAT MAY SPREAD TO OTHER AREAS OF THE F
..BONE LOSS AROUND THE TIP OF THE ROOT OF THE TOOTH
..A DRAIN HOLE (CALLED A SINUS) BETWEEN THE ROOT OF THINFECTED TOOTH AND OUTSIDE CAN BE THGH THE SIDE OF THEOOTH INTO THE PERIODONTIUM.
Q.3:- WHY DO WE FEEL PAIN BEFORE ROOTCANAL TREATMENT ?
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Q.4:- SIGNS AND SYMPTOMS ?
..IF UVE AN INFECTION OF THE PULP, U MAY NOT FEEL ANY PFIRST. BUT IF LEFT UNTREATED INFECTIONLL CAUSE PAIN ANELLING. IN SOME CASES, AN ABSCESS WILL FORM. EVENTUALOTH NEED TO BE EXTRACTED.SOME INDICATIONS THAT A TOO
AY NEED A ROOT CANAL TREATMENT R:
..A TOOTH THAT HURTS SIGNIFICANTLY WHEN U BITE DOWN OTOUCH IT OR PUSH ON IT.
..SENSITIVITY TO HEAT.
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..SENSITIVITY TO COLD THAT LASTS LONGER THEN A COUPLEF SECONDS.
..FACIAL SWELLING NEAR THE AFFECTED TOOTH.
..A DISCOLORED TOOTH, WITH OR WITHOUT ACCOMPANYINGAIN.
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Q.5:- HOW DOES THE PULP GET INFECTED ?
..SOMETIMES THE PULP INSIDE UR TEETH BECOMES INFLAMEDR INFECTED.
..THIS CAN BE CAUSED BY DEEP DECAY, REPEATED DENTALROCEDURES ON THE TOOTH, A CRACK OR CHIP ON THE TOOTHR A BLOW TO THE TOOTH. THE MOST COMMON CAUSE IS TOOTECAY.
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..TOOTH DECAY IF LEFT UNTREATED SPREADS TO PULP THEN IGINS TO DEGENETRATE.
..AS WITH ANY INFECTION THERE IS FORMATION OF PUS,HICH TENDS TO GET ACCUMULATED AT TIP OF ROOTS WITHIN
HE JAWBONE, FORMING A PUS-POCKET CALLED AN ABSCESS.
.6:- WHAT HAPPENS WHEN A PULP GETS INFECTED
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Q.7:- HOW IS ROOT CANAL TREATMENT DONE ?
..FIRST AN OPENING IS MADE THGH THE OCCLUSAL AREA OFOSTERIOR TEETH AND CINGULUM OF ANTERIOR TEETH.
..IF MORE THAN ONE VISIT IS NEEDED, A TEMPORARY FILLINS PLACED IN THE OPENING OF THE TOOTH.
..AFTER THE DISEASED PULP IS REMOVED, THE PULP CHAMBEROOT CANAL IS ENLARGED & SHAPED IN PREPARATION FOR
EING FILLED.
..THE TEMPORARY FILLING IS REMOVED AND THE PULP CHAMROOT CANAL PERMANENT RESTORATION IS TAPERED, SOMETMETAL OR PLASTIC ROD IS PLACED IN THE CANAL FOR SUPPO
HIS ROD IS CALLED POST.
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..IN FINAL STEP, A CROWN IS USUALLY PLACED OVER THETOOTH TO RESTORE ITS NATURAL SHINY APPERANCE. IF THETOOTH IS MUCH BROKEN, A POST MAY BE REQUIRED
TO BE BUILD UNDER THE CROWN.
..ALL RCT PROCEDURES R DONE BY ISOLATING THE TOOTHWITH A RUBBER DAM TO PROVIDE SALIVA-FREE ENVIRONMENRCT MAY BE DONE IN SINGLE OR MULTIPLE VISITS DEPENDINON COMPLEXITY OF THE TOOTH.
..OFTEN..,X-RAYS R TAKEN TO DETERMINE THE LENGTH OF
THE ROOT & TO MONITOR THE VARIOUS ASPECTS OF TREATM
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ILLUSTRATIONS:- ROOT CANAL TREATMENTFROM START TO FINISH.
1.PULP DAMAGETHE MOST COMMON WAYFOR THE PULP TO BECOME
INFECTED IS FROM ANUNTREATES CAVITIES
THAT CONTAINS BACTERIAWHICH RELEASES ACID.THAT
CAUSE PULP DAMAGE.
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2.PULP REMOVAL
PULP IS REMOVED BYBARBED BROUCHES.
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3. REMOVING THEINFECTED TISSUE.
SPECIAL FILES R USEDTO CLEAN THE INFECTION& UNHEALTHY PULP OUT
OF THE CANALS. IRRIGATIONIS USED TO CLEAN SMALLOFFSHOOTS OF MAIN CANALCALLED LATERAL CANAL.
ENDODONTICFILE
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PLUGGER
GUTTA-PERCHA
4. FILLING THE CANAL
THE CANALS R FILLED WITHA PERMANENT MATERIAL GUTTA-
PERCHA. THIS HELPS TO SAVETOOTH & KEEP THE CANALSFREE OF THE CONTAMINATION.A THIN, METAL INSTRUMENTPLUGGER, IS USED TO PUSHTHE GUTTA-PERCHA IN CANALS
SO THAT IT BECOMES COMPACT
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FILLINGMATERIAL
5.REBUILDING THE TOOT
A TEMPORARY FILLING MATERIALIS PLACED ON TOP OF THE GUTTA-PERCHA TO SEAL THE OPENING UNTILTHE TOOTH IS READY TO BE PREPAREFOR A CROWN. A CROWN, SOMETIMESCALLED CAP, IS MADE TO LOOK LIKE
A NATURAL TOOTH, AND IS PLACEDON TOP.
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FILLINGMATERIAL
POST
IN SOME CASES, A POST ISPLACED TO CROWN THE EXTRASUPPORT.
6. EXTRA SUPPORT
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CROWN
FILLING,ATERIAL
BONE
LATERALANALS
UTTA-ERCHA
POST
PERIODONTALLIGAMENT
GUMS
7. THE CROWNING TOUCH
THE CROWN IS CEMENTEDINTO THE PLACE.
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Q.8:- HOW LONG IS THE TOOTH LIKELY TO LASTAFTER IT IS ROOT FILLED ?
..ROOT FILLED TEETH OFTEN LAST FOR MANY YEARS. IT IS,OWEVER, VERY DIFFICULT FOR A DENTIST TO COMPLETELYRADICATE THE INFECTION INSIDE THE TOOTH. AS A RESULT,
IS IMPOSSIBLE TO GUARANTEE THAT THE TOOTH WILLURVIVE FOR A PARTICULAR LENGTH OF LENGTH OF TIME.
..IN ANY EVENT, THE LIFE EXPECTANCY OF ANY TOOTH ISNTNTIRELY DOWN TO UR DENTIST, BUT IS GREATLY INFLUENCEDY FACTORS UNDER UR OWN CONTROL, SUCH AS UR DIET & HO
ELL U LOOK AFTER UR TEETH.
..IF THE INFECTION COMES BACK IT IS OFTEN POSSIBLE FORR DENTIST TO REPEAT THE RCT TO GET RID OF THE INFECTION
GAIN & AVOID EXTRACTING THE TOOTH.
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