This technique is irreversible and the only therapeutic option is total extirpation of dental pulp, and three-dimensional filling of dental canal. Pulpitis is often caused by deep dental caries that reaches the dental pulp and causes infection in the tooth, causing permanent pain that increases with cold, hot, sweet or acidic foods stimuli.
This treatment consists of extracting the pulp from the tooth, a small tissue in the form of a strand which, is in the center of the tooth canal. Once the pulp becomes inflamed or dies, it must be removed to avoid generating an infection in the tip of the root of the tooth and in the space called the root canal, which is emptied, cleaned and filled with aseptic material preventing the infection from continuing.
In order to achieve a root canal, it is necessary to anesthetize the zone to be treated. Then, a hole is made in the crown of the tooth to access the pulp and remove it, and to clean the canal before sealing it and placing the crown with specific materials. At the end of the procedure, the tooth will be completely numbed and isolated from any other part of the organism.
Designed by Dentsply Maillefer, it is a localized apex that provides control and comfort, thanks to multi-frequency technology. It works in dry and moist root canals, without the need to de-calibrate or pre-set to zero. Dual file progression control: visual control and progressive sound control with 4 volume levels.
The process begins with a general and specific dental history in which certain aspects such as personal history, cardiac or pulmonary diseases, use of anticoagulant drugs, etc. must be considered. A subjective assessment of pain is performed. The professional may ask about the type and location of the pain, the intensity of the pain, if the pain is minor, the pulpal lesion will probably be a reversible lesion, on the other hand, intense pain indicates that the pulpal lesion will be irreversible.
An inspection will be made outside the mouth in search of extraoral fistulas that reveal the pulpal death of the fistulizing tooth, and a palpation in search of a phlegm or other alterations. Subsequently the interior of the oral cavity is visualized to find abnormalities, such as anterior endodontics or intraoral fistulas. Sensitivity tests. What is sought is the painful response to a stimulus or the absence of it. There are two methods for determining pulpal sensitivity
Periapical radiographs are made, the vital and pathological pulps are not visible on the radiograph. Necrotic pulps may or may not produce radiographic changes in early stages, for them to be clearly visible, the inflammatory process must extend to the cortical bone. The periradicular lesions are characterized by apical loss of the hard plate where there is a widening by necrosis, presence of apical radiolucency.