Dental depopulation: features of the procedure, indications

Caries in neglected form often leads to the development of pulpitis. By this pathology is meant the inflammation of the internal tissues of the tooth. To treat it, you need to remove the nerve and clean the channels. Otherwise, this procedure is called "depulpation of the tooth." What is it, when are they resorting to her help, let's try to understand the current article.

Short description

Depulpation is a procedure for removing neural bundles and loose fibrous tissue. It fills the entire cavity of the tooth and is represented by a large number of blood vessels. The timely conduct of the procedure helps to slow the pathological processes in the oral cavity. In addition, it can be used to avoid extraction of dentition units.

Many patients feel that the removal of the nerve is always accompanied by hellish pain. However, do not panic ahead of time. Dentistry has stepped far ahead. Today, depilation of the tooth is performed using local anesthesia, so the pain is almost completely absent. The traditional methods of removing the nerve with arsenic have replaced the traditional method.

Indications for conduction

Dental depilation is recommended by a dentist in 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 it is, how to treat the disease in order to avoid the development of complications - all these questions must be answered by the dentist);
• Before prosthetics;
• The propensity of teeth to abrasion.

Only a doctor can decide whether to manipulate or not. The main indication for the removal of the nerve is still the pulpitis of the tooth. What is it, how to treat an ailment, every dentist knows. Not everyone follows the recommendations for its prevention. Therefore, pulpitis is one of the most 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 preparations for anesthesia. The rapid effect and the absence of an allergic reaction are characterized by "Ubistezin" and "Ultrakain."

Preparation for manipulations

A few days before the start of therapeutic procedures, the patient needs to make a radiograph of a problem tooth. According to the picture, the dentist will be able to assess the depth and width of the channels, the level of complexity of the operation. Also, a specialist selects an anesthetic for the consultation, and then sends the patient to the allergic trial.

If the test shows a negative result, the selected drug can be used. After an injection of anesthesia, it takes a short time for the medication to start functioning.

Stages and features of nerve removal

Dental pulping 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 the dentin, prepares the carious tissues. After the antiseptic treatment, he begins to cut a part of the dental cavity, capturing the coronal area of the inflamed pulp. At the same time, the entire process is necessarily accompanied by the cleaning of the root canals. Nervous and vascular bundles are located in them.

After depulpirovaniya dentist begins to prepare the root canals for subsequent sealing. To this end, he uses a variety of tools to help partially align and clean the cavity of soft tissue remains.

At the next stage the doctor fills the root canals with composite material. It is very important that air bubbles do not form in the process of sealing. Otherwise, the patient will experience discomfort every time during a meal.

Many doctors set a temporary seal as a safety net . If in 2-3 days the pain does not appear, it is replaced by a permanent one. In some private clinics, a procedure for fluoridation of tooth surfaces is practiced. It allows you to strengthen the strength of enamel and serves as the final stage of manipulation.

Contraindications

There are a number of factors, in which presence it is better to refuse the procedure. These include:

• Leukemia;
• cardiovascular diseases;
• hepatitis;
• pregnancy;
• Hemorrhagic diathesis;
• stomatitis.

In the cases listed, depulpation of the tooth is considered impractical. The doctor should offer the patient alternative treatment options.

Possible complications

The process of nerve removal is quite difficult. Therefore, a doctor needs not only a high level of professionalism, but also ordinary attentiveness. According to statistical data, approximately 70% of patients are annually faced with poor-quality filling or incomplete removal of pulp. As a result, the tooth develops inflammation. It can be signaled by such symptoms:

• Pain discomfort, worse at night;
• Pronounced tooth reaction to hot food;
• Swelling of the gums;
• Swelling of the cheek.

Teeth can be sick after depulpation. However, it is necessary to distinguish the natural healing process from pathological. In the first case, the pain is aching. It can appear when biting fruit or vegetables, because the tissues need time to recover. To reduce discomfort, dentists often prescribe analgesics to patients.

If the tooth already has an active inflammatory process, the probability of a flux or cyst is high. To avoid such problems, when you have pain, you need to contact the dentist. The doctor will open the channels and reseal them.

What other complications can the depilation of the tooth end? The consequences of a negative nature, as a rule, are observed as a result of gross errors in the work of a specialist. Among them we can mention:

• Exit of the filling material ;
• Jamming tool in the cavity;
• Perforation of the root walls.

Reduce the risk of such complications can be if you seek help from a doctor with a positive reputation. Not the least role in this matter is played by the clinic itself. Unfortunately, not all medical institutions have modern tools for dental manipulation.

Cost of services

How much can 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 qualifications of the dentist. The total cost of the service varies between 500 and 1000 rubles. The exact figure can be announced by the doctor at the first consultation after the examination.

Preventive measures

How can I prevent the depilation of the tooth? What is this, why this procedure is needed - the answers to these questions are presented in our article. How to avoid it?

Removing the pulp always leads to a decrease in the resistance of the enamel to external influences. It takes on a darker shade. The depulpated tooth gradually loses the function of natural protection. To prevent nerve removal, dentists recommend:

• Avoid pathologies of soft tissues;
• Follow the oral hygiene;
• Timely treatment of caries, giving preference to quality fillings.

Following such simple advice, it is always possible to minimize the need to remove the inflamed nerve of the tooth.