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Endodontic files and reamers are surgical instruments used by dentists when performing root canal treatment. These tools are used to clean and shape the root canal, with the concept being to perform complete chemomechanical debridement of the root canal to the length of the apical foramen. Preparing the canal in this way facilitates the ...
A root end surgery, also known as apicoectomy (apico-+ -ectomy), apicectomy (apic-+ -ectomy), retrograde root canal treatment (c.f. orthograde root canal treatment) or root-end filling, is an endodontic surgical procedure whereby a tooth's root tip is removed and a root end cavity is prepared and filled with a biocompatible material.
Fillings fail because of changes in the filling, tooth or the bond between them. Secondary cavity formation can also affect the structural integrity the original filling. Fillings are recommended for small to medium-sized restorations. Inlays and onlays are more expensive indirect restoration alternative to direct fillings.
It must have enough structure to support restoration. Filling the root canals of the tooth from the crown (orthograde root canal therapy) should be the first treatment option to resolve inflammation caused by the tooth. Periradicular surgery is only considered if the inflammation persists after conventional root canal treatment.
Some explants, like the root tip, are hard to isolate and are contaminated with soil microflora that becomes problematic during the tissue culture process. Certain soil microflora can form tight associations with the root systems, or even grow within the root. Soil particles bound to roots are difficult to remove without injury to the roots ...
Mineral trioxide aggregate (MTA) is a recent development of the 1990s [21] initially as a root canal sealer but has seen increased interest in its use as a direct pulp-capping material. [10] The material comprises a blend of tricalcium silicate , dicalcium silicate and tricalcium aluminate ; bismuth oxide is added to give the cement radiopaque ...
On the other hand, the root canal filling material may be extruded from the apex leading to other complications. [citation needed] The X-ray in the right margin shows two adjacent teeth that had received bad root canal therapy. The root canal filling material (3, 4, and 10) does not extend to the end of the tooth roots (5, 6 and 11).
A temporary dressing is a dental filling which is not intended to last in the long term. They are interim materials which may have therapeutic properties. A common use of temporary dressing occurs if root canal therapy is carried out over more than one appointment.