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Ostensibly, then, for regeneration to occur, the root canal system must have been decontaminated and further access to microbial invasion must be prohibited. Regeneration of the bone has been demonstrated to occur, on average, at a rate of 3.2 mm² per month, and studies suggest that 71% of lesions have achieved complete resolution one year ...
The root canal filling material (3, 4, and 10) does not extend to the end of the tooth roots (5, 6 and 11). The dark circles at the bottom of the tooth roots (7 and 8) indicated infection in the surrounding bone. Recommended treatment is either to redo the root canal therapy or extract the tooth and place dental implants.
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 ...
In mature teeth, root canal treatment is usually performed Non-emergency: removal of loose fragment (following gingivectomy, surgery or via orthodontics), root canal treatment and restoration with post-retained crown In extreme cases (such as a vertical fracture), tooth may need to be extracted 6–8 weeks: clinical and radiographic examination
A root canal is the naturally occurring anatomic space within the root of a tooth.It consists of the pulp chamber (within the coronal part of the tooth), the main canal(s), and more intricate anatomical branches that may connect the root canals to each other or to the surface of the root.
Attempting to complete root canal on a tooth with an open apex is technically difficult and the long-term prognosis for the tooth is poor. Apexogenesis, (which can be used when the pulp is injured but not necrotic) leaves the apical one-third of the dental pulp in the tooth which allows the root to complete formation.
Resorption of the root of the tooth, or root resorption, is the progressive loss of dentin and cementum by the action of odontoclasts. [4] Root resorption is a normal physiological process that occurs in the exfoliation of the primary dentition .
Disadvantages of amalgam include poor aesthetic qualities due to its colour. Amalgam does not bond to tooth easily, hence it relies on mechanical forms of retention. Examples of this are undercuts, slots/grooves or root canal posts. In some cases this may necessitate excessive amounts of healthy tooth structure to be removed.