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Root canal procedure: unhealthy or injured tooth, subsequent creation of an access cavity with a dental handpiece, cleaning and shaping the root canals with an endodontic file, and restoration with gutta-percha filling and a crown Removing infected pulp during a root canal procedure. Root canal treatment (also known as endodontic therapy ...
The root canal treatment procedure is often carried out over single [4] or multiple appointments. [5] Root canal treatment involves: [9] Removing the damaged and infected pulp; Shaping the entire root canal system; Cleaning and disinfecting the entire root canal system; Filling and sealing the root canal system
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.
The filling promotes cementum and bone formation, [21] [22] blocks bacteria, and is a barrier for the root canal. Inflammation of the periradicular site due to bacteria could cause recovery to deteriorate and induce periradicular infection. [22] Careful evaluation of root canal filling material is required to optimise healing after the procedure.
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. Hence, alternative resin-based or glass-ionomer cement-based materials are used instead for smaller restorations including pit and small fissure caries.
Regenerative endodontics has 3 critical steps: adequate disinfection of the root canal system, induction of bleeding through overinstrumentation to create a scaffold for stem cells, and coronal sealing of the blood clot with a biocompatible material, such as mineral trioxide aggregate. The procedure is applied in two visits as follows: [50]
Full thickness flap involves incision down to bone. Using blunt dissection, the flap is raised from bone. Full thickness flap is a simple procedure which provides access to root surface and bone. The procedure leaves minimal post-operative discomfort. It provides limited mobility of flap and is unsuitable for grafting. [6] [2]
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 ...