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Regenerative endodontic procedures [1] is defined as biologically based procedures designed to replace damaged structures such as dentin, root structures, and cells of the pulp-dentin complex. [2] This new treatment modality aims to promote normal function of the pulp. It has become an alternative to heal apical periodontitis.
Many Medicare Advantage dental plans require 50% coinsurance for fillings, extractions, and root canals; more than half of enrollees with such coverage have annual limits of $1,000 or less ...
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).
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.
[10] [11] [12] They have good dimensional accuracy when cast which minimises chair-side/appointment time and can be relatively easy to polish if any changes are required. [10] Palladium based alloys are also used. These were introduced as a cheaper alternative to gold alloys in the 1970s. [7]
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.
Root canal anatomy consists of the pulp chamber and root canals. Both contain the dental pulp. The smaller branches, referred to as accessory canals, are most frequently found near the root end (apex), but may be encountered anywhere along the root length. The total number of root canals per tooth depends on the number of the tooth roots ...
The patient should avoid rinsing the mouth, spitting, contact sports, or smoking for the first 24 hours after surgery and should limit food to a soft diet for the next few days. Following surgery, subsequent check ups may be required to evaluate the success of the procedure.