Caries in advanced form often leads to the development of pulpitis. This pathology refers to inflammation of the internal tissues of the tooth. For its treatment, it is necessary to remove the nerve and clean the channels. Otherwise, this procedure is called "tooth depulpation". What is it, in what cases do they resort to its help, let's try to figure it out in today's article.
Short description
Depulpation is a procedure to remove nerve bundles and loose fibrous tissue. It fills the entire cavity of the tooth and is represented by a large number of blood vessels. Timely implementation of the procedure helps to slow down the pathological processes in the oral cavity. In addition, it can be used to avoid the extraction of dentition units.
Many patients feel that nerve removal is always accompanied by hellish pain. However, do not panic ahead of time. Dentistry has come a long way. Today, tooth depulpation is performed using local anesthesia, so pain is almost completely absent. Replacing the traditional wayremoval of the nerve using arsenic came modern techniques.
Indications for conduction
Tooth depulpation is recommended by a dentist for the following disorders and disorders:
- mechanical damage to the oral cavity;
- deep caries;
- periodontitis (a disease accompanied by damage to the root shell of the teeth and soft tissues);
- tooth pulpitis (what is it, how to treat the disease in order to avoid the development of complications - all these questions must be answered by the dentist);
- before prosthetics;
- Teeth prone to abrasion.
Only a doctor can decide whether it is advisable to carry out manipulations or not. The main indication for nerve removal is still pulpitis of the tooth. What it is, 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. Typically, a diamond burr and an air-water cooling system are used. Particular attention should be paid to drugs for anesthesia. "Ubistezin" and "Ultrakain" are characterized by a quick effect and the absence of an allergic reaction.
Preparation for manipulation
A few days before the start of therapeutic procedures, the patient needs to take an x-ray of the problem tooth. Based on the picture, the dentist will be able to assess the depth and width of the canals, the levelcomplexity of the operation. Also, during the consultation, the specialist selects an anesthetic, after which he sends the patient for an allergy test.
If the test shows a negative result, the selected drug can be used. After an injection of anesthesia, it should take a little time for the medication to begin to work.
Stages and features of nerve removal
Tooth depulpation involves the use of a dental drill and sterile tips. After preparing the patient for the procedure and the beginning 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 dentin, prepares carious tissues. After the antiseptic treatment, he proceeds to cut off part of the dental cavity, capturing the coronal region of the inflamed pulp. In this case, the whole process is necessarily accompanied by cleaning of the root canals. It is in them that the nerve and vascular bundles are located.
After depulping, the dentist proceeds to prepare the root canals for subsequent filling. To this end, he uses a variety of instruments to help partially level and clean the cavity from soft tissue remnants.
At the next stage, the doctor fills the root canals with composite material. At the same time, it is very important that no air bubbles form during the filling process. Otherwise, the patient will experience discomfort every time they eat.
Many doctors, as a safety net, install firsttemporary filling. If after 2-3 days the pain does not appear, it is replaced with a permanent one. In some private clinics, the procedure for fluoridation of tooth surfaces is practiced. It allows you to increase the strength of the enamel and serves as the final stage of manipulation.
Contraindications
There are a number of factors in the presence of which it is better to refuse the procedure. These include:
- leukemia;
- cardiovascular disease;
- hepatitis;
- pregnancy;
- hemorrhagic diathesis;
- stomatitis.
In these cases, tooth depulpation is considered inappropriate. The doctor must offer the patient alternative treatment options.
Possible Complications
The process of removing a nerve is quite difficult. Therefore, the doctor is required not only a high level of professionalism, but also the usual care. According to statistics, approximately 70% of patients annually experience poor-quality filling or incomplete removal of the pulp. As a result, inflammation develops in the tooth. The following symptoms can signal it:
- pain discomfort worse at night;
- pronounced tooth reaction to hot food;
- gum swelling;
- cheek swelling.
Teeth can hurt after depulpation. However, the natural healing process must be distinguished from the pathological one. In the first case, the pain is aching in nature. It can appear when biting on fruit orvegetables, because tissues need time to recover. To reduce discomfort, dentists often prescribe pain medications to patients.
If an active inflammatory process is already underway in the tooth, there is a high probability of a flux or cyst. To avoid such problems, when pain occurs, you should contact your dentist. The doctor will open the channels and refill them.
What other complications can result in tooth depulpation? Consequences of a negative nature, as a rule, are observed as a result of gross errors in the work of a specialist. Among them are:
- output of filling material;
- stuck tool fragment in cavity;
- perforation of the root walls.
You can reduce the risk of such complications if you seek help from a doctor with a positive reputation. The clinic itself plays an important role in this matter. Unfortunately, not all medical institutions have modern instruments for dental procedures.
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 500-1000 rubles. The doctor will be able to announce the exact figure at the first consultation after the examination.
Prevention measures
How can tooth depulpation be prevented? What is it, why this procedureneed - the answers to these questions are presented in our article. How to avoid it?
Removing the pulp always entails a decrease in the resistance of the enamel to external influences. It takes on a darker hue. A pulpless tooth gradually loses the function of natural protection. To prevent nerve removal, dentists recommend:
- avoid soft tissue pathologies;
- monitor oral hygiene;
- treat caries in a timely manner, giving preference to high-quality fillings.
Following these simple tips, you can always minimize the need to remove an inflamed tooth nerve.
