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Treatment & Management of Braces
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My son is 3.5 year old and having cavities in his teeth. I consult to local dentist. He suggested to do 3d scan of jaw. So we do the test. After checking the report doctor told to do root canal of 8 teeth. Four no of front and other 4 are rear tooth. So my worry is that, can we go for root canal treatment and there is no effect of this treatment on his permanent teeth later. Please suggest. There is no child specialist at my town.
Tooth loss is a challenge for both the patient and the dentist. Patient has to deal with reduced chewing efficiency and altered appearance. The dentist, on the contrary, is faced with restoring the lost tooth to the maximum natural extent possible, functionally and structurally.
The fixed dentures came close with their ability to providing fixed teeth that were stable and aesthetically appealing. However, there was one big disadvantage, the adjacent teeth that were being used as abutment were reduced in size and therefore strength though they could be perfectly normal teeth.
In an effort to avoid this, the dental community started looking at options, the result of which was implant. Not just replacing the crown part of the tooth, even the root portion of the tooth is replaced here.
A biocompatible material, titanium, is put into the tooth to serve as the root. Titanium is strong, light, biocompatible (does not cause autoimmune reactions in the surrounding tissues) and most importantly osseointegrated (fuses to the surrounding bone). Once placed as the root, it gets absorbed into the bone after a period of about 2 to 6 months. Then, a crown or a denture is literally built on this root to simulate the natural appearance as close as possible. This provides not just the complete natural tooth structure but also provides support to the surrounding tissues like the gums and the cheeks.
Implant dentistry is a perfect example of teamwork including surgeons to operate and place the bone, prosthodontists to do the crown or the bridge, a periodontist to manage the gums health, and a lab technician who can do the finest job on the crowns or the bridges.
Types of implants:
- Three common types include: Single tooth replacement: In cases where a single tooth is lost, the implant would be one root that is allowed to fuse to the bone and then a crown is placed over it.
- Fixed multiple teeth replacements: If more than one tooth is lost, then bridges are fabricated by placing one or more implants and then custom-made crowns are placed over these implants.
- Removable implant supported complete denture: If all the lower teeth are missing, implants could be placed at pre-identified locations and then a complete denture fabricated over it. This is commonly done in lower jaws as stability is always a cause for concern.
The success of the implant requires good bone health. The most common contraindications would be patients with chronic diseases like poorly controlled diabetes, cancer in the line of jaws, chronic smoking, or poor periodontal health.
However, if managed well, even these patients can have implants after a detailed assessment by the dental team.
I've been having mouth ulcers very often and having these burps right after I have got out of dengue in year 2012. These mouth ulcers are very painful than normal. I even got my liver tested but it was all good. Now I want to know if its something big.
I have some teething issue. Sometimes blood comes from my teeth. When I woke up in morning a saliva kind of comes from my mouth.
White patches in tobacco smokers or chewers are generally pre - cancerous. Quit tobacco and prevent cancer !
Root canal treatment is an effective procedure which is used to treat a tooth whose pulp has been infected. The treatment helps to remove the elimination and further protects the tooth from future microbial attacks. Root canals are physical hollows in a tooth which naturally consists of nerves, blood vessels and other cellular beings.
Learning about Root Canal Treatment-
Before one decides to go for root canal treatment, it is important to realize that this method is useful for preserving a dead tooth, not to save one. So, why does one keep the old tooth which is beyond repair? One can pull out the dead tooth and fill the gap with an implant along with an artificial tooth. However, the main reason for doing this is because it is much simpler than an implant. Even though the old tooth is dead, one can immensely benefit from keeping it as its structure will help you to chew food and talk properly.
In root canal therapy, the doctor cuts off the infected nerve tissue inside the tooth so as to prevent it from infecting the rest of the tooth. But there are consequences of root canal therapy as well. A root canal procedure makes the tooth brittle and much more fracture prone. This is because the inside of the tooth has been removed leaving the outside shell dry and brittle. This is why a root canal therapy often involves a second procedure called crown. A root canaled tooth needs to be protected because the tissue inside of it has been removed. Here comes the crown. The crown is a strong outer covering which is even stronger than the enamel which preserves the structure of the tooth thus preventing fractures.
Failure to undergo permanent restoration placement by the dentist after root canal treatment within next few weeks may result in failure of the root canal treatment due to decay, infection, tooth fracture and/or loss of the tooth structure.
Factors Determining the Success of Root Canal Treatment-
A root canal therapy is an attempt at saving the remains of your tooth. However, sometimes the damage is too much or the enamel is too brittle to withstand the procedure. These factors may cause the loss of a tooth.
Many factors contribute to the success of root canal treatment and not all factors can be determined in advance. Some of the factors are:
- individual resistance to infection.
- the size, shape and location of the canals.
A case may be more difficult if the tooth has blocked, curved, or narrow canals. The treatment may not relieve the symptoms and treatment can sometimes fail for unexplained reasons. If treatment fails, other procedures (including re-treatment or surgery) may be necessary to retain the tooth, or it may have to be extracted. During and after treatment, the patient may experience some pain or discomfort, swelling, bleeding and loosening of dental restorations and may also need antibiotics to treat any associated infections.
Another factor in this method is the development of an abscess near the root of the tooth if some of the infection remains back or if the antibiotics are not effective enough. Root canal instruments sometimes separate (break) inside the canal which may or may not effect the prognosis. If the separated fragment cannot be retrieved, it may be sealed inside the root canal, or require additional treatment in the future.
Failure to undergo permanent restoration placement by the dentist after root canal treatment within next few weeks may fail if the root canal treatment, decay, infection, tooth fracture and/or loss of the tooth.
The alternative techniques to root canal therapy include either no treatment or tooth extraction. Tooth extraction may be followed by any prosthetic replacement procedure like dental implants or a removable denture. One can also fix a partial denture which is commonly called a bridge in medical terms.
Conducting no treatments is often accompanied by factors like occasional pains, infection and a possibility of deterioration in the dental infection such that the tooth will no longer be restorable. If a massive loss of tooth structure occurs, then extraction may be the only option.
Taking all factors into consideration, root canal therapy is a very effective method for removing dental infection and is the best possible method in the field.