DEFINITION

There are the treatment of a definitive tooth which root or roots have not formed completely and that it presents necrosis of the textile pulpar, with the target to achieve that the formation ends radicular and to obtain a ceiling to realize later the endodoncia of the tooth.

SYMPTOMS

The tooth becomes discolored, being darkened, or pain appears before cold and warm stimuli in a tooth with caries. The precedent of a traumatism can exist on the tooth or the achievement of a restoration of the one that the tooth does not recover. Frequently it does not hurt and the injury cariosa has already affected to the pulp of an irreversible way. In many cases the diagnosis is radiological and by chance.

SKILL

A previous history and exploration, along with a suitable position of the patient and of the professional, the use of a correct skill and a few measurements of asepsis are essential norms for the achievement of an endodoncia. In all the cases it is necessary to realize a previous radiography.

First of all the precise anesthesia is restored and there is realized the preparation of the operative field and the isolation. The minor possible dental opening is realized to make the channel exposed radicular and the damaged pulp. It extracts the textile to itself pulpar and is cleaned and expands the channel radicular with the suitable set of instruments and material. Later there is placed a pasta of hydroxide of calcium, which renews at the age of 2-3 weeks, and later every 3 months. When the closing is obtained apical there is plugged the conduit of definitive form of a conventional way. This way the tooth is prepared to be restored. The treated teeth like that can need the laying of a crown with esthetic and functional ends.

COMPLICATIONS

The time necessary for the closing apical can range between 9 and 18 months or even more, especially when it is realized in adult teeth. In spite of realizing a correct apicoformación, the treatment can fail since it is a therapy in which multiple factors intervene, some impossible of controlling.

WHAT DOCTOR CAN TREAT ME?

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