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8/3/2019 En Do Don Tics

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EndodonticsEndodontics


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EndoEndo is the Greek word foris the Greek word for

insideinside andand odontodont is Greekis Greek

forfor tooth.tooth. EndodonticEndodontic

treatment treats the inside of thetreatment treats the inside of the

tooth.tooth.


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Endodontics is the branch ofEndodontics is the branch of

dentistry that deals with diseasesdentistry that deals with diseasesof the tooth root , dental pulpof the tooth root , dental pulp

and the surrounding tissueand the surrounding tissue


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The dental pulpThe dental pulp

The pulp is the soft tissue that contains nerves,The pulp is the soft tissue that contains nerves,blood vessels and connective tissue. It liesblood vessels and connective tissue. It lies

within the tooth and extends from the crown ofwithin the tooth and extends from the crown of

the tooth to the tip of the root in the bone ofthe tooth to the tip of the root in the bone of

the jawsthe jaws


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An abscessed (infected) tooth caused by tooth decay.An abscessed (infected) tooth caused by tooth decay.When the pulp is diseased or injured and can'tWhen the pulp is diseased or injured and can't

repair itself, it dies. The most common cause of pulprepair itself, it dies. The most common cause of pulp

death is a cracked tooth or a deep cavity. Both ofdeath is a cracked tooth or a deep cavity. Both of

these problems can let germs (bacteria) enter thethese problems can let germs (bacteria) enter thepulp. Germs can cause an infection inside the tooth.pulp. Germs can cause an infection inside the tooth.

Left without treatment, pus builds up at the root tip,Left without treatment, pus builds up at the root tip,

in the jawbone, forming a "pusin the jawbone, forming a "pus--pocket" called anpocket" called an

abscess.An abscess can cause damage to the boneabscess.An abscess can cause damage to the bone

around the teetharound the teeth


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When the infected pulp is notWhen the infected pulp is not

removed, pain and swelling canremoved, pain and swelling can

result. Certain byproducts of theresult. Certain byproducts of theinfection can injure the jawinfection can injure the jaw

bones. Without treatment, thebones. Without treatment, the

tooth may have to be removed.tooth may have to be removed.


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Signs to look for include pain,Signs to look for include pain,

prolonged sensitivity to heat or cold,prolonged sensitivity to heat or cold,tenderness to touch and chewing,tenderness to touch and chewing,

discoloration of the tooth, anddiscoloration of the tooth, and

swelling, drainage and tenderness inswelling, drainage and tenderness in

the lymph nodes as well as nearbythe lymph nodes as well as nearby

bone and gingival tissues.bone and gingival tissues.Sometimes, however, there are noSometimes, however, there are no

symptoms.symptoms.


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Endodontic TechniquesEndodontic Techniques

1.1. First, an opening is made through the crown of the tooth.First, an opening is made through the crown of the tooth.

2.2. An opening is made through the crown of the tooth into the pulp chamber.An opening is made through the crown of the tooth into the pulp chamber.

3.3. The pulp is then removed. The root canals is cleaned and shaped to a formThe pulp is then removed. The root canals is cleaned and shaped to a formthat can be filled.that can be filled.

4.4. The pulp is removed, and the root canals are cleaned, enlarged and shaped.The pulp is removed, and the root canals are cleaned, enlarged and shaped.

5.5. Medications may be put in the pulp chamber and root canals to help get ridMedications may be put in the pulp chamber and root canals to help get ridof germs and prevent infection.of germs and prevent infection.

6.6. A temporary filling will be placed in the crown opening to protect the toothA temporary filling will be placed in the crown opening to protect the toothbetween dental visits. Dentist may leave the tooth open for a few days tobetween dental visits. Dentist may leave the tooth open for a few days todrain. You might also be given medicine to help control infection that maydrain. You might also be given medicine to help control infection that mayhave spread beyond the tooth.have spread beyond the tooth.

7.7. The pulp chamber and root canals are filled and sealed.The pulp chamber and root canals are filled and sealed.

8.8. The temporary filling is removed and the pulp chamber and root canals areThe temporary filling is removed and the pulp chamber and root canals arecleaned and filled.cleaned and filled.

9.9. In the final step, a gold or porcelain crown is usually placed over the tooth.In the final step, a gold or porcelain crown is usually placed over the tooth.

10.10. The crown of the tooth is then restoredThe crown of the tooth is then restored


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The Goals of Root Canal TreatmentThe Goals of Root Canal Treatment

As an alternative to an extraction, the goals ofAs an alternative to an extraction, the goals of

root canal treatment are to save the tooth androot canal treatment are to save the tooth and

allow it to be retained in the mouth for manyallow it to be retained in the mouth for many

years in a state of health, function, andyears in a state of health, function, and

comfort. Root canal treatment is directedcomfort. Root canal treatment is directed

towards removing diseased tissue from thetowards removing diseased tissue from the

inside of the tooth and subsequently filling andinside of the tooth and subsequently filling andsealing the root canal space in order tosealing the root canal space in order to

minimize the possibility of future reminimize the possibility of future re--infectioninfection


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Pulpectomy is the completePulpectomy is the complete

removal of the pulp of a toothremoval of the pulp of a tooth


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Pulpotomy is the removal of aPulpotomy is the removal of a

portion of the pulp of a toothportion of the pulp of a tooth

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