Tag Archive for: root canal

Apexification Procedure

Apexification is the procedure needed when apexogenesis fails to restore the health of an injured, immature tooth.

The first part of the process includes removal of all tooth pulp tissue. A medication is placed in the apex to seal off the opening; the root is then filled back up with a hardening material and sealed off, and any damage to the crown is also restored. The pulp will never be restored, but the natural tooth is saved and light monitoring will ensure it stays healthy in your mouth.

Because the tooth is filled with synthetic material and has not yet been as strongly established as the other adult teeth will become, the tooth will be more susceptible to fractures later. But apexification treatment done properly and carefully will lessen this possibility.

Dr. Boyajian, West Los Angeles

www.dentalwellnessarts.com

Apexogenesis Procedure

Apexowhat?! Yes, this is definitely quite a new word to wrap our heads around. What can I say? It’s a two-for-one deal: learning a little bit about dentistry while simultaneously sharpening your vocabulary skills. How convenient, right?

Anyway, in the previous post, I introduced the concepts of apexogenesis and apexification. Apexogenesis will be briefly discussed in this post.

Apexogenesis is a procedure performed after an injury that helps a young adult tooth root to continue growing and the the pulp to heal correctly. Medication is used on the surrounding soft tissues to prevent infection and ensure proper recovery. If the procedure is successful, the apex (remember, the root’s tip which has a slight opening) continues to close as the tooth grows, and the root canal walls thicken. A successful operation also relieves the patient of any further endodontic treatment, provided the pulp heals completely and the tooth’s life is fully preserved.

If, however, the apexogenesis therapy did not prove to be successful, apexification may be required. Details coming!

Dr. Boyajian, West Los Angeles

www.dentalwellnessarts.com

Traumatic Dental Injuries: Children’s Cases

Dealing with injuries in children’s teeth is a little different than with grown adults; their incoming adult teeth have not fully come through and developed a strong, established root.

The apex, or tip of the root (way down/up in the gums), in a tooth that has not yet matured in a child’s mouth, has a far larger opening than a mature tooth. The reason why this opening is wider during the young stages is so that nutrients can more easily enter the tooth to help it develop strength and health as the child grows up. Compare it to an ice cream waffle cone, where the crown of the tooth is where the scoop of ice cream goes, and the apex is the pointy part at the bottom. If you were to bite a hole in the bottom of the cone, it would leave an opening… and ice cream would drip out.

Well, the anatomy of a tooth is similar. In a still-developing adult tooth, the hole is just much wider, and the walls of the root canal are thinner. As the child and his teeth mature, the apex opening grows smaller, the walls thicker, and the tooth becomes nice and sturdy.

If an injury were to occur to these young adult teeth, special care is needed if the health of the tooth is to be preserved to its full potential. One of two kinds of procedures may be needed: apexogenesis or apexification. I will cover these in future posts.

Dr. Boyajian, West Los Angeles

www.dentalwellnessarts.com

Traumatic Dental Injuries: Further Treatment

Besides fracturing immature adult teeth, the aforementioned dislodging or knocking out completely are some things that young people have to endure sometimes, unfortunately. However, modern dentistry has so much more to offer now than it ever did, thanks to science, technology and really, really smart people; so the level of treatment, restoration, or therapy only depends on the severity of damage done. The good news is that something can always be done.

If a young adult tooth were to be minorly dislodged (which means moved out of its natural position, remember?), extensive treatment may not even be necessary. The tooth may be only monitored over a period of time, possibly with minor adjustments made here and there, to ensure it continues to grow and develop normally. A tooth severely dislodged, surgery may have to be performed to restore stability and strength. In both of these cases, though, the tooth’s natural potential for strength will never be reached because of the injury, no matter what kind of treatment is performed.

If this immature tooth has been knocked out completely, if it can be put back into its socket and stabilized within one hour and watched closely by a dentist for a few weeks, chances are good that it can be saved. Changes in the tooth’s appearance and feeling will be monitored as well, and if any signs of decay or infection arise, then measures — particularly apexification — may have to be taken to keep it alive and well. If the tooth has been out for longer than an hour, it has probably dried out and must be filled with medication, put back into the socket, and re-stabilized as a “dead” tooth.

In either of those cases, the tooth is likely to not last as long as the others, in which case other options (say, an implant) will have to be discussed with the endodontist.

Dr. Boyajian, West Los Angeles

www.dentalwellnessarts.com

Traumatic Dental Injuries: Root Fractures

The definition of a root fracture is exactly that — a fractured root.

In the tooth, of course.

Root fractures are horizontal cracks near the root of your tooth, occurring beneath the gum line (therefore requiring x-rays to find… when telltale pain and wiggly teeth first bring you to the dentist). The location of the fracture in relation to the ends of the tooth, the tip of the root (the apex) or the tips of the crown (the visible chewing surface), determines the lasting strength and health left in the tooth. The closer the fracture is to the root tip, the better the chances of a successful healing are. But the closer the fracture is to the crown, chances are it will not successfully heal on its own. A splint is also designed for this type of injury, to be worn temporarily as the tooth heals (if, of course, the fracture is minor enough to be left alone). If the pulp inside the tooth is damaged, a root canal may be required to disinfect and seal off the problematic area.

Dr. Boyajian, West Los Angeles

www.dentalwellnessarts.com

Traumatic Dental Injuries: Avulsed Teeth

An avulsed tooth means it has fallen out — or been knocked out — completely. Even though it has been separated from your mouth, the tooth can still be saved if you act quickly. Try not to touch the root part of the tooth when you pick it up, and use only water to rinse it off if it is dirty. You must see a dentist immediately to try and put it back into its socket. Until that time, the more moist you can keep the tooth (i.e. by keeping it in a glass of water or milk with a pinch of salt), the better your chances will be of saving the tooth. Otherwise, if the tooth becomes infected or dies, an artificial tooth will probably have to replace it.

If, however, your dentist was able to salvage your real tooth and put it back into your socket, and design a splint to hold it in place for a while as it heals and re-stabilizes in your mouth. A root canal may be required to avoid or eliminate infection. The length of time the tooth was out of your mouth and the way the tooth was preserved will influence the decisions made on how your treatment will be carried out.

Dr. Boyajian, West Los Angeles

www.dentalwellnessarts.com

Traumatic Dental Injuries: Dislodged Teeth

To have a dislodged tooth means the tooth has been moved from its natural position. Either it may have been pushed further into its socket, in which case the tooth will look “shorter” than the rest around it; or it will have been pushed partially out of its socket, which means it will be hanging down further than the rest of your teeth. Both cases may cause extreme discomfort and pain, and a trip to the dentist or endodontist is required to reposition and re-stabilize the tooth. Depending on whether the tooth’s pulp is affected, a root canal may or may not be needed. The dentist will closely monitor the progress of the tooth’s healing and the recovery process until regularity is restored.

Dr. Boyajian, West Los Angeles

www.dentalwellnessarts.com

How Ozone Therapy Lessens Dental Pain

If you have been treated with ozone therapy before, possibly during your own root canal or periodontitis treatment, did you notice any difference in how painful the process was… or wasn’t?  Ozone actually contains pain-alleviating properties; so instead of a chemical sterilizer (which might cause additional pain to the procedure, or even spark an allergic reaction in the patient), ozone actually gives a slight soothing, clean feeling to the area because of its natural healing qualities. This makes ozone therapy ideal for treating painful afflictions such as canker sores, abscesses, and other disease/wounds. Quick healing ensues, which saves yet another need for prolonged painkiller use!

Dr. Boyajian, West Los Angeles

www.dentalwellnessarts.com

,

Dangers of Leaving Cavities Too Long

So what happens to cavities if you just leave them there? Well, cavities in their early stages cannot be felt by the person, but they can be spotted visually by the dentist. It’s a fairly uncomplicated fix at this point — a filling and regular cleanings to prevent further damage. But if the cavity has worn its way through to the dentin, the tooth is noticeably sensitive to heat, cold, or touch. At this point, a barrier must be laid over the damaged dentin, and then filling material to cover and seal the opening. If a cavity is yet still left untreated, the tooth’s nerve and pulp become infected and immense pain is experienced. A full root canal is required to clean out and seal off the tooth, along with reconstruction and reinforcement to rebuild the tooth’s strength, and a crown to replace the tooth loss.

Dr. Boyajian, West Los Angeles

www.dentalwellnessarts.com

Using Ozone in Root Canal Therapy

When a cavity becomes too deep and is a threat to the important life-giving pulp and living tissues for your tooth, a root canal is required. A drill is sent down the infected path of the tooth to make room for some filling. Then the infection is cleansed, blocked off, and repaired to preserve the health of the tooth.

During root canal procedures, it is extremely important to rid the whole area of the infectious germs, and to prevent other bacteria and germs from invading while the treatment is in process. Ozone is a great assistance here, as it is an easy and harmless way to aid the success of the therapy.

Dr. Boyajian, West Los Angeles

www.dentalwellnessarts.com