Tooth devitalization Castel Maggiore, Bologna.
Tooth devitalization is a surgical treatment that must be performed properly by an endodontist, in a dental office, and only in specific cases.
When a tooth gives great discomfort, this procedure is used to eliminate pain and other unpleasant consequences attributable to the nerve.
Problems with hot or cold substances or continuous pulsations throughout the day and night are good reasons to see a dentist specializing in endodontics.
Let’s start by saying that an endodontist (sometimes incorrectly referred to as an endodontist) is the dental practitioner trained in endodontics, which is the medical science that studies everything inside the tooth (called the endodontium): the dental pulp formed by tissues, vessels, and nerves.
It is clear that treatments concerning everything inside the tooth, such as devitalization, must be performed by an endodontic dentist.
There are several reasons that lead to the compelling need for the intervention of a dentist who can soothe a deep pain resulting from the nerve in the tooth, but one must know how to recognize the symptoms before scheduling an appointment with an endodontist in Bologna.Subsequently, leading to a noticeable darkening of the smile or the formation of stains and imperfections, then, bleaching can become truly essential to regain a fresh, youthful appearance.
When is it necessary to devitalize a tooth?
It is really necessary to devitalize a tooth when decay has gone into the deep layers, when trauma has caused major injuries with excruciating and continuous pain (so-called pulpitis), when granulomas are present (damage on the top that is analyzed through an X-ray).
In these cases, the dentist evaluates devitalization to avoid tooth extraction. This surgery is done on an outpatient basis, with local anesthesia, and usually effectively solves the major problems that dental pulp can give.
How a tooth devitalization is done
Resorting to endodontics in Bologna becomes the only way to find relief when you have pathology attributable to the tooth nerve.
As mentioned above, the procedure is outpatient and involves local anesthesia, but this can sometimes be difficult because heavily inflamed tissues may react weakly to the anesthetic. Of course, the dentist’s first goal is not to make the patient whose tooth is to be devitalized feel pain, so in these particular cases nitrous oxide is used, which causes conscious sedation of the person.
Once all possibility of pain has been removed from the patient, the endodontist then isolates with a rubber dam the area on which he or she will subsequently operate. The inner part of the tooth (pulp chamber) where the nerve is present is then reached and the root canals are identified. A microscope is often used to clearly locate the smaller canals, which can be as many as four or five in a molar.
Next comes the stage where the bacteria must be eradicated. This step is done with rotary instruments, as well as hand instruments provided by the dentist, and involves removal of infected tissue as well as disinfection of the entire inflamed area.
Removal of the infected material inherent in the nerve is technically called denervation.
To erase all traces there bacteria, lasers are often used along with disinfectants and ultrasonic instrumentation. Commonly used are EDTA (ethylenediaminetetraacetic acid) and 5 percent sodium hypochlorite, substances that can eliminate deep-lurking bacteria and inorganic elements present in the channels.
This synergistic work results in excellent decontamination of the inner tooth tissues.
The result is a perfect devitalization.
Another key step is root canal obturation. Cones of rubbery material called gutta-percha and special cements are used to create an effective barrier. At the end of this operation, an X-ray is taken to verify that the inserted material has reached all the way to the top of the tooth. Reconstruction of the tooth sometimes may require the insertion of posts to increase its strength and the application of a ceramic crown to have a better aesthetic and functional result over time.
Tooth to be devitalized: pain and other discomforts avoided today
Another type of inconvenience inherent in tooth devitalization was until not too many years ago the need for multiple sessions, sometimes as many as four, which is now drastically reduced to only one.
Devitalization surgery can take from 1 to 3 hours depending on the difficulty due to the different characteristics of the teeth and the degree of advancement of the pathology.
This streamlining of procedures has been achieved through innovations in dentistry, such as the use of the operating microscope, which now allows for targeted and highly effective intervention in root canals. The evolution of dental lasers has also been a huge step forward that now allows for highly accurate decontaminations.
Precision and the use of state-of-the-art instruments are factors in eliminating pain and minimizing the possibility of complications.
Limited localized pain may occur in the days immediately following treatment, which can be soothed through common painkillers prescribed by the dentist.
If the treated tooth after some time reoccurs with symptoms such as pain during chewing and contact with hot substances, the dentist provides a radiological examination by which he checks for the presence of granulomas and, therefore, a still present infection.
In this case, disinfection is repeated by going to the channels attacked by the bacteria. The previously inserted filling material is removed, the area cleansed, and the tooth closed again.
The intraoral scanner in the state-of-the-art dental office
Our medical center employs highly experienced dentists who are always available to indicate the most suitable treatments for your case. If you believe you need a tooth devitalization or experience symptoms similar to those described in the previous paragraphs, please do not hesitate to get in touch with us at AIRAM.
Our professionals will visit you, explain what is the best treatment for your tooth, and inform you about the cost of devitalization.
There is no reason to continue to endure the pain, contact us to schedule an appointment.
