Why Root Canals Fail

A root canal can fail due to several factors, which can range from the complexity of the tooth's anatomy to a poor procedure by the professional. It should be noted that endodontics is a treatment with a high percentage of success but it is not exempt from failures.

We invite you to our English-only dental publishing groups

🎯 WhatsApp Group All Odontology
🎯 Telegram Group All Odontology
🎯 Facebook Group All Odontology

The dentist must talk with the patient explaining what the conditions are in his tooth, and take all precautions to achieve the success of the treatment.

Advertisement

There are procedures that are performed in the event of a failure in the canal treatment, such as apicoectomy. Tooth extraction is the last resort to take.

RECOMMENDED VIDEO
Risk of gum disease for smokers

You may also like :
► The Importance of Dental Health During Cancer Treatment
► How to Wear Your Rubber Bands
► What is tooth sensitivity?

Source: Youtube/ renew Advanced General Dentistry

Pulpotomy Medicaments used in Deciduous Dentition: An Update

The aim of this paper was to review the history and the scientific literature published on pulpotomy medicaments and to present the findings of these studies.

We invite you to our English-only dental publishing groups

🎯 WhatsApp Group All Odontology
🎯 Telegram Group All Odontology
🎯 Facebook Group All Odontology

The review showed that pulpotomy of primary teeth has been treated with many different techniques and medicaments, that some of these approaches are controversial and that their results have presented variables of success rates in term of clinical, radiographic and histologic observation.

Advertisement

It is important that all clinicians, particularly for pediatric dentists, be up to date with the recent trends in this area of dental treatment for children. Vital pulpotomy is the clinical treatment of choice for primary teeth with exposed pulp. Pulpotomy can be defined as the surgical removal or amputation of the coronal pulp of the vital tooth.

RECOMMENDED VIDEO
What is Trismus and what causes it?

This step is generally followed by the placement of a particular medicament over the intact stump to fix, mummify or stimulate repair of the remaining radicular pulp.



Souce / Author: Al-Dlaigan YH. Pulpotomy Medicaments used in Deciduous Dentition: An Update. J Contemp Dent Pract 2015;16(6):486-503.

You may also like :
► Diagnosis of temporomandibular joint (TMJ) ankylosis in children
► Technique for Primary Molar Tooth Pulpotomy
► What are the symptoms of clenched teeth and how can we fix it?

Technique for Primary Molar Tooth Pulpotomy

Pulpotomy is a treatment performed on deciduous teeth, when caries has generated an infection that compromises the dental pulp and the integrity of the tooth.

We invite you to our English-only dental publishing groups

🎯 WhatsApp Group All Odontology
🎯 Telegram Group All Odontology
🎯 Facebook Group All Odontology

The treatment of dental pulp is not only carried out when there is caries, it is also carried out when the tooth is blown. Pulpotomy is one of the most frequent procedures performed in dental practice.

Advertisement


In pulpotomy, the dental pulp must be partially removed, this treatment is performed under local anesthesia. We invite you to watch this video where the procedure of a pulpotomy is exposed.

RECOMMENDED VIDEO
What You Should Know About Pericoronitis

You may also like :
► The causes and treatment of Dental Hypersensitivity
► Reimplantation of avulsed dry permanent teeth after three days: A report of two cases
► What is a Dental Bridge?

Source: Youtube/ Dundee Dental School

PULPECTOMY procedures in primary molar teeth

Premature loss of primary molars can cause a number of undesirable consequences including loss of arch length, insufficient space for erupting premolars and mesial tipping of the permanent molars.

We invite you to our English-only dental publishing groups

🎯 WhatsApp Group All Odontology
🎯 Telegram Group All Odontology
🎯 Facebook Group All Odontology

Pulpectomy of primary molar teeth is considered as a reasonable treatment approach to ensure either normal shedding or a long-term survival in instances of retention.

Advertisement

Despite being a more conservative treatment option than extraction, efficient pulpectomy of bizarre and tortuous root canals encased in roots programmed for physiologic resorption that show close proximity to developing permanent tooth buds presents a critical endodontic challenge. This article aims to provide an overview of this treatment approach, including partial and total pulpectomy, in primary molar teeth.

RECOMMENDED VIDEO
Effects of tobacco on the oral cavity: Nicotine Stomatitis

In addition, the recommended guidelines that should be followed, and the current updates that have been developed, while commencing total pulpectomy in primary molars are discussed.



° Ahmed, Hany. (2014). Pulpectomy procedures in primary molar teeth. European Journal of General Dentistry. 3. 3-10. 10.4103/2278-9626.126201.

You may also like :
► What Does Your Tongue Say About Your State Of Health?
► What are the consequences of a tooth extraction?
► ORAL MEDICINE: What are tonsil stones?

An update on primary teeth pulpotomy medicaments

The aim of this paper was to review the history and the scientific literature published on pulpotomy medicaments and to present the findings of these studies.

We invite you to our English-only dental publishing groups

🎯 WhatsApp Group All Odontology
🎯 Telegram Group All Odontology
🎯 Facebook Group All Odontology

The review showed that pulpotomy of primary teeth has been treated with many different techniques and medicaments, that some of these approaches are controversial and that their results have presented variables of success rates in term of clinical, radiographic and histologic observation.

Enlaces Patrocinados

It is important that all clinicians, particularly for pediatric dentist, be up to date with the recetn trends in this area of dental treatment for children.

RECOMMENDED VIDEO
Pain Post–Root Canal. What should i do?

Vital pulpotomy is the clinical treatment of choice for primary teeth with exposed pulp. Pulpotomy can be defined as the surgical removal or amputation of the coronal pulp of the vital tooth.



Souce: The Journal of Contemporary Dental Practice
Author: Yousef H Al-Dlaigan

You may also like :
► Reimplantation of avulsed dry permanent teeth after three days: A report of two cases
► The causes and treatment of Dental Hypersensitivity
► What Exactly is a Smile Design?

Management of Endodontic Emergencies: Pulpotomy Versus Pulpectomy

Recent studies report a 60-82% incidence of endodontic emergencies among all dental emergencies. Within this group, 20-42% of patients seek care for teeth with symptomatic irreversible pulpitis (SIP).

We invite you to our English-only dental publishing groups

🎯 WhatsApp Group All Odontology
🎯 Telegram Group All Odontology
🎯 Facebook Group All Odontology

Additionally, about 60% of SIP patients also complain of symptomatic apical periodontitis (SAP). While pain due to a severely inflamed pulp is characterized by dull, throbbing and lingering pain sensations, it can be spontaneous or in response to an external stimulus, such as hot, cold or chewing.

Advertisement

This makes SIP the bulk of the emergency cases seen in dental clinics. The goal of management of endodontic emergencies is to quickly and effectively manage pain and infections thereby also minimizing the development of persistent pain and the formation of periapical pathology.

RECOMMENDED VIDEO
Pain Post–Root Canal. What should i do?

Pharmacological management such as intramuscular or infiltration injection of ketorolac trimethamine (injectable NSAID) can significantly attenuate pain in patients with moderate to severe pulpal pain over a three-hour tested time or oral administration of ibuprofen sodium dihydrate over a one-hour time period.



Souce: aae.org / American Association of Endodontists (AAE)

You may also like :
► How to identify the early signs of oral cancer
► How to handle dental trauma?
► COVID 19: Children with asthma are at risk?

What is pulp therapy? What are the pulp therapies in children?

A good diagnosis of pulp status ensures a successful result of pulp therapy. The pediatric dentist will evaluate all the signs and symptoms that the patient refers, which together with an x-ray will determine the best treatment.

We invite you to our English-only dental publishing groups

🎯 WhatsApp Group All Odontology
🎯 Telegram Group All Odontology
🎯 Facebook Group All Odontology

Pulpotomy and pulpectomy are two of the most used procedures in the dental office. The objective of both treatments is to keep the primary tooth in the mouth and thus the patient does not lose functions such as chewing.


We share with you a video where he explains and defines what pulp therapies are for primary teeth and how they are performed.

RECOMMENDED VIDEO
What is the difference between pulpotomy and pulpectomy?

You may also like :
► Pain Post–Root Canal. What should i do?
► Signs and symptoms of TMJ disorders
► How to identify the early signs of oral cancer

Source: Youtube/ UCLAPedsDent