Diagnosis in endodontics with radiographic and tomographic analysis
The diagnosis in endodontics consists of evaluating the tissues that give nutrition and innervate the teeth, in some cases due to disease such as caries, or due to traumas in the mouth the teeth can be compromised responding most of the time with intense pain, although asymptomatic cases can also occur, which in the same way must be controlled since these cases can end up in the presence of dental abscesses. For this, various sensitivity tests, percussion, palpation, as well as radiographic and tomographic analysis are used.
Root canal treatment
In some situations the nerves of the tooth can be compromised and the tissue that gives it vitality can be affected, which is why it must be removed, with specialized instruments, called files (see the video of the files that are used in our practice), so that the affected tooth can be preserved by removing the infected tissue and placing a special sealing material, in the place where the dental pulp was located.
Root canal Retreatment
In spite of a correct disinfection of the canals of a tooth, these will never remain sterile and it can happen that the infectious process is given again or if the restorations that the tooth has, either resins or crowns, are presenting some type of filtration, it will lead to the contamination of some previous canal treatment and will require its re-treatment.
This surgical procedure is the last option to save a tooth that has presented problems after a root canal treatment or retreatment has been performed. And it consists of the amputation of the root or roots of a tooth that continues to generate discomfort or that is associated with a dental abscess.
Regenerative therapies with bioceramic materials in deep caries when there is a slight inflammation of the dental pulp
Some regenerative treatments such as bioceramics can allow the recovery of a tooth from deep caries only if the patient presents a slight painful symptom and the tooth is vital.
Regenerative therapies of revascularization in adolescent population
It is an alternative to root canal treatment in children with permanent teeth affected by deep caries and/or traumatised teeth that have not finished their root formation (the formation of the tooth’s root), known as revascularisation, in which the tooth can regain its innervation and nutritional tissue, despite the fact that its dental pulp has been irreversibly affected by caries or trauma. This treatment resorts to the different advances in regenerative medicine through research in dentoalveolar trauma, where it was observed that children with traumatized immature permanent teeth had greater possibilities of recovering their vitality and root formation than adults.
Treatment of Dentoalveolar Trauma
Trauma can be frequent in the school population, but can also occur in adults and generate different responses in the teeth, ranging from dental fracture to the root, such as the dislodging of a tooth out of the mouth associated with a strong impact. Each of these injuries requires a different approach to treatment.