The causes of toothache are many, the treatment of toothache can not be public, especially the toothache caused by pulpitis, it is really heartbreaking pain, pulpitis is commonly known as neuralgia, most of which is caused by caries to the dentin depths, bacteria through the dentin tubules, or by the gingival cavities through into the pulp cavity. Clinical manifestations are mainly severe toothache, especially at night.
Preoperative evaluation of root canal treatment for pulpitis
The preoperative evaluation includes the assessment of the affected tooth and the patient, including the selection of indications, contraindications, the patient's willingness to treat, the cost, and the patient's kindness index; as well as the assessment of the feasibility of the operator in relation to the affected tooth. These evaluations are used to prepare the patient for treatment.Medullary cavity preparationMedullary cavity preparation means that the decay must be removed before opening the pulp, and then change to another new needle to enter the pulp cavity, penetrate the pulp cavity and change to a high-speed ball drill to uncover the top of the entire pulp chamber bottom to be able to see the entire pulp chamber shall prevail, and then change to a cracking drill or emery needle to repair the pulp wall.
Root canal preparationRoot canal preparation is the use of special equipment and instruments, through mechanical and chemical methods, to remove the inflammatory contents of the root canal, in order to eliminate most of the infection in the root canal.
Root canal disinfection by physical and chemical methods
Thoroughly eliminate the residual infection in the canal after the disinfecting drugs are placed into the pulp chamber or root canal, it should be closed for 5-7 days to wait for its full effect, and then it can be carried out if there is no symptom at the time of the follow-up examination, if there is still a symptom at the time of the follow-up examination or if there is still a high amount of secretion in the root canal with the root canal, then
It is not suitable to fill the root canal, and it is necessary to carry out root canal disinfection to avoid the occurrence of an Inflammatory reaction after filling.Root canal fillingRoot canal filling refers to the filling and sealing of root canals with antiseptic drugs or materials to prevent infection from entering the periapical tissues from the root canal. The timing of filling should be when the patient has no self-conscious symptoms, no obvious knocking pain, no odor in the root canal, no oozing, no acute periapical inflammatory symptoms can be filled, do not have to wait until all the symptoms disappeared, and do not necessarily wait for the fistula to heal completely, repeated sealing of the drug is prone to cause more irritation to the periapical. This point should be noted.