Pulpitis - symptoms and treatment, how to remove nerve in the tooth

Pulpitis: symptoms and treatment, nerve removal in the teeth

From this article you will learn:

  • Methods for the treatment of pulpitis in dentistry,
  • How to remove the nerve from the tooth - video, stages of therapy,
  • Is it painful to remove the nerve from the tooth.

Pulpitis is the inflammation of a vascular-nerve beam located inside the tooth, which in dentistry is called the term "pulp tooth". The vascular-nerve bundle is located in the center of the tooth (in the cavity that dentists is called a pulp chamber), as well as in the root canals. Through the tops of the root canals of the vessels and the nerves of the pulp are anastomosed with vessels and nerves outside the tooth. The name of such a disease as a pulpit - originated from the combination of the word "pulp" and the end of "IT" (the latter indicates the presence of inflammation).

In the article dedicated to the reasons for the development of a pulp (you can familiarize yourself with them on the link above) - we have already written that the main of the cause is a long-term existing caries of the tooth. As a result of the carious process in solid tooth tissues, the carious cavity is forming, the walls of which contain a large amount of infection. When the thickness of the healthy tissues of the tooth separating the pulp from the carious cavity will become thin - the infection will begin to penetrate the inside of the tooth cavity, causing inflammation of the pulp.

Inflammation of the pulp gives characteristic symptoms - pain. In most cases, treatment will require the removal of the inflamed pulp from the cavity of the tooth and root canals, but in some cases conservative therapy is possible. The latter is possible only in the early stages of inflammation and in certain groups of patients (we will also tell about this below).

Symptoms of a pulpitus -

Pain with Pulpite.The pain in the pulp can be of varying degrees of severity - from insignificant pain, which is provoked by thermal stimuli, and to sharp parodious spontaneous pains, from which you want to climb on the wall. Given the difference in symptoms, it is customary to allocate 2 forms of this disease. Below we described - which symptoms will have a pulpit and treatment in each of these cases.

  • Acute shape of the pulp   - This form is characterized by sharp parotid pains that arise especially at night. It is characteristic that the pain is growing, while the flavors are becoming very shorter. As a rule, pain occurs spontaneously, i.e. without participation, for example, thermal stimuli. However, in some cases, it can be provoked by cold or hot water in some cases. When the pulpit, it is characteristic that after eliminating the stimulus, the pain is saved for about 10-15 minutes (this makes it possible to distinguish the pain in the pulp - from pain with deep caries).

    In the last, the pain is stopped immediately after the exposure of the irritant. Very often, patients can not even indicate - which tooth is hurting, which is associated with the irradiation of pain on nervous trunks. Pains are growing due to the gradual transition of inflammation from the serous - to purulent. In the development of purulent inflammation in the pulp of pain become pulsating, shooting, and the habarial gaps almost completely disappear.

  • Chronic form of pulpita   - In this form, inflammation is unbearable. Patients usually complain about small-scale pains that occur most often from the effects of thermal and cold stimuli. Sometimes, by the way, there may be no pain in the form of pain. Keep in mind that the chronic shape of the pulpage can periodically sharpen, and during periods of exacerbation of inflammation - the symptoms will be exactly the same as during acute form.

Treatment of pulpitus: Methods

Treatment of the pulp is most often carried out with the help of the depugtation of the tooth. This method involves the complete removal of the nerve in the tooth, after which the doctor mechanically expands and then seals the root channels. In patients of young age (subject to appeal at an early stage of inflammation) it is possible to treat with the preservation of the living pulp of the tooth.

Of course, it is best to leave the nerve alive, because the depugd teeth become more fragile, and also change their color to more gray. However, in most cases, the use of the biological methodology for the treatment of the pulpitis is impossible, because Patients extremely rarely appeal at the very beginning of the pulp inflammation (with just the first symptoms that have occurred). Also, a decisive role in the choice of this method also plays age - this method is shown to use only people under 25-27 years old.

Below we will describe in detail about the traditional treatment of the pulp (about the conservative method, read the link above). By the way according to official statistics - the treatment of pulpitis is carried out poor quality in 60-70% of cases, which requires subsequent thug. It is connected with poor-quality filling of root canals.

How to remove the nerve from the tooth - video, stages

The removal of the nerve of the tooth is a classic method of treating pulpitis. Its essence is to hold the following steps -

  • drill all the fabrics affected by caries (Fig.2),
  • Removing the pulp of the tooth (carried out using a special tool),
  • Mechanical channel expansion (Fig.3),
  • Silvering tooth root channels (Fig. 4),
  • Cube crown seal sealing (Fig. 5).

Treatment of pulpitis: tooth depugting stages

 Source Situation: Deep Carious Caution, Pulp Inflammation  Drilling all the fabrics affected by caries and removal of pulp  Root channel mechanical processing

Guttaughter root canal seal   Restoration of the crown of the tooth with sealing material

Below in more detail each step of treatment of the pulpitis, perhaps this information will help you to identify a sorrow dentist, and prevent poor-quality treatment and its complications.

Treatment of pulpitis: video removal of the nerve from the tooth

On video 1 it is clearly seen how the pulp is removed (time is 1 minute 5 seconds), on video 2 - how to carry out mechanical processing of channels with a special endodontic tip, and then seal them.


Algorithm for the treatment of pulpitis on a concrete example -

If you have a pulpit - the treatment of a single-corpulent tooth with one channel is usually carried out in two visits (a constant seal is already installed in the second visit). In multi-corneous teeth, which have a significantly larger number of channels (from 2 to 4) - the treatment of pulpitis is carried out in 3 visits.

It is categorical to the rule - a constant seal to the tooth is not put in one visit with the filling of root canals, i.e. Sealing material in the root canals should first harden (evaporate moisture). Only after that you can put a constant seal. But to save time, some dentists neglect by this. Below we consider the algorithm for the treatment of pulpitus of a multichannel tooth in three visits.

First visit:

1. Anesthesia or is it painful to remove the nerve from the tooth -

As far as it hurts the pulpit: it is certainly very painful if you decide to do it without anesthesia. Fortunately, modern anesthetics make it possible to fully solve this problem. If after anesthesia you will still hurt, then this may be associated with not enough anesthetic, or the incorrect technique of anesthesia. The latter usually happens when the doctor tries to anesthetize large indigenous teeth on the lower jaw (there is a complicated mandibular anesthesia technique).

An example of anesthesia (video) -

2. Reversing all carious fabrics Bormachina -

Firstly - at this stage all carious tissues are removed. Secondly, healthy tooth fabrics are partially removed, namely all the tissue of the tooth over the pulp chamber and the mouths of the root canals. It is necessary that it is necessary to ensure the visualization of the mouth of the root canals and the convenience of their processing tools. In fig. 6-7, you can see the boundaries of the excision of solid tooth tissues in the treatment of pulpitis. Fig. 8 is a view of the mouth of the root channels after they were drilled in the required volume of tissue tissue.

The borders of the tooth tissue preparation when pulpitis (marked dotted line)  Type of tooth after the end of the preparation: the pulp chamber is opened, the mouths of the root canals are naked  View of the mouth of the root canals

3. Tooth insulation from saliva -

This is done with the help of cofferdam. Insulation is needed that in the root channels together with saliva did not get an infection from the oral cavity. This is a standard international practice, but in Russia Cofferds can more often see only when the doctor seals the tooth.

4. Removal of pulp from the core of the tooth and root canals -

Remote tooth pulp using a pulpcasterIt is conducted by special tools designed to work in the channels. In Fig. 9 you can see the pulp tooth wound on such a tool. By the way, in the video 1, which we placed above - the process of removing the pulp is shown.

5. Measurement of the length of the root canals in the tooth -

This is one of the most important stages, because If the length of each channel is defined incorrectly, it will cause it -

  • or non-oscillation of the channels, which will lead to complications at the end of treatment,
  • either interpretation of channels, which can lead to long-term pains and the injury of the mandibular nerve.

The measurement of the length of the channels is performed ideally when combining the X-ray method and the use of the "Apekslokator". In this case, first to each root channel are in turn, special tools are introduced to-files (Fig. 10), which, with a thin electrode, are attached to the apekslocator (Fig.12). Q-files are gradually promoting the root channel incur until the ageckel will not be a signal on the tool screen reached the tooth root top.

Tool (Q-File), which is used to determine the length of the root canal on the X-ray  View to-file (specified by the arrow) in the root canal of the tooth  Apeckecral to determine the length of the root canals (explanation in the text)

It is necessary to take turns to measure each channel, because The length of each channel is unique and accurate standards does not exist. After the measurements are completed, and the data are recorded - to all channels are inserted to-files (each to its depth), and the control x-ray is made (Fig. 11). Apexlocator is sometimes mistaken, so it will be seen on an x-ray as far as the channel length was measured and whether the adjustment is not necessary.

6. Mechanical Channel Processing -

Usually handed over with manual files (to files or rimers). In Fig. 13 you can see a to-file in the root canal. Dentist with finger tips rotates this tool for the handle, and the cutting faces of the tool are excised from the walls of the channel chips, expanding it. The goal of mechanical processing is to expand the channel so that then it can be highly polled.

Root channel toolMechanical processing of each channel is carried out at a depth defined at the previous stage. This is necessary so that each root canal is polished exactly at the top of the root. It is very important in the process of expansion to constantly rinse the channels by antiseptics, which is necessary for disinfection, but first of all - to flush the chips from the channel (24stoma.ru).

7. Putting a temporary seal -

After washing and drying the channels from excess moisture - there are tours, impregnated with antiseptic, and a temporary seal is superimposed onto the tooth. The cost of treatment is calculated, based on the number of root canals in the tooth.


Second visit:

By the way, seal the root canals are preferable without anesthesia, but it is optional. This is due to the fact that if there is a small soreness when filling channels, the doctor immediately understands that he brought the gutta-perfic pin already for the top of the root. Accordingly, the doctor can change the sealing depth on time.

At the end of the visit there is a temporary seal, and the patient warn that the tooth can begin to hurt after passing anesthesia. Help relieve pain will help good tableted analgesics. A small pain is the norm, because When instrumental work in the channels, the k-files are a bit injured fabrics in the root top area.

Third visit:

This visit is entirely devoted to the formulation of a constant light-grade seal. We have already said that in no case can no filling of the tooth crown in the also visiting that the root canal seals. First, the contents in the root canals should "grab" and harden. Only after that you can engage in the restoration of the crown of the tooth. But many doctors save their time and violate the rules of treatment.

Removing the nerve of the tooth: the consequences

If the nerve of the tooth is removed - the consequences arise during the first few months. Firstly, the tooth becomes a bit more fragile. This is due to the fact that blood vessels are also removed from the tooth, which leads to the disappearance of "moisturizing tooth tissues from the inside."

Secondly, the depugded teeth change their color slightly. They become more gray, losing a little shine, i.e. Enamel becomes more dull. But there are cases when after removing the nerve, the teeth acquire a shiny color. It is unnatural, and is associated with rude errors of the dentist when filling root canals. In particular, this occurs when at the time of making a sealing material in the root channel - there is blood (which should not be categorically).

Is it possible to cure the pulpit antibiotics -

Separately, I want to say about the treatment of pulpitis with antibiotics, homeopathy and means such as grass, rinsing. Pulpitis is the next stage of the development of caries. It develops as a result of entering carieselogenic microorganisms from the carious cavity - into the pulp of the tooth. Caries is an irreversible process - as soon as the tooth defect arises, it is impossible to cure it other than the removal of rotten carious fabrics. Therefore, all the fabric affected by caries is dried out of the tooth, and then the defect is seized.

Studies have shown that the cariesogenic microflora is very resistant to any antibiotics. For example, insensitivity to ampicillin reaches 99.99%, and the lincomycin is insensitive about 95% of the cariesogenic microflora. What then to speak in this case about herbs and rims ... Therefore, herbs, bullshit and rinsing will not be able to cure the pulpit, but even slow down its development. We hope that our article on the topic: Pulpitis symptoms and treatment - it turned out to be useful to you!

Sources :

1. Higher Prof. the formation of the author on therapeutic dentistry, 2. Based on the personal experience of the work by a dentist, 3. National Library of Medicine (USA), 4. "Therapeutic dentistry: textbook" (Borovsky E.), 5. "Practical therapeutic dentistry" (Nikolaev A.).

Bases to remove the dental nerve

The most common diagnosis that gives a dentist reason to make a decision on depulpure (dental nerve removal) is a caries in the running stage. On the dental enamel, damaged by the distribution of carious microorganisms, is broken down by the nerve, as a result of which any impact on the tooth becomes not just sensitive, but also extremely painful. The only alternative to implantation is the removal of the pulp: complete or partial - depending on the degree of its damage.

What is a pulp?

A pulp, or a dental nerve, is a bundle of nerve endings and capillaries in the inner cavity of the tooth. It is protected from external stimuli and infection with a cloth, which is in the root and in the crown.

After the removal of the nerve, the blood supply and mineralization of the tooth is significantly worse. In addition, its sensitivity decreases, the enamel fades and weakens. In other words, depugnation has a negative effect on the structure and strength of the tooth, but it makes it possible to save it.

Indications for the procedure:

  • Nerva lamination as a result of injury to the tooth and damage to the crown;
  • the consequences of improper treatment of teeth;
  • the presence of fabrics affected by caries;
  • Preparing for prosthetics;
  • chronic inflammation of the pulp (pulpit);
  • inflammation of the root shell of the tooth (periodontitis);
  • Low location of crowns;
  • Extensive pulp area;
  • Bactericidal tooth root lesion.

How do dental nerve remove?

The procedure is carried out in several stages:

  • Radiography. It allows you to determine the vitality of the pulp, the length of the channel and the structure of the branchings that must be seal.
  • Anesthesia. Maybe local and general - depending on the testimony and preferences of the patient. And in that, in another case, the depug process is absolutely painless. General anesthesia is usually used in the treatment of children and people suffering from true denotofobia.
  • Tooth isolated. To prevent from entering saliva bacteria and in parallel to facilitate the work of the doctor, install the latex film (cofferdam).
  • Removal of the dental nerve. Due to the excision of damaged by caries, tissues provide access to the pulp, after which they open it with the camera and form straight sheer walls. The pulp is pulled by a pulp-expert. The removal process is not very long. In modern dentistry, special files are more often used, with which the channel is expanded and the desired part of the pulp is neatly cut off without disturbing zones that are sensitive to endodontic treatment.
  • Installing a temporary seal (it must be replaced by a maximum after 7 days).
  • Control radiography.
  • Staging a constant seal.

Why is it not necessary to remove the nerve to install the crowns?

The need to remove the nerve occurs primarily when the tooth is completely destroyed. It can also be dictated by the qualifications of the doctor: when heated or deep removal of the upper layer, there is a risk of damage to the nerve endings, and this is very painful. That is why many dentists prefer a safer path, that is, the preliminary removal of the nerve. Especially in the presence of an initial stage of caries.

In addition, depugout can be carried out in some cases before prosthetics: with increased sensitivity, with small size and in the presence of more than a 15-degree tilt of the teeth. Also, the pulp can be removed from aesthetic considerations.

Before installing the crown, depug out is not necessary, since the nerve can always be removed through the top of the crown.

After depulpation, the hole is seeded. The main disadvantage of such a procedure is a bare dental root, which can cause complications in the future.

Causes of pain in the teeth after depulpation

Individual reaction of the organism

May manifest in the first two days. Even after the nerve removal, the tooth is still able to react to strong pressure and thermal stimuli, but not longer than 3-4 days.

Poor quality of pulp-experts or inappropriate to contact them

Tools for removing the pulp are marked because they must match the channel.

Sub-quality stripping channels

The presence of tissue damaged by caries will necessarily lead to the resumption of pain and complication of the inflammatory process, so it is extremely important to remove them completely.

Allergic reaction to sealing materials

It rarely happens, especially if the doctor found out the patient's body's predisposition in advance to allergies.

Fracture tool

If during the procedure a tool was damaged and its residues were delayed at the top of the root, they will cause pain. In the worst case, if there is already a seal, the tooth will need to delete.

Residual pulpit

May hit one or more channels. The main symptom of such a secondary inflammatory process is a good pain, which then becomes acute. Recurrement is possible with partial depug.

Options anesthesia

The duration of the standard injection anesthetic is 45 minutes. Patients who are afraid of injections offer the processing of depulpation location with a special pasty composition of a similar action. Tableted analgesics can reduce the effectiveness of anesthesia, so that the dentists do not recommend using them.

The anesthetic drug chooses a dentist as a dosage. Since the pain threshold is different, the anesthetic dose often increases twice and three times. If the doctor put anesthesia according to the protocol, the patient will not feel any pain or discomfort.

Possible complications after depulpation

After the procedure may arise:

  • Bloodbler canal. The main reason for this phenomenon is the broken pulp pulpxtractor. To avoid a similar problem, dentists practice phased cutting of soft tissues using files and abundant washing with an antiseptic. Channel bleeding can only doctor.
  • Short-term pain. Their duration can be different, but if they do not pass for a long time, re-autopsy canals and disinfection.
  • The appearance of cysts, granulomas, flux or fistula.
  • Paralysis. It may happen due to improper overlay. If he protrudes beyond the upper part of the root, it will not only affect the tooth, but also to squeeze the nerve jaw. That is why, with pain in the chin area, immediately apply for advice to Dentistist.

With poor-quality disinfection during the removal of the pulp, there is a risk of suppuration and development of periodontal abscesses. In this case, without removing the tooth can not do.

Contraindications for depulpure

Toothput can not be excised if available:

  • Angina, Influenza, ORVI;
  • infectious hepatitis;
  • any form of stomatitis;
  • psycho-emotional disorders;
  • acute forms of heart disease and vessels;
  • hemorrhagic diathesis;
  • acute leukemia;
  • Inflammation and suppuration in the mouth.

In addition, the removal of the dental nerve is contraindicated during pregnancy and lactation.

What does the tooth color change after removing the pulp?

Nowadays, almost all private dental clinics adhere to international deputation protocols, but in budget medical institutions, an outdated practice is still in the go. The main reasons for changing the color of the tooth are improper preparation of the cavity under the installation of a seal, the low quality of the channel tool processing and bad materials for sealing. For example, when using endomethasone enamel turns yellow (a similar outcome is even registered in the instruction). If there was a resorcine-formalin paste for filling, the teeth can be brought. Most often, this material is used in the treatment of dairy teeth.

From the teeth of wisdom, which dentists are called "problem eights", nerves are extremely rare. Given their location and short service life, as well as the complexity of cleaning from stone and plaque, it is easier to remove them. As a rule, we remove the eight with an incorrect teething (in the presence of a slope to the tongue or to the cheek), with the retention of the tooth, carious lesion, pulp, bite change, displacement of the tooth row.

After depulpation, you should adhere to the following recommendations:

  • Avoid physical exertion for the first 2 hours after the procedure.
  • In order to avoid infection and injury to the tooth for 3 hours after removing the pulp, do not eat food (you can drink warm water through the tube).
  • On 5 days to exclude from the diet, solid food.
  • In order to avoid irritation of the mucous membrane of the mouth, it is preferably at least 5 days not to smoke, do not drink alcoholic beverages, do not take sharp, cold and hot food.
  • Rinse the oral cavity with a dentist with an antiseptics minimum 1 day.

Folk remedies can not remove the dental nerve. Even if it is possible to destroy it, you will need to remove the pulp, and this can be done only by a special medical instrument.

Planning a visit to the dentist, remember, the longer you will slow, the more difficult and more expensive will be the depugtation. And do not forget that this intervention is recommended only if there are good reasons for that. Any dentist will try to keep the "alive" tooth, unless it is possible.

Deleting the nerve of the tooth.

The removal of the nerve of the tooth - this dental procedure scares many patients, but if certain circumstances, it is impossible to avoid it: it helps to save a person from painful pain and maintain a dental unit. In the article, let's talk in detail about what is the removal of the nerve of the tooth, as it passes, under what indications is assigned.

The nerve of the tooth is not a medical term, this is the spaticrous name of the pulp - a beam of nerve fibers and the smallest vessels located inside the tooth. The structure of the pulp is quite complex and it performs a number of essential functions - provides full-fledged tooth nutrition with minerals, vitamins, and also prevents the penetration of the pathogenic microflora into the tooth.

Naturally, the removal of the nerve from the tooth is an undesirable procedure, since the tooth becomes "dead" in fact, it does not carry the process of blood supply, which means the dental unit does not receive the necessary minerals.

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Over time, the tooth with a remote nerve becomes fragile, its enamel coating loses its attractive shine and can change the shade. To remove the dental nerve there is a spectrum of certain readings with which we will meet in detail in the following sections of the article.

When is the removal of the dental nerve?

Deleting the nerve of the tooth. Inflammation

The inflammation of the dental nerve is a process that is provoked by the launched caries. If, for the treatment of this disease, a person did not turn into dentistry in a timely manner, bacteria will gradually destroy the dentals and sooner or later the destruction will reach the pulp chamber - the area where the dental nerve is. The inflammation of the dental term is indicated by a special dental term - "Pulpit". When the nerve of the tooth is inflamed to apply for professional help, it is urgent - it is only so possible to keep the dental unit and avoid removing it. Treatment of pulpitis almost in all cases will require removal of the dental nerve. It is removed when the nerve operation is carried out entirely or partly: this manipulation allows you to stop the inflammatory process and prevent its distribution to the root part of the dental unit.

Deleting the nerve of the tooth.

Less often removal of the dental nerve is carried out due to the traumatic pulpitis. This form of illness is caused by the strongest injury of teeth and more often affects the front teeth. Remove the toothed nerve and with a retrograde pulpit. This form of inflammation is manifested due to the penetration of pathogenic microflora in the pulp through the top of the dental root.

Cropling the damage to the dental nerve is able to deposit of a special type that are generated in dental channels due to disorders of the metabolic process - concrections. These formations are sufficiently solid, they press on the delicate fibers of the pulp and this pressure becomes the cause of the inflammatory process. If the diagnosis detects the presence of concrections in dental channels - the patient is assigned an operation to remove a dental nerve.

Features of dental nerve removal before prosthetics

Features of dental nerve removal before prosthetics

Depulpation or dental nerve removal is sometimes assigned before prosthetics. Definitely remove the nerve from the teeth of a strongly damaged caries: the doctor during the preparation for prosthetics will not only remove the pulp bundle, but also clears the dental channels and holds them sealing. The need for preliminary depulpure of the teeth is determined by the attending physician on the basis of the characteristics of a particular clinical case.

Dental nerve removal before prosthetics

When prosthetized with metal-ceramic crowns, the pulp is not always removed. Under the metal ceramics, the support teeth are calculated quite strongly, a significant amount of tissues is removed from them and, if the preparation process significantly increases the risks of overheating of the pulp or its inadvertent injury - it is advisable to remove the nerve.

The prosthetics of metal ceramics can be implemented in practice and without removing the nerve, but we will write at once: the procedure must be carried out by an experienced and competent dentist with the use of ultra-modern equipment, which allows you to qualitatively cool the tooth and not allow hazardous overheating of the pulp.

Is it painful to remove the nerve from the tooth?

Tooth's nerve removal

The need to remove the dental nerve scares patients - they think that the procedure will be incredibly painful and painful. However, it is not necessary to get into a panic: in the arsenal of modern dentists there are potent anesthetics, the use of which will allow remove the nerve from the tooth with minimal discomfort for the patient.

To remove the nerve from the tooth without pain - apply local anesthesia. The injection of a specially selected drug made correctly - will not cause pain and after the preparation of the drug, the doctor will conduct all therapeutic procedures for nerve removal. Treatment of teeth without pain is carried out in our dentistry in Moscow - "Vancy"! Come to our clinic for healthy teeth! We are located at: Moskva, m. Baumanskaya, ul. Bakuninskaya, d. 17/28.

anesthesia when removing the tooth

Some patients are afraid of both injections and therefore ask doctors the next question - is it possible to remove the dental nerve under general anesthesia? Some clinics offer such a service, but usually dentists do not recommend removing the nerve under general anesthesia: local anesthesia is enough to save you from unpleasant sensations. If you still plan to treat teeth under general anesthesia - be prepared for significant costs, and find out in advance - whether there is a literate and qualified anesthesiologist in dentistry.

How to remove nerve: description of the steps of the operation

Toothed nerve removal stages

The method of conducting an operation in which the doctor will remove the nerve from the tooth will be chosen based on the characteristics of the clinical case and in particular will depend on what stage the inflammatory process developed. Assessing the clinical picture, the doctor may decide on the full or partial removal of the nerve of the tooth. If the nerve of the tooth is decided to remove partially, during the operation, the surgeon will excrete only its coronal part, which is in the pulp chamber, the root part of the nerve during the operation is not affected, which will allow to keep the tooth alive. But this method of removing the dental nerve is rarely resorted, extirpation is most often practiced, that is, the complete removal of the nerve from the root system of the tooth.

When the nerve is removed, it is important to carry out high-quality cleaning of each tooth channel, otherwise the high risks of the recurrent of the inflammatory process and naturally, the more channels in the tooth - the more expensive treatment will cost. Below in detail all stages of the procedure to remove the nerve from the tooth:

Inspection and diagnostics

Inspection and diagnostics when removing a dental nerve

With a primary visit to the doctor, a patient is examined and a radiography is made, which will make it possible to accurately install - in which unit it is necessary to remove the nerve, because when the pulp the pain may be given to different parts of the jaw and the person does not always say that it hurts. X-ray will make it possible to evaluate the degree of inflammation.

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Anesthesia use when removing nerve

The use of anesthesia when the nerve is removed

When removing the nerve, the tooth anesthesia is made. Anesthetic drug is selected for the patient individually and usually injections to the area of ​​medical manipulations are enough to ensure that the doctor can remove the nerve of the tooth without discomfort for the patient.

Isolation of the region of the operation from moisture

Isolation of the region of operation from moisture when removing the dental nerve

To exclude penetration into the moisture manipulation area, a special laying of latex - Cofferdam is applied. Isolation of a patient tooth from which it is planned to remove the nerve - it is important because the infection can also have an infection that is fraught with the recurrence of the inflammatory process.

Processing of channels of the tooth

Processing tooth channels after removal of the dental nerve

Before removing the nerve - the doctor must drill all the fabric damaged by caries and open the pulp chamber. Next, to extract the pulp bundle itself, the specialist will apply a special tool - pulp-expert. The doctor captures the nerve with this tool and then removes the channel from the cavity.

However, there is a more modern technique for nerve removal from the tooth: it uses files - miniature tools using which the dentist can cut the pulp gently and without damaging healthy fabrics in the channels. The processing process of channels with special devices allowing a specialist to obtain accurate information on their form and length.

At the removal of the nerve, the medical process does not end: the doctor must pass and process the channels along the entire length, to expand them, rinse with a special antiseptic solution. After performing these manipulations, the channels are seen, and the patient is directed to the radiography necessary to assess the quality of sealing channel cavities.

Treatment of pulpitis with dental nerve removal

It is useful to know: Some people are so much afraid of dentists, which is trying to remove or "kill" the dental nerve at home, applying funds from folk recipes - various consumption of matter and infridate tools. Such amateurness is fraught with the most negative consequences - the spread of inflammation into the root part of the tooth, the strongest burn of the tissue of the oral cavity, poisoning. Therefore, it is important to remember: remove the nerve in the tooth you can only doctor, in the clinic conditions.

It is worth noting that the treatment of pulpitis with removal of the dental nerve is rarely held in one visit to the doctor. Usually, the cavity of the channels is laid a medicine that should destroy the infection and eliminate the risks of its relapse in the future. There is a temporary seal after this to the tooth, and the patient goes home. After a while, repeated visits are assigned and radiography is being made again. If the snapshot shows that the inflammatory process is stopped - the channels are seal, and the tooth is restored by a constant seal.

Why to remove the nerve tooth it is important to correctly choose a doctor and dentistry?

Choosing a doctor and dentistry when removing a dental nerve

Removal of the dental nerve is an operation that must be carried out qualitatively, with the compliance of technology and certain rules. The slightest errors in the medical process can lead to serious complications, due to which the sick tooth is already impossible to maintain. Most often, the following medical errors are allowed when removing the nerve of the tooth:

  • The tool that the doctor uses to remove the dental nerve breaks and its part remains in the channel cavity;
  • There is strong bleeding.

In order tool, this is a purely medical error that occurs due to the inability of the dentist to handle the tool, but the bleeding from the dental canal is usually observed when applying an outdated nerve removal technique with a pulp-extractor.

Therefore, in modern and well-equipped dental clinics, specialists use files. The doctor's file will clean the channel from the pulp residues and at the same time to wash the cavity with antibacterial solution. Channel bleeding - the phenomenon is undesirable, but it is easy to detect and eliminate, but if a specialist notice a bump of instrument - the consequences will be sad and the tooth is unlikely to be saved.

Another error that can be admitted by the doctor when the nerve is removed is poor quality cleaning of cavities. If a specialist cleans the channel cavity when the nerve is removed, not to the end - after a while the inflammatory process resumes. A similar phenomenon in dentistry is indicated by a special term - "residual pulpit". And if the infection has time to go to the root part of the tooth, a more serious disease can develop - periodontitis. If you addressed the dentistry, you removed the nerve and treated the tooth, but after some time in this teeth began to be felt pain - do not hesitate with the appeal to the dentist. Poor cured channels need to be left urgently! Otherwise, the tooth will have to delete! Because of the reasons discussed above and it is important to initially correctly choose a clinic in which the nerve in the tooth will be removed with high quality and professionally. The decisive criterion for the choice of dentistry should be its equipment and the level of qualifications of doctors.

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Do not postpone your treatment, because in this case time plays against us.

How much does it cost to remove the nerve in the dentistry?

How much does it cost to remove the nerve in the tooth? It is difficult to give an accurate answer to this question, since the price of the treatment of pulpitis will depend on the complexity of the case, the number of channels in the teeth, the selected dental nerve method.

The more channels in the tooth - the more expensive the removal of the nerve from it will cost. In addition, the price of the service will influence such factors as the number of visits to the doctor for treatment, materials used in the medical process. Therefore, if you want to know exactly how much it costs to remove the nerve in the tooth - it is best to sign up for a consultation to a doctor who will appreciate the need for this operation and tells detail about its stages, and then the cost of the service will be announced.

Professional advice on the treatment of teeth, the removal of the nerve of the tooth you can always get from the specialists of our dentistry in Moscow - "Vancy". We are located in the center of Moscow, next to the metro station Baumanskaya. You can sign up for our reception by phone or using the callback service on our website!

Even the smallest nerves and vessels in our body perform a specific function, so the depuulpation procedure is always a compromise: the doctor has to sacrifice the nerve to save the tooth. About how the dental nerve looks like, how to remove the toothed nerve and in what situations without depulpation can not do, read in the material StartSmile.

What does the nerve in the tooth look like?

Anatomy tooth in pictures

From the point of view of anatomy, our teeth have a rather complex device. In fact, we see only their coronal parts that protrude above the gums create occlusion and perform chewing function. Also, the tooth has a cervix and root that are already hidden under soft tissues. Inside our teeth consist of several layers. Enamel largely forms color and protects teeth from the external environment. The dentine is located behind the enamel, the organic fabric, which is most of the tooth. In the depths there is a pulp containing nerves, lymphatic and blood vessels. It was the pulp that is a nutritious center that supports many processes, including dentin regeneration. The pulp is divided into the coronal and root parts, so the answer to the question where the nerve is in the teeth is obvious - this is the root part of the pulp. If you want to see how the nerve looks in the teeth, you can see the images on the Internet or try to persuade the attending physician to show it after depulpation. It is unlikely that it is worth counting on something special: the kind of nerve resembles a thick reddish translucent thread and does not look very attractive.

When is it necessary to remove the dental nerve?

Stock Foto Tooth with deep caries

Removal of the dental nerve, or depulpation, is a very common service in dental clinics. All people are encouraged to visit the dentist once every six months for preventive inspections, even if they are not bothering them. This is largely dictated by the fact that in the early and middle stages of caries, the patient does not feel pain. It arises at that stage when pathogenic microorganisms overcame enamel and dentin and reached the pulp. Toothproof is nothing more than the reaction of the nerve ending to irritation. The complexity is that the damaged pulp is extremely rarely preserved at least partially and in most cases the so-called dental nerve has to be deleted. Depulpation does not pass without a trace for the tooth: its fabrics do not receive food, and dentin ceases to regenerate. In fact, the tooth becomes dead, which is why in search engines often appears the request "how to kill the toothed nerve". The meaning of the procedure is that a dead tooth is better than the sick, since with time the pathology will destroy it completely and can cause additional complications, including abscess, phlegmon and even sepsis. The testimony to remove the dental nerve includes:

  • Deep caries, hitting the pulp, and its complications (pulpitis, periodontitis);
  • Serious chippers and teeth injuries when the pulp is affected;
  • infectious processes that struck the top of the root;
  • The need for prosthetics with a support for their own teeth (single crowns and bridges).

Tooth nerve removal techniques

Mechanical removal of dental nerve in pictures

To date, there are several ways to remove the dental nerve (depulpation). Each of these methods has proven its effectiveness, but some techniques have a fairly large number of restrictions and a narrow spectrum of indications: if these conditions are non-compliance with these conditions, treatment may be ineffective and cause complications. To avoid this, you need to contact a competent specialist who can correctly assess the situation and choose the optimal method.

  • Biological pulp treatment. The biological method implies the complete preservation of the dental nerve (and the coronal and root parts). It only applies with traumatic damage to the pulp, as well as with some forms of pulpitis. This technique is effective no later than in two days after the pulp is lesion and is strictly not recommended for patients over 27 years old. The essence of the procedure is that after processing the tooth, the doctor imposes a special healing bandage on the pulp and puts a temporary seal. If a few days later, a positive picture is observed, constant sealing is carried out.
  • Partial (vital) amputation. This technique is relevant for multi-corneus teeth. It is a compromise between the biological method and complete depulpation. Vital amputation implies removal of the coronal part of the pulp and the preservation of the root (dental nerve). This method has more extensive readings and can be used at several varieties of pulpitis, but it is not recommended to patients over 40 years. The technique of conducting the procedure is the mechanical processing of the affected area and the amputation of the crown part. The doctor imposes therapeutic and insulating gaskets and puts a constant seal if the inflammatory process did not affect the root part.
  • Extirpation. It implies a complete removal of the dental nerve. The most common technique that is necessary when inflammation affected the root part of the pulp or there is contraindications to other treatment protocols. There are two varieties of the procedure - Vital and Devital. The first implies a mechanical method for removing pulp using the finest metal pins. The devotional extirpation is carried out in two stages. At first, the pulp is killed with a special paste, and only then sealing channels. This method is considered obsolete, especially if arsenic-based paste applies, but in some cases this method remains the only possible (with poor passability of channels, periodontal diseases in the active stage and so on).

How to kill the dental nerve at home?

Stock Foto Patient in chair at the dentist

On the network you can find many descriptions of methods, as at home to kill the toothed nerve. The use of any of them is fraught with serious problems that can go beyond the oral cavity. The inflammation of the dental nerve always requires an immediate visit to the dentist, since only under the conditions of the clinic can be effectively cope with pathology. It is no coincidence that the clinics purchase expensive equipment, for example, a dental microscope to make treatment more projected. Even in simple cases, the presence of special equipment and tools (boron, apexlocator, pulpxtractor, materials for sealing and so on). At home, it is simply impossible to carry out the processing of the channels, the removal of the nerve and sealing, excluding those cases that a doctor with its equipment and tools come to you personally.

Why are homemade recipes, which explains how to calm the tooth nerve or kill it? Sometimes a person turns out to be an extreme situation when it cannot receive qualified dental care. In this case, handicraft methods remain the only solution. Perhaps the safest of them is the gasket from iodine, which is superimposed on the affected pulp and is able to take pain for a while. Much more aggressive substances are powder and vinegar. Use such radical methods only as a last resort, since the risk of getting a burn or intoxication and even stronger to harvest the body.

Publisher: Expert Journal of Dentistry StartSmile.ru

Material author: Yaroslav Iconnikov

Depugting tooth - represents the removal of the pulp (in the people of the removal of the nerve). PulpPulp - This is a bunch of blood vessels, lymphatic vessels, nerve endings and loose connective tissue, filling the cavity of the tooth and feeding it from the inside. Due to the pulp, the process of blood supply and mineralization of the tooth occurs. When removing the pulp, these processes will not occur.

With the nerve, the tooth on average "lives" longer than depulped. The task of the dentist to save the pulp, if possible, because the removal of the nerve is a forced measure of dental treatment. As an option, the patient is preparing a more loyal output - Save nerve In the tooth and grab it, and in case of the appearance of pain, it is to carry out its depug. The depugtation of the tooth allows you to preserve the tooth, but has some negative consequences:

  • The removal of the pulp deprives the tooth of mineralization and proper blood supply, which reduces the term of his "life";
  • The tooth enamel becomes more fragile and faded, the tooth decreases strength.

Depending on the damage to the pulp, the dentist makes a decision on full or partial amputation. There are cases when you have to deal with launched inflammatory processes, driving a strong destruction when the nerve is able to save is impossible - the nerve needs to be removed.

Some patients are trying to avoid depulpation procedures, preferring to endure pain and / or escape painkillers. Do not do it! In such cases, the pulpit can go into a chronic form without special manifestations - asymptomatic. And due to provoking factors, purulent abscess may occur, which threatens the development of periodontitis.

Indications for depulpure

Development of periodontitis

When do you need to remove dental nerve?

  • Launched caries;
  • Pulpitis - including asymptomatic;
  • Strong teeth injury - partial tooth destruction and nerve latal;
  • Preparation for prosthetics with crowns (at the discretion of the orthopedic dentist);
  • Periodontitis;
  • The consequences of unsuccessful treatment;
  • Intense pain.

Contraindications for depulpure

When to remove the dental nerve?

  • Stomatitis, inflammatory, purulent processes in the oral cavity;
  • cardiovascular diseases;
  • ARVI, angina, flu;
  • infectious hepatitis;
  • Hemorrhagic diathesis;
  • acute leukemia;
  • psycho-emotional disorders;
  • pregnancy.

Depugtics methods. How do dental nerve remove?

Vital method

Vital depulpation method It is used in adults and children - with all the forms of pulpitis. This is a single-supersay procedure, which is carried out under local anesthesia. The dentist displays the tooth, removes the pulp, cleans and seals the dental channels, then sets the seal.

Devital method

Devital depulpation method It is used to completely remove the crown and root pieces of the pulp. Join from the vital method with a duration of treatment. A punchless paste is applied to the pulp, after which a temporary seal is installed. A fixed seal is installed in the next visit to the dentist. In modern clinics, such a treatment is applied more and less.

Regardless of the method, the depugnation procedure is always carried out under the anesthesia and the use of X-ray tooth control before and after depulpation. In 99% of cases, it is the vital method that is precisely the full painless treatment of the tooth can be passed in just one visit to the doctor.

From the history of depulpure or how did the dental nerves removed before?

Mysteria - Outdated, quite painful and takes a lot of time, the way. The essence of deputation with arsenic is that the dentist, with the help of a dental born, expands the root of the patient's root, opening direct access to the pulp. Then places arsenic in the channel and closes the tooth temporary seal. For several days, arsenic acts on the pulp, causing her death. A few days later the patient again visits the dentist who removes a temporary seal and pulls out a dead nerve from the canal. Then the dentist cleans the root canal and sets a constant seal. If, after removing the nerve, the tooth continues to root, perhaps the nerve was not removed completely. If the painful sensations after depulpation are caused by incorrectly conducted treatment and / or poor-quality processing of channels, the patient needs to re-visits the dentist.

One of the main deficiencies of deposition with arsenic is its unsuccession. With long-term contact with teeth, arsenic can lead to its complete destruction, because Arsenic is poison, so the arsenic paste was superimposed for a short time.

In modern dentistry, preference is given to more secure depulpation methods.


Features of the depugtation of dairy teeth

It happens that the pulpit is developing on milk teeth in children. In children, the procedure depugncing its features:

  • The minimum dosage of anesthesia is safe for the child;
  • Neat opening crown;
  • Maximum careful removal of the nervous end so as not to damage the primary processes of the indigenous teeth;
  • Thorough disinfection, after depulpation, in order to avoid repeated inflammation;
  • A seal on a milk tooth (based on mummifying compositions) - gives a disinfecting effect.
Depulpion of teeth wisdom

The difficulty of removing the nerves in the teeth of wisdom lies in the inaccessibility of the teeth and the complexity of the structure of their channels. Therefore, in the event of inflammatory processes, pulp in the teeth of wisdom is better to remove wisdom teeth.

Possible complications of deplusion

Complications that may arise after depulpation appear for 2 reasons:

  1. Anatomical features of dental channels and pulp.
  2. Incorrect deputation procedure.
Anatomical features of dental channels and pulp

Often, the dental channels are very curved, in such cases, access to the pulp can be difficult and the dentist is difficult to reach the nerve. In connection with this, the pulp may not be completely removed, or can remain cavities in the channels.

The use of X-ray allows you to study the shape of the channels before starting the nerve removal and select the most appropriate tools, which minimizes the likelihood of the appearance of the aforementioned complications of treatment.

Incorrect depulpation procedure
  • Careless channel cleaning - will save and strengthen the inflammatory process due to incomplete removal of damaged tissues.
  • Using an inappropriate to the size of the pulp-extractor channel or incorrect handling of the tool.
  • Dental tool, delay of its remnants in the dental channel (this error can lead to the need to remove the tooth).
  • The residual pulpitis - arises against the background of not fully remote pulp.
  • Perforation of root walls;
  • Allergic reaction - on sealing material.

Changing channel disinfection when the nerve is removed, the suppuration process can start. That in the absence of adequate treatment can go to a periodontal abscess. Such a complication leads to the need to remove the tooth.

Other possible complications:

Painfulness within a few days after depulpation - duration for all individual. When saving pain for a long time, contacting the doctor for re-opening the channels and the disinfection.

Specific problems may occur when the material is improved: if the seal goes beyond the boundaries of the root of the root, it is possible to infringe the jaw nerve.


Recommendations after depulpation:
  • refuse at least 2 hours, from increased physical exertion;
  • During the day, rinse the mouth by the appointed doctor with antiseptics;
  • time with meals during the first 3 hours (drinking boiled, warm water through the tube);
  • Refuse smoking and alcohol for five days, also not to take (hard, hot / cold, sharp) food causing irritation of the mucous membrane;
  • It is forbidden to use cold drinks, ice cream, apply ice to a patient area.
Prevention recommendations:

Regular cleaning of teeth in combination with a systematic visit of the dental clinic is the best way to get rid of themselves from the need to pass a nerve removal procedure. A visit to the dentist's doctor once every six months will provide timely treatment of caries and will not allow the carious process to penetrate too deep into the tissue of the tooth and spread to the pulp.

Remember! There are no folk remedies for removing the dental nerve! Even if the ability to "kill" the nerve exists, the removal of the pulp is possible only by a qualified dentist using special tools!

Number of views 2 147.

CONTENT: 1. Introduction

2. What is a dental nerve

3. What is the inflammation of the nerve of the tooth

4. Signs of pulpitus tooth

5. Examples of treatment

6. How to distinguish toothpick from neuralgia

7. Diagnostics of Pulita

8. How to remove the nerve of the tooth

9. Finish Stage - Channel Filling

10. About the author

The removal of the nerve of the tooth is a dental procedure that scares many people. Sometimes this is the necessary procedure in order to preserve the tooth itself and save the patient from pain that torments it for a long time.

In Soviet times, many remained memories of the removal of the nerve of the teeth arsenic. First lay the medicine into the tooth to remove the nerve, and then the pain accompanies a person a few more days.

Now the dentistry has advanced long ahead. Arsenic is not used anywhere, its use has rushed into the past. In addition, modern medical equipment and the latest materials allow you to quickly and painlessly carry out tooth treatment with nerve removal.

What is a dental nerve?

Simply put the dental nerve is a vascular-nervous beam, which is inside the teeth or in the tissues of the surrounding tooth. Simply put, this bundle is also called a pulp.

The pulp is needed to ensure the life of the tooth, it contributes to the nutrition of the fang with the necessary vitamins and minerals. Protects dentin from the penetration of bacteria, prevents the formation of the pathogenic flora in one.

When the nerve is removed, the tooth becomes, in fact, "dead". That is, it does not get the necessary power. Over time, it will lose its strength, can change the color, dentin will thread, so these manipulations are made only in the extreme case.

What is the inflammation of the nerve of the tooth?

This pathology causes a launched stage of caries. If a person did not turn to the dental clinic on time, then the bacteria will gradually destroy the dental fabrics, reaching with time to the pulp, which leads to the pulpit.

Pulpitis - This is an inflammatory process in the tissues of the dental unit.

Treatment of pulpitis always begins with the removal of the nerve of the tooth and cleaning the channels.

After the obturation of the root canal system by the method of vertical condensation of hot guttapers

Signs of tomb pulit

It is divided into the acute phase and chronic.

The acute patch stage is characterized by:

  • pulsating, acute pain;
  • External stimuli can cause pain: temperature drops, cold or hot food, poor-quality performing dental procedures, touching the patient's teuba;

Increased sensitivity of teeth caused by a number of reasons

For the chronic stage, characteristic: Moderate pain that occurs only when the temperature drops, cold, biting on the sore tooth. There is an increased tooth sensitivity. It is often more formed fistula, with purulent content, which will periodically leave the resulting hole in the gum.

Other symptoms of the disease: Headache, sleep disorders, increased temperature, deterioration of appetite.

It happens that the cause of pain in the teeth can be inflammation of a trigeminal nerve or facial nerve.

  1. the main
  2. Helpful information
  3. Dish diseases
  4. Removal of the nerve of the teeth

Removal of the nerve of the teethInside the tooth are nervous endings. When infection, inflammation, the action of irritants, they cause discomfort or pain. Nervous endings go to the pulp - a loose body under Dentin and Enamel. When depulsions, they are removed, which requires the autopsy of solid tissues.

The removal of the nerve of the tooth is shown in cases:

  • Running caries. Carious lesion is formed on the surface of solid tissues, affecting the enamel first, and then dentin. With the gradual destruction of the crown, the process goes to the pulp. It is inflamed, because of what severe pain arise. When pulpit, the affected nerve is removed to remove pain;
  • Injuries. When injured (fracture, severe injury, deep chip), a traumatic pulpit occurs. The affected pulp is vulnerable to bacteria. When infection inwards, the nerve endings are inflated, which provokes pain and requires their removal;
  • Root tips infection. In this case, the infection penetrates the pulp retrograde. Treatment requires depulpation;
  • Upcoming prosthetics. It is performed if the tooth is very destroyed. Complete removal of the pulp eliminates the risk of re-infection, the appearance of complications. If the crown is installed on a partially preserved tooth, the removal of the nerves may not be performed. This decision adopts the Dentospas dental clinic after diagnosis;
  • With re-dental treatment, leathering. After primary treatment, repeated inflammation may occur or infection affecting the pulp. With such a complication, the depugation is performed, the nerves are removed, the channels are cleaned and seal;
  • With chronic pulpitis. It may proceed almost without symptoms (small sensitivity or rare pain). At the same time, the pulp is a long time infected, the nerves are amazed, and they have to be deleted.

Do you have questions about the removal of the nerve of the tooth?

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Types of deletion of the nerve of the tooth

Amputation. Removal is done not completely and affects only the crown part (the end that goes into the pulp). The root part is preserved. The method is used rarely, mainly in the dental treatment of children with severe caries of growing teeth, so that the roots of the tooth can fully form. It is less common in adult patients under the condition that the nerve endings are not completely amazed, partly.

Extirpation. Complete removal of nerve (and corona, and root part). It is performed during dental treatment along with cleaning and sealing root channels.

Stages of treatment

Removal of the nerve of the teethDiagnostics. Before removing the nerve, the dentist makes X-ray. A snapshot allows you to assess the state, quantity and structure of root channels, make a decision on the need to remove the nerve, plan the procedure.

Anesthesia. For anesthesia, conductor anesthesia is used (injection is performed). With strong inflammation, expressed pain can additionally use local pain relief location.

Preparation of the work field. After opening the solid tissues, the tooth should be protected from ingested saliva-containing bacteria. For this, the working field isolate latex stripes (cofferdam). With further treatment, this insulation protects the mucous membranes from the heating by polymerization lamps.

Hard tissue treatment. It is performed after injuries, with carious defeat, destruction, etc. Damaged tissues are removed, the dentist forms a hole in the tooth to access the pulp. During treatment, the tooth is cooled with an air-water mixture to prevent overheating of its tissues. After removing the affected tissues of the pulp chamber, the walls are processed so as to increase the reliability of the subsequent sealing.

Nerva removal. Pulpopractor is performed. This is a dental tool that looks like a needle with small teeth. The pulp-extractor is placed in the channel, screw the nerve on it and remove it. This is a disposable tool. In some cases, instead of it can be used tools for cutting pulp tissues.

Processing root canals. Measurement of their length, cleaning, processing active antiseptic. Need to remove pulp residues and other particles.

Installing a temporary seal. Performed as an intermediate stage of treatment. A constant seal is not put immediately so that the dentist has the ability to monitor the state of the root canals during the next visit, to a constant sealing or installation of the crown.

Perform a checkshot. It is necessary in order to ensure that the channels are qualitatively processed and fully sealed.

General recommendations

AnesthesiaBefore removing the nerve of the tooth, the dentist "Dentospass" collects information on the state of the patient's health. The procedure is not performed at:

  • hypertension;
  • risk of bleeding, thrombosis;
  • hepatitis;
  • in the first trimester of pregnancy;
  • Acute inflammation in the oral cavity.

After the procedure, you must comply with the recommendations of the doctor:

  • Lack of physical exertion in the first two hours;
  • Three hours can not eat;
  • In the first five days you need to limit chewing loads (use only soft food). It is advisable to refrain from the use of cold or hot drinks, sweet or acidic food. Smoking, alcohol use is not recommended, so as not to provoke the irritation of the mucous membrane;
  • In the first ten days, the main chewing load should not be on the other side where the cured tooth is located;
  • Mandatory rinsing of mouth with antiseptics (several times a day, separately - after receiving food).

Trauma procedure, and pain can be saved in the first two or three days, gradually weak. If the pain does not pass, becomes pulsating, the temperature rises, you need to turn to the dentist.

Complications may arise due to:

  • insufficient fillings (the voids remained in the root canal, which the doctor did not see in the checkpoint);
  • Barbelling of the PulpoExtractor Chip in the Channel;
  • channel perforation (sealing material during sealing goes beyond the top of the root, if it turns out to be accidentally damaged during treatment);
  • channel bleeding;
  • The residual pulpitis: the nerve was not completely removed, and the inflammatory process continues.

Dentists of the Dentospham clinic are qualitative and safely removed the nerves, be sure to control the condition and quality of root channel sealing, use modern equipment and efficient antiseptics, which reliably protects complications.

Tooth nerve is one of the components of the soft tissues of the tooth, its central part (pulp). The pulp is located under the enamel and layer of dentin and is a dental cavity. The pulp includes three main elements - artery, vein and nerve. They penetrate the dental cavity on the apical channels that are opened on the tops of the roots. The number of channels is equal to the number of roots in the tooth. If the tooth has one root, then the number of channels, respectively, is equal to one, if two roots, then two, etc.

Functions of nerves in teeth

The main function of the nerve is sensitive. In the propagation of bacterial lesions (caries), pain reaction occurs on the deep tissues of the tooth. The pain is a signal of the body that the problem has happened, and help is required. The nerve is not located in the cavity of the tooth isolated. It is part of a vascular-nerve beam, a tooth pulp component. Pulp functions are varied:

  • tooth food;
  • growth and development;
  • Mineralization of Enamel and Dentin;
  • Immune defense.

The tooth pulp is treated and try to keep in all cases where it is possible. It is especially important to do it in children and adolescents, since their teeth were still not finally formed.

In what cases do you have to remove the dental nerve?

Tooth nerve should always be removed when the pulpitis - inflammation of the vascular-nerve tooth beam. The pulpit occurs when bacteria with deep caries, with a blood flow from remote foci of infection or intraosseous sines (for example, in chronic sinus). At the same time, the pulp is inflamed, due to the small space of the dental cavity, the blood outflow is hampered by the nerve, and, as a result, severe pain.

You can recognize the pulpit on the following features:

  • The pain occurs spontaneously, and not only under the influence of temperature or sweet, acidic acid;
  • The pain pulsing, wears an attacking character - it is weakening, it is reinforced again;
  • At night, pain is felt sharp - this is due to the extension of the vessels at night;
  • Often a person cannot say which tooth it hurts, since the entire nerve of the tooth row is involved in the inflammatory process; If the pulpit is not treated for a long time, the pain pokes - it talks about the death of the nerve.

Is it possible to remove the nerve painlessly?

Modern dentistry involves painless nerve removal for one visit. At the same time, conductor anesthesia is most often used when the entire nerve branch is blocked, which ensures the sensitivity of the corresponding half of the jaw. With a large amount of intervention, the installation of a temporary seal for several days is required. So the dentist will be able to understand how the tooth reacts to the sealing material, and it was possible to achieve full purification of the inflamed pulp. A constant seal is installed on a repeated reception. Arsenic today is rarely used due to its large toxicity and the inability to completely kill live nerve fabrics in a certain percentage of cases.

How much can the tooth live without nerve?

The tooth without nerve can darken and collapse faster, as the exchange processes in it are not supported at the same level. However, with competent treatment and subsequent care, such a tooth can live indefinitely. The dentist seals the channels (often under the microscope) and the tooth fabrics from the effects of the external environment as much as possible. This is called hermetic restoration. When using modern crowns or tabs, the tooth serves life.

Stages of nerve removal

The removal of the nerve in the "Russian-American Dental Center"

The "Russian-American Dental Center" provides services for painless removal of the dental nerve, followed by sealing channels and hermetically restoration of the tooth. The tooth acquires aesthetic appearance and lifelong service life. You can make an appointment by calling in Moscow +7 (499) 269-13-92 or +7 (499) 269-72-72. Clinic is located at ul. Rusakovskaya, d.28 (subway "Sokolniki").

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