Endodontic Retreatment
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Endodontic Retreatment
Endodontics () is the dental specialty concerned with the study and treatment of the dental pulp. Overview Endodontics encompasses the study (practice) of the basic and clinical sciences of normal dental pulp, the etiology, diagnosis, prevention, and treatment of diseases and injuries of the dental pulp along with associated periradicular conditions. In clinical terms, endodontics involves either preserving part, or all of the dental pulp in health, or removing all of the pulp in irreversible disease. This includes teeth with irreversibly inflamed and infected pulpal tissue. Not only does endodontics involve treatment when a dental pulp is present, but also includes preserving teeth which have failed to respond to non-surgical endodontic treatment, or for teeth that have developed new lesions, e.g., when root canal re-treatment is required, or periradicular surgery. Endodontic treatment is one of the most common procedures. If the dental pulp (containing nerves, arterioles, ...
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Specialty (dentistry)
In the United States and Canada, there are twelve recognized dental specialties in which some dentists choose to train and practice, in addition to or instead of general dentistry. In the United Kingdom and Australia, there are thirteen. To become a specialist requires training in a residency or advanced graduate training program. Once a residency is completed, the doctor is granted a certificate of specialty training. Many specialty programs have optional or required advanced degrees such as a master's degree, such as the Master of Science (MS or MSc), Master of Dental Surgery/Science (MDS/MDSc), Master of Dentistry (MDent), Master of Clinical Dentistry (MClinDent), Master of Philosophy (MPhil), Master of Medical Science (MMS or (MMSc); doctorate such as Doctor of Clinical Dentistry (DClinDent), Doctor of Medical Science/Sciences (DMSc), or PhD;or medical degree: Doctor of Medicine/Bachelor of Medicine, Bachelor of Surgery (MD/MBBS) specific to maxillofacial surgery and so ...
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Flap (surgery)
Flap surgery is a technique in plastic surgery, plastic and reconstructive surgery where Tissue (biology), tissue with an intact blood supply is lifted from a donor site and moved to a recipient site. Flaps are distinct from Graft (surgery), grafts, which do not have an intact blood supply and relies on the growth of new blood vessels. Flaps are done to fill a defect such as a wound resulting from injury or surgery when the remaining tissue is unable to support a graft, wound contraction is to be avoided or to rebuild more complex anatomic structures like breasts or jaws. Flaps may also carry with them tissues such as muscle and bone that may be useful in the ultimate reconstruction. Uses Flap surgery is a technique essential to Plastic surgery, plastic and reconstructive surgery. A flap is defined as tissue that can be moved to another site and has its own Circulatory system, blood supply. This is in comparison to a Skin grafting, skin graft which does not have its own blood su ...
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Tooth Hemisection
Tooth hemisection is a type of endodontic surgery in which a root and its overlying portion of the crown are separated from the rest of the tooth; the separated part may be optionally removed. It contrasts with root resection, where a root is removed while leaving the crown intact, and an apicoectomy, where only the tip of the root is removed. A hemisection is only performed on molars, which have 2 to 3 roots. Incisors, canines, and lower premolars only have 1 root each. Hemisections are also usually performed on the lower molars rather than the upper molars. During a hemisection, a general dentist or periodontist cuts the molar in half. The root and crown on the affected side are removed. The dentist will make a small incision in the gum tissue to expose the deeper structure of the tooth A tooth (: teeth) is a hard, calcified structure found in the jaws (or mouths) of many vertebrates and used to break down food. Some animals, particularly carnivores and omnivores, als ...
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Regenerative Endodontics
Regenerative endodontic procedures is defined as biologically based procedures designed to replace damaged structures such as dentin, root structures, and cells of the pulp-dentin complex. This new treatment modality aims to promote normal function of the pulp. It has become an alternative to heal apical periodontitis. Regenerative endodontics is the extension of root canal therapy. Conventional root canal therapy cleans and fills the pulp chamber with biologically inert material after destruction of the dental pulp, pulp due to dental caries, congenital deformity or trauma. Regenerative endodontics instead seeks to replace live tissue in the pulp chamber. The ultimate goal of regenerative endodontic procedures is to regenerate the tissues and the normal function of the dentin-pulp complex. Before this treatment modality is introduced, apexification procedures using either immediate placement of mineral trioxide aggregate apical plug or long term-calcium hydroxide treatment were t ...
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Apexification
Apexification is a method of dental treatment to induce a calcific barrier in a root with incomplete formation or open apex of a tooth with necrotic pulp. Pulpal involvement usually occurs as a consequence of trauma or caries involvement of young or immature permanent teeth. As a sequelae of untreated pulp involvement, loss of pulp vitality or necrotic pulp took place for the involved teeth. The main purpose of apexification includes restoring the original physiologic structures and functions of the pulp-dentin complex of the teeth. In addition to that, the elimination of the pulp tissue within a tooth, the disinfection of root canal system by using irrigants such as sodium hypochlorite and ethylenediaminetetraacetic acid are the necessary steps to ensure that the purpose of apexification is being met. The apexification procedure will normally requires several monthly appointments or follow-ups to observe any calcific changes induced at the apex of tooth concerned. In these visits, ...
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Pulpotomy
Pulpotomy is a minimally invasive procedure performed in children on a primary tooth with extensive Tooth decay, caries but without evidence of root pathology. The Minimally invasive procedure, minimally invasive, Endodontics, endodontic techniques of vital pulp therapy (VPT) are based on improved understanding of the capacity of Pulp (tooth), pulp tissues to heal and regenerate plus the availability of advanced endodontic materials. During caries removal, this results in a carious or mechanical pulp exposure from the cavity. During pulpotomy, the inflamed/diseased pulp tissue is removed from the coronal pulp chamber of the tooth, leaving healthy pulp tissue which is dressed with a long-term clinically successful medicament that maintains the survival of the pulp and promotes repair. There are various types of medicament placed above the vital pulp such as Buckley's Solution of formocresol, ferric sulfate, calcium hydroxide or mineral trioxide aggregate (MTA). MTA is a more recent ...
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Pulp Capping
Pulp capping is a technique used in dental restorations to protect the dental pulp, after it has been exposed, or nearly exposed during a cavity preparation, from a traumatic injury, or by a deep cavity that reaches the center of the tooth, causing the pulp to die. Exposure of the pulp causes pulpitis (an inflammation which can become irreversible, leading to pain and pulp necrosis, and necessitating either root canal treatment or dental extraction, extraction). The ultimate goal of pulp capping or stepwise caries removal is to protect a healthy (or reversibly inflammed) dental pulp, and avoid the need for root canal therapy. When dental caries is removed from a tooth, all or most of the infected and softened enamel and dentin are removed. This can lead to the pulp of the tooth either being exposed or nearly exposed. To prevent the pulp from deteriorating when a dental restoration gets near the pulp, the dentist will place a small amount of a sedative dressing, such as calcium hy ...
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Maxillary Sinus
The pyramid-shaped maxillary sinus (or antrum of Nathaniel Highmore (surgeon), Highmore) is the largest of the paranasal sinuses, located in the maxilla. It drains into the middle meatus of the noseHuman Anatomy, Jacobs, Elsevier, 2008, page 209-210 through the semilunar hiatus. It is located to the side of the nasal cavity, and below the orbit. Structure It is the largest air sinus in the body. It has a mean volume of about 10 ml. It is situated within the body of the maxilla, but may extend into its Maxilla, zygomatic and Maxilla, alveolar processes when large. It is pyramid-shaped, with the apex at the maxillary zygomatic process, and the base represented by the lateral nasal wall. It has three recesses: an alveolar recess pointed inferiorly, bounded by the alveolar process of the maxilla; a zygomatic recess pointed laterally, bounded by the zygomatic bone; and an infraorbital recess pointed superiorly, bounded by the inferior Orbital surface of the body of the maxilla, orbita ...
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Paresthesia
Paresthesia is a sensation of the skin that may feel like numbness (''hypoesthesia''), tingling, pricking, chilling, or burning. It can be temporary or Chronic condition, chronic and has many possible underlying causes. Paresthesia is usually painless and can occur anywhere on the body, but most commonly in the arms and legs. The most familiar kind of paresthesia is the sensation known as ''pins and needles'' after having a limb "fall asleep" (''obdormition''). A less common kind is formication, the sensation of insects crawling on the skin. Causes Transient Paresthesias of the hands, feet, legs, and arms are common transient symptoms. The briefest electric shock type of paresthesia can be caused by tweaking the ulnar nerve near the elbow; this phenomenon is colloquially known as bumping one's "funny bone". Similar brief shocks can be experienced when any other nerve is tweaked (e.g. a pinched neck nerve may cause a brief shock-like paresthesia toward the scalp). In the older a ...
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Bruise
A bruise, also known as a contusion, is a type of hematoma of tissue, the most common cause being capillaries damaged by trauma, causing localized bleeding that extravasates into the surrounding interstitial tissues. Most bruises occur close enough to the epidermis such that the bleeding causes a visible discoloration. The bruise then remains visible until the blood is either absorbed by tissues or cleared by immune system action. Bruises which do not blanch under pressure can involve capillaries at the level of skin, subcutaneous tissue, muscle, or bone. Bruises are not to be confused with other similar-looking lesions. Such lesions include petechia (less than , resulting from numerous and diverse etiologies such as adverse reactions from medications such as warfarin, straining, asphyxiation, platelet disorders and diseases such as '' cytomegalovirus''); and purpura (), classified as palpable purpura or non-palpable purpura and indicating various pathologic condition ...
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Mineral Trioxide Aggregate
Mineral trioxide aggregate (MTA) is an alkaline, cementitious dental repair material. MTA is used for creating apical plugs during apexification, repairing root perforations during root canal therapy, and treating internal root resorption. It can be used for root-end filling material and as pulp capping material. It has better pulpotomy outcomes than calcium hydroxide or formocresol, and may be the best known material, data. For pulp capping, it has a success rate higher than calcium hydroxide, and indistinguishable from Biodentin. MTA, when mixed with water, forms a calcium silicate hydrate gel which contains calcium hydroxide. When it contacts the tooth pulp or dentin, its alkalinity promotes tissue regeneration. It does not resorb, and is biocompatible, forming a seal against the tooth material that minimizes leakage. Originally, MTA was dark gray in color, but white versions have been on the market since 2002. Bismuth oxide, which was added as a radioopacifier (to make th ...
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Zinc Oxide Eugenol
Zinc oxide eugenol (ZOE) is a material created by the combination of zinc oxide and eugenol contained in clove oil. An acid–base reaction takes place with the formation of zinc eugenolate chelate. The reaction is catalysed by water and is accelerated by the presence of metal salts. ZOE can be used as a dental filling material or dental cement in dentistry.Jack L. Ferracane, ''Materials in Dentistry: Principles and Applications'', 2001, 2d Edition, Lippincott Williams & Wilkins, Richard van Noort, 2002, ''Introduction to Dental Materials'', 2d Edition, Elsevier Health Sciences, It is often used in dentistry when the decay is very deep or very close to the nerve or pulp chamber. Because the tissue inside the tooth, i.e. the pulp, reacts badly to the drilling stimulus (heat and vibration), it frequently becomes severely inflamed and precipitates a condition called acute or chronic pulpitis. This condition usually leads to severe chronic tooth sensitivity or actual toothache and ...
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