At the root canal treatment the tooth is drilled in order to the inflamed dental pulp to arrive. Subsequently, the pulp with a small spiral-shaped instrument, reamers, cleaning solutions, ultrasonic or laser in a so-called pulpectomy from inside the tooth root is removed and cleaned the root canals. The edges of the root canal will be processed and smoothed, then filled with a soft material and hermetically sealed bubble, and so that no more bacteria to settle and multiply in the root canal. The rubbery material remains in the root canal and is additionally sealed with dental cement.

The pulp treatment of the tooth can be saved, will receive the tooth structure and prepare for a large restorations. Is not enough tooth structure for a necessary tooth structure exists, can be inserted into the root canal plastic or metal pins that provide the structural support adjacent tooth structure.

Formerly it was customary to extract teeth with a damaged or decayed tooth marks. Today, the goal of the dental pulp or root canal treatment is the preservation of the tooth. Is that the tooth Wurzelinnere highly branched, it may be that the root canals are not using modern methods can be completely cleaned and little remains of the inflamed dental pulp to remain in the root canal. Remaining residues are not always in the final inspection to detect X-rays and can have a pathogenic influence upon the organism. In this case, a complete extraction of the tooth or an apicoectomy is needed in the surgically separated at the root tip and thus also the remains of the inflamed dental pulp are removed.

After the extraction of the dental pulp of the tooth is considered to be dead, but is supplied via the periodontal ligament continue with nutrients. After the dental pulp of the tooth extraction, however, can no longer respond to cold and heat stimuli, sweet or sour foods. Teeth without tooth marks tend to become brittle over time. That is why, after a treatment of dental pulp to weigh whether the tooth should be sealed only by a filling or a crown is used.

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