Root canal treatment on the incisor

introduction

Due to advanced tooth decay or accidents such as an injury during sports, there is often a need for a root canal treatment.

Just that Incisors are often victims of falls due to their unprotected location.

root cause

The main reason why a Root canal treatment becomes necessary lies in an untreated Caries. Daily food intake creates an imagination Topping on our teeth, the so-called Plaque. This can develop if the plaque passes through the daily Oral hygiene is not removed sufficiently, bacteria form, for example Streptococci. These metabolize and produce sugar from food Lactic acidwhich attacks the tooth and which Tooth structure destroyed. If the tooth decay is left untreated, it will work its way through the tooth until it hits the inside and the Tooth root reached.
The tooth root consists of at least one channel, the one with Pulp, as well as the dental nerve and small Blood vessels is filled for supply. The tip of the root is open so that the supplying vessels can get into the tooth and a connection to the rest of the body is established. The tooth needs to be supplied with nutrients, otherwise it would die. Are however bacteria has penetrated to this point, a inflammation. It comes to Expansion of the vesselswhich thus press on the tooth nerve. A strong, uncomfortable pain arises.
At Disregard for pain, can they bacteria wander still further, and attack the bone until one abscess arises. Furthermore, it can also be due to a traumatic damage to the toothroot canal treatment, due to a fall or an accident. Especially those Incisors are in danger of falling due to their prominent location.

Root canal treatment process

Must have an incisor root canal treated this can be done in several sessions at the dentist. At the beginning, the affected area is dried out with small rolls of cotton wool so that no saliva and the bacteria it contains get into the tooth get during treatment. In addition, the vacuum cleaner saliva removed during treatment. Used to be this absolute drainage with a Cofferdam achieved, which has proven to be very uncomfortable for the patients.
But it can also still be used and has the advantage that the probability that saliva penetrates the tooth is much less. Then the tooth is anesthetized locally, otherwise the treatment would not be tolerable due to the severe pain. The funds used are Lidocaine, Mepivacaine or Bupivacaine. Allergies, medications you have taken or any intolerance should be reported to the doctor before treatment in order to rule out side effects. In addition, a substance is usually added to the adrenaline resembles what leads to narrowing of the veins and Prevents bleeding.

The dentist can now tooth open with a drill. This enables him to do that Pulp with the nerve fibers from the root to remove. Thus, the inflamed tissue is removed from the tooth. For this you need special Root filesthat are of different lengths and thicknesses so that the right one for the respective tooth can be found. The root of the canine in particular is very long. The front teeth usually each have a root. After excavation, the canal is rinsed with different solutions. It refers to Chlorhexidine (has anti-inflammatory and antibacterial effects), Hydrogen peroxide (Disinfection, hemostasis) and Sodium hypochlorite (for disinfection).
The first part of the root canal treatment is now complete. Now it depends on how badly the front tooth was affected. It was just one easier inflammation, can be used directly with the filling to be started. For a more difficult procedure, an antibacterial and anti-inflammatory drug must first be put into the tooth and rest for a few days. The paste usually contains or contains calcium cortisone with a antibiotic.
Is the time of filling come will be a Material filled into the channelwhat resembles a rubbery mass. You call it Gutta-percha and it should close the canal tightly. A paste is used as a sealer, with a material that is similar to the cement of the tooth. It is known as density cement. With these two means, the filling is the root completed. The treatment is not yet done, however, because after the filling one must X-ray of the incisor, with which one can check whether the root is completely and tightly filled up to the tip of the root. In subsequent control appointments, the Degree of cure controlled. These appointments should be kept to avoid possible complications.

Why do you fill an incisor?

Often there is a root canal treatment the last chance to save the natural tooth. You could too pull and a prosthetic restoration aim, however, the preservation of a natural tooth is always one Benefit for the patient, although the treatment can be lengthy, painful and difficult. Will the tooth but saved as a result, it retains its fixed place in the jaw, so that the chewing comfort remains unrestricted.
Prosthetic restorations are very good these days and in some cases hardly distinguishable from natural teeth, but their production is associated with costs and time. In addition, the hard tooth substance of neighboring teeth may have to be sacrificed for a prosthetic restoration. Aesthetics and function make the natural tooth look great never 100% can reproduce. A root-treated tooth can be used for a prosthetic restoration be used. Preserving natural teeth is one of the top priorities and also has aesthetic advantages as the tooth situation is preserved.

Discoloration of the front teeth

If you smile, eat or talk, it's them Incisorsthat are visible. Beautiful teeth are one of them most important aesthetic aspects of the human being and can make a radiant and sympathetic smile to lend. It is all the more annoying when a incisor root canal treated must be, as next to the functional loss, also aesthetic disadvantages be feared by discoloration. As a rule, the incisor retains its own after the treatment natural color. In individual cases, however, it can lead to a Discoloration from metabolic products or from the iron in the blood come.
This discoloration can, however, with Lightening can be reversed to match the color of the tooth with the other teeth. The bleaching of the tooth is not carried out from the outside, but from the inside out. For a successful whitening, it is also important that the filling is completely tight. A bleaching insert is put into the tooth, fill it up temporarily and wait a while. Then the insert is removed and a final filling provided.
The chances of success of such a treatment vary from patient to patient. The more thorough and orderly the Root canal treatment has been carried out, the smaller the possible color change. Nicotine, coffee and tea can cause external discoloration. However, the costs for such a whitening are not covered by the health insurance.

Duration of the root canal treatment

Must be a tooth root canal treated be, can several sessions be necessary at the dentist. So can Removal of the pulp, the Disinfect the sewer and the subsequent filling can be carried out in one treatment step, or divided over two or more sessions.
This depends on the individual situation of the patient and no precise information is possible. The entire treatment can Weeks or months last. The respective process also depends on the Skill of the practitioner and the cooperation of the patient, as well as from the initial situation. Worse inflammation will require longer treatment. On average you can with one hour effort per session calculate.
Also the Duration of healing varies from person to person. One body tolerates an operation better and regenerates faster, while another needs a longer healing phase. Of course, this also depends on the procedure and the initial situation. Smaller interventions heal faster. But you can actively do that Support healing processesby looking at his body rest and Avoids stress.
Also, the tooth should not be fully loaded immediately after the procedure, so that above all pulpy foods offer in the first few days. Alcohol, nicotine and coffee should not be consumed until completely healed, as they unnecessarily stress the tissue and the Slow healing can. However, it is important to be patient and follow the doctor's instructions, because the healing will be easier and faster.
Of the Healing process is in the Control appointments evaluated so that any problems can be identified at an early stage. Usually it can after a few days the incisor will be loaded again.

Pain

Even before the Root canal treatment burden you uncomfortable painthat can still occur after treatment.

However, this does not mean that something is wrong with the filling or that the treatment has failed, but that they are part of the Healing process.
During the treatment, one feels through the anesthesia except one Feeling of pressure no pain.

The noises and forces on the tooth resulting from the treatment prove to be unpleasant in the treatment situation. The anesthetic prevents the pain from being transmitted to the brain.
In the rarest of cases, healing is completely painless. The body begins to regenerate and that Healing of the wound is associated with pain, the intensity of which is less than that of an untreated tooth. The area around the tooth has been improved by the treatment heavily used. Also can tooth and the tissue may still be damaged by irritation.

The Duration of pain cannot be precisely defined, but mostly they are for a period of few days limited.
Only in special cases do they last for weeks or even months. Swelling and especially Discomfort when clenching are not uncommon in the first few days.

In order to make the pain more bearable, painkillers such as, in consultation with the doctor Ibuprofen be taken. Has ibuprofen Paracetamol over the advantage that it is not only pain reliever, but also anti-inflammatory works.
In the pregnancy Paracetamol is the drug of choice.

If the pain does not subside even after a long period of time, a follow-up check is recommended. It could be again bacteria got into the canal and caused another infection. A Revision of the root filling is initiated in this case.

Read a lot more information on this topic at: Pain during and after a root canal treatment

Complaints after treatment

Let the Pain even after a long time on the affected person incisor not after, is a Visit to the dentist advisable. Usually they are anyway Control appointments for verification scheduled. It can happen that the treated tooth is renewed by a inflammation is affected because germs are affected by a leaky filling got inside or bacteria remained in the channel and not completely removed. If this is the case, the filling is removed and the treatment is carried out again (Revision) and then again provided with a filling.
The reason can also be a Overcrowding of the root canal beyond the tip of the root. Here, too, a new filling may be necessary. In the event of uncertainty or problems, the dentist should be consulted immediately, because the earlier you recognize a problem, the easier it is to treat and Consequential damage can be avoided.

prophylaxis

There one Root canal treatment to the Incisors mainly by a advanced Caries becomes necessary, it is important to his daily dental care to pay attention. This should be done twice a day. This will make the Plaque removed and the bacteria no longer have a breeding ground to survive. But plaque can only mechanically removed become, a Mouthwash is therefore not sufficient, but can, how Tongue scraper and Floss can be used in addition to brushing teeth. The incisors in particular can be easily reached from all sides when brushing your teeth.
Also one healthy eating contribute to dental health. The less sugar and acid the food the less nutrients the bacteria receive. Regular Control appointments at the dentist and a professional tooth cleaning, complete the optimal dental care.

costs

The cost of a Root canal treatment on the incisors are usually from the Health insurance accepted. However, the treatment must ensure that the tooth can be saved and that the dentist is able to fill the tooth completely up to the tip.
On one X-ray image the exact course of the Root canal visible. In some cases, however, the two-dimensional X-ray image does not reveal all of the twists and branches, so that the root canal may be more branched than expected during the treatment. If this condition cannot be met by the dentist, the health insurance company will not cover the costs. In this case, the health insurance would only do that Removing the tooth pay.
These fall under the health insurance benefits Boring, the Disinfect and the To fill the root canals. More modern and precise procedures are not covered by the health insurance and have to be paid additionally. This includes, for example, one electronic root length measurement or a Surgical microscope. So can average Costs of up to € 800 approaching the patient. Root canal treatment is cheaper on the incisors than on the molars.

Summary

A Root canal treatment on the incisors is a frequently performed operation and usually the last chance to save a tooth, which, however, can be considered worthwhile despite the complex process. A good Aftercare and guarantee patience during treatment a successful treatment in 60-70% of the incisor.

Read more about this under "Incisor broken off'.