Health and Fitness

Common complications in root canal treatment

Both cleaning and sealing of the tooth in endodontics is an intervention performed by a specialist dentist. However, we must talk about a series of complications in a root canal treatment, this being information that we are going to know below.

What is a canal in a grinding wheel?

The canal of a tooth is located at its root and is where the dental nerve is located. When a cavity progresses and reaches the tooth canal, it usually causes great pain.

What is a root canal treatment on a tooth?

It is a dental treatment that is done to remove the dental pulp and seal the pulp cavity.

What is nerve treatment for?

The nerve treatment used to treat an infection that came to the nerve of the tooth allowing save the tooth. Infection in the tooth can be caused by deep cavities, blows, trauma or gum problems. This treatment is also known as a root canal. And it can have some complications like any dental procedure.

Causes for which complications of root canal treatment may appear

For there to be complications in this intervention, a series of situations must occur:

For example, there is an undetected crack or fracture in the root of the tooth. Or in the case that a defective dental restoration has been made that makes it possible for bacteria to enter the area. Complications can also appear in root canal treatment due to problems with the root sealing material.

Why can a root canal go wrong?

  • Due to chronic infection and a large bone injury that the body managed to repair after treatment.
  • Because no possible accessory ducts have been found and therefore they have not been sealed.
  • If a short root canal seal has been performed. Since bacteria can continue to enter the root.
  • The same happens if the canal is overfilled.
  • Teeth are also more likely to fracture because they are weakened after root canals.
  • One complication that can arise and lead to treatment failure is root perforation.
  • File fracture within the canal, especially when the teeth have very curved roots.

If the pain persists and the tooth does not stop bothering. You should consult your endodontist to check that everything is fine.

What to do if root canal treatment has failed?

In the event that the intervention has not been successful, it must be said that there is the possibility of repeating the treatment. It should be the endodontist who decides if re-endodontia is the appropriate option in order to save the tooth. Apicoectomy is another available treatment aimed at relieving inflammation and infection when it affected the bone.

In the event that root canal treatment cannot be carried out, tooth extraction must be performed. After tooth extraction, the area must be rehabilitated later with a bridge or tandimplantaat. This will allow you to recover both the functionality and aesthetics of your teeth. As well as avoiding problems in the adjacent teeth. Although if possible, it is always more advisable to perform root canal treatment since it allows us to save the tooth.

Recommendations for after a root canal treatment?

  • Maintain good oral hygiene and visit your dentist regularly.
  • Avoid eating hard foods that can fracture the posterior dental restoration.

After the root canal treatment is complete, the tooth is restored with an inlay, composite filling, or dental crown. In this way, the aesthetics and functionality of the tooth are recovered. If you have had a root canal and it hurts, you may have a complication.

Although pain after root canals is sometimes normal for the first few days, it usually subsides. If the pain persists, you should go to your Endodontist as soon as possible.

Uses of 3D digital radiology

The incorporation of 3D images to the dental practice is of immense help for among others:

  • implant placement planning
  • wisdom tooth extraction
  • canines included
  • analysis of cysts and other lesions in the jawbones
  • sinus problems
  • planning orthodontic movements in adults

Thanks to the precision of the images obtained and the planning software, the implants are placed virtually on the computer. In this way, we achieve minimal surgery and almost non-existent postoperative pain.

Differences between CBCT and dental CT

CT is commonly used to refer to all 3D imaging tests, and although both represent a three-dimensional image of the patient’s mouth, there are differences between the two radiological examinations.

The most important distinction is the one relative to the radiation dose that the patient receives in one test and another. CBCT emits a much lower radiation dose than dental CT. Also linked to this issue is the time of exposure to X-rays. It is between one or two minutes, depending on the machine used.

The last difference refers to the name of both tests. Although both emit X-rays, those of the CT scan are spiral-shaped while those of the CBCT is conical. Taking all this into account, at the Ruiz-Capillas Clinic the radiological examination used is the CBCT.

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