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| Treatment guide |
| Dentistry |
| Periodontal disease |
| Pediatric dentistry |
| Orthodontics |
| Oral surgery |
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| C３ Treatment of large cavities (1) Demyelination | (Treatment to remove nerves and blood vessels in teeth) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| If the cavities that were created are left untreated, they will go deeper and deeper. And when the pain becomes very strong, tooth decay often extends to the pulp (nerves and blood vessels) in the tooth. If this happens, unfortunately, you will have to remove the pulp. The removed pulp will not regenerate. In addition, the tooth from which the pulp has been removed is fragile and easily broken because the nutrients supplied by blood are lost. After removing the pulp, the tooth covered with stuffing or crown will eventually recur if the condition of subsequent care is poor. It is said that the life of a tooth with pulp removed is less than half. Therefore, let's keep in mind early detection, early treatment and prevention of tooth decay so as not to remove the pulp as much as possible. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Procedure for pulp removal (treatment to remove nerves in teeth) | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
１）Remove nerves. Partially anesthetize the axillary gingiva and scrape the cavities with a treatment tool. (Treatment of cavities as preparation) The pulp is in the root (root canal) of the tooth, about 1 anterior tooth, 2 to 3 molars, and in the root according to the number of roots. This pulp will be removed using a thin treatment instrument. (Excision) |
２）Fill the root canal with medicine. After removing all the pulp and thoroughly disinfecting the inside of the root canal, stuff it with natural rubber medicine firmly so that there is no gap to the tip of the root. (Root canal filling) Although demyelination and filling may be completed in one day, it is usually done on separate days. If the condition is not good, it may be more than 3 times with the treatment of applying the medicine to the root canal. | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
 ３）Formation of abutment After the treatment of the root nerve is completed, the base of the tooth is formed. If you have less tooth loss due to tooth decay, use a metal pin. If there is a lot of lost tooth substance, take a tooth mold and insert a cast metal core. |
 ４）Final treatment Once the base is formed, form the occlusal part. If there is little lost tooth substance, fill the hollow part of the tooth head with plastic etc. If you have lost a lot of tooth substance, cover it with a crown (metal, ceramic, etc.). | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Insurance points and fee calculation for the above treatments The treatment period is about one month, if everything goes well, at a pace of twice a week. If the pain or swelling doesn't go away, it will take longer. The score of root treatment depends on the number of roots (1 for the front teeth, 2 to 3 for the back teeth).
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