Difference between revisions of "Endodontic Treatment"
Ggaitskell (talk | contribs) |
|||
| (10 intermediate revisions by 2 users not shown) | |||
| Line 1: | Line 1: | ||
| + | {{OpenPagesTop}} | ||
==Introduction== | ==Introduction== | ||
| − | + | [[File:Endodontics.jpg|200px|right|thumb|Endodontic treatment]] | |
| + | Endodontics refers to the treatment of the [[Tooth - Anatomy & Physiology#Pulp|pulp of the tooth]] (Endo: inside; -dontic: tooth). There are three pulpal treatments, each of which has specific indications. These are: | ||
| + | #'''Pulp capping''' | ||
| + | #'''Partial pulpectomy''' with direct pulp capping | ||
| + | #'''Root canal therapy''' | ||
| − | |||
| − | |||
| − | |||
| − | |||
Conventional root canal therapy is the most commonly indicated type of endodontic treatment. It involves total removal of pulp tissue, i.e. total pulpectomy, cleaning and filling of the root canal, followed by tooth restoration. | Conventional root canal therapy is the most commonly indicated type of endodontic treatment. It involves total removal of pulp tissue, i.e. total pulpectomy, cleaning and filling of the root canal, followed by tooth restoration. | ||
==Indications== | ==Indications== | ||
| − | Endodontics is indicated when there is, or may be, irreversible pulp pathology (e.g. generalized pulpitis or pulp necrosis, often in combination with periapical involvement). Such cases include fractures of the crown when the pulp is exposed, non-vital teeth, dental caries and iatrogenic pulp exposure in cases of crown shortening for malocclusion problems. In all of the above cases, extraction may be an option. Although endodontic treatment is often less traumatic and conserves strategically important teeth for both cosmetic and functional | + | Endodontics is indicated when there is, or may be, irreversible [[Pulp and Periapical Disease|pulp pathology]] (e.g. generalized pulpitis or pulp necrosis, often in combination with periapical involvement). Such cases include fractures of the [[Tooth - Anatomy & Physiology#Crown|crown]] when the pulp is exposed, non-vital teeth, [[Dental Caries|dental caries]] and iatrogenic pulp exposure in cases of crown shortening for [[Dental Malocclusion|malocclusion]] problems. In all of the above cases, extraction may be an option. Although endodontic treatment is often less traumatic and conserves strategically important teeth for both cosmetic and functional purposes it does require referral to a veterinary dental specialist for treatment. |
==Contraindications== | ==Contraindications== | ||
| − | Endodontic treatment requires long term radiographic monitoring, therefore a patient who is a high anaesthetic risk may not be a suitable candidate. In some cases, root canal treatment may also involve a longer surgery time, in which case, extraction is the preferable treatment | + | Endodontic treatment requires long term [[Intra-Oral Radiography - Small Animal|radiographic monitoring]], therefore a patient who is a high anaesthetic risk may not be a suitable candidate. In some cases, root canal treatment may also involve a longer surgery time, in which case, extraction is the preferable treatment for these patients. |
==Objectives== | ==Objectives== | ||
| − | The objectives of conventional root canal therapy are: | + | The objectives of conventional root canal therapy are: |
*To clean and disinfect the pulp chamber and root canal(s). | *To clean and disinfect the pulp chamber and root canal(s). | ||
| − | *To fill the root canal(s) with a | + | *To fill the root canal(s) with a non-irritant, antibacterial material, thus sealing the apex. |
*To close the access and exposure sites with a suitable restorative material. | *To close the access and exposure sites with a suitable restorative material. | ||
| + | <center><gallery heights=200px caption="Root Canal Therapy" > | ||
| + | File:Root canal therapy 1.jpg | ||
| + | File:Root canal therapy 2.jpg | ||
| + | File:Root canal therapy 3.jpg | ||
| + | File:Root canal therapy 4.jpg | ||
| + | </gallery></center> | ||
| + | The whole procedure is performed under general anesthesia and under strict radiographic control. It is time-consuming, as each step needs to be performed with meticulous detail to ensure a successful outcome. The outcome of conventional root canal therapy should be monitored [[Intra-Oral Radiography - Small Animal|radiographically]] for 6–12 months postoperatively, then ideally every year thereafter. | ||
| − | + | A partial pulpectomy and direct pulp capping procedure are indicated for recent tooth crown fractures with pulp exposure in an immature tooth. An immature tooth has a thin [[dentine]] wall and an open apex, allowing a good blood supply to the pulp. Treatment is aimed at maintaining a viable pulp, as this is needed for continued root development. | |
| − | + | <center><gallery heights=200px caption="Partial Pulpectomy and Direct Pulp Capping"> | |
| + | File:Partial pulpectomy.jpg | ||
| + | File:Direct pulp capping.jpg | ||
| + | </gallery></center> | ||
==Complications== | ==Complications== | ||
Failure of the endodontic treatment can occur. This is often detected radiographically. Reported success rates in dogs are 86% plus. In cases of endodontic failure, a surgical endodontic procedure can be carried out or the tooth could be extracted. | Failure of the endodontic treatment can occur. This is often detected radiographically. Reported success rates in dogs are 86% plus. In cases of endodontic failure, a surgical endodontic procedure can be carried out or the tooth could be extracted. | ||
| − | {{ | + | |
| − | [[Category:Dental Surgical Procedures]][[Category: | + | {{Lisa Milella written |
| + | |date = 1 October 2014}} | ||
| + | |||
| + | {{Waltham}} | ||
| + | |||
| + | {{OpenPages}} | ||
| + | [[Category:Dental Surgical Procedures]] | ||
| + | [[Category:Waltham reviewed]] | ||
Latest revision as of 13:57, 2 November 2014
Introduction
Endodontics refers to the treatment of the pulp of the tooth (Endo: inside; -dontic: tooth). There are three pulpal treatments, each of which has specific indications. These are:
- Pulp capping
- Partial pulpectomy with direct pulp capping
- Root canal therapy
Conventional root canal therapy is the most commonly indicated type of endodontic treatment. It involves total removal of pulp tissue, i.e. total pulpectomy, cleaning and filling of the root canal, followed by tooth restoration.
Indications
Endodontics is indicated when there is, or may be, irreversible pulp pathology (e.g. generalized pulpitis or pulp necrosis, often in combination with periapical involvement). Such cases include fractures of the crown when the pulp is exposed, non-vital teeth, dental caries and iatrogenic pulp exposure in cases of crown shortening for malocclusion problems. In all of the above cases, extraction may be an option. Although endodontic treatment is often less traumatic and conserves strategically important teeth for both cosmetic and functional purposes it does require referral to a veterinary dental specialist for treatment.
Contraindications
Endodontic treatment requires long term radiographic monitoring, therefore a patient who is a high anaesthetic risk may not be a suitable candidate. In some cases, root canal treatment may also involve a longer surgery time, in which case, extraction is the preferable treatment for these patients.
Objectives
The objectives of conventional root canal therapy are:
- To clean and disinfect the pulp chamber and root canal(s).
- To fill the root canal(s) with a non-irritant, antibacterial material, thus sealing the apex.
- To close the access and exposure sites with a suitable restorative material.
- Root Canal Therapy
The whole procedure is performed under general anesthesia and under strict radiographic control. It is time-consuming, as each step needs to be performed with meticulous detail to ensure a successful outcome. The outcome of conventional root canal therapy should be monitored radiographically for 6–12 months postoperatively, then ideally every year thereafter.
A partial pulpectomy and direct pulp capping procedure are indicated for recent tooth crown fractures with pulp exposure in an immature tooth. An immature tooth has a thin dentine wall and an open apex, allowing a good blood supply to the pulp. Treatment is aimed at maintaining a viable pulp, as this is needed for continued root development.
- Partial Pulpectomy and Direct Pulp Capping
Complications
Failure of the endodontic treatment can occur. This is often detected radiographically. Reported success rates in dogs are 86% plus. In cases of endodontic failure, a surgical endodontic procedure can be carried out or the tooth could be extracted.
 |
This article was written by Lisa Milella BVSc DipEVDC MRCVS. Date reviewed: 1 October 2014 |
| Endorsed by WALTHAM®, a leading authority in companion animal nutrition and wellbeing for over 50 years and the science institute for Mars Petcare. | 
|
Error in widget FBRecommend: unable to write file /var/www/wikivet.net/extensions/Widgets/compiled_templates/wrt664a7317204ba7_24113586 Error in widget google+: unable to write file /var/www/wikivet.net/extensions/Widgets/compiled_templates/wrt664a731723ad14_61240464 Error in widget TwitterTweet: unable to write file /var/www/wikivet.net/extensions/Widgets/compiled_templates/wrt664a731726e307_19328452
|
| WikiVet® Introduction - Help WikiVet - Report a Problem |