Tooth Nerve Therapy

When a tooth gets infected by dental caries and it is left alone to progress, the infection travels deep into the inner layers of the tooth. There are different layers of the teeth: the outer layer of the crown is enamel and the outer later of the roots is cementum. Beneath their outer-covering is a second layer called dentin that encases pulp tissue which is nourishment and nerve supply of the tooth. When an infection first comes to the tooth, it penetrates the outer layers and courses deeper into the tissues to spread infection. If the dentist detects the problem early, such things are easily resolved with a simple dental filling but when the condition is more severe, a tooth nerve therapy may be more appropriate.

 

When the infection has reached the pulp, a simple is no longer possible because it would mean that you will be leaving the infection under the dental filling material. This can make matters worse, creating pressure so that the pain can be quite excruciating so simply covering the tooth is never the right option for treatment.

 

In children, tooth nerve therapy is a little different from how it is performed in adults. Ideally, during a root canal therapy, the canal is accessed and the entire pulp tissue is removed to be replaced by a biocompatible filling material. This is not exactly possible when you are dealing with a deciduous tooth that is sure to exfoliate in the next few years. If the child’s tooth infection is on a permanent tooth, normal root canal techniques can be followed — otherwise, the following procedures may be performed:

 

1. Pulpotomy: The most basic tooth nerve therapy that the child can receive is a pulpotomy procedure, which is nerve therapy limited to the crown of the tooth only. To eliminate the infection, the canal chamber on the crown is accessed and the entire coronal pulp is removed and then sealed. When the tooth decay is beyond normal fillings but still within the boundaries of a pulpotomy procedure the is saved this way.
2. Apexogenesis: A special type of tooth nerve therapy is apexogenesis and it is a pulp treatment given to a permanent tooth that has caught an infection during its development stages. A normal root canal procedure is not yet a good thing because the roots are not completely formed, so the tooth receives the pulp therapy procedure within the crown area but using a filling material that should still encourage root development.
3. Apexification: This kind of tooth nerve therapy is what is closest to the adult root canal procedure because the baby tooth is cleansed just as a permanent would be, but when the filling is made, what is used is a resorbable material that resorbs as the tooth begins to exfoliate when the time comes.
4. Apicoectomy: Another tooth nerve procedure that may be performed is when the infection is concentrated to the apex of the tooth. In this procedure, the apex of the roots are accessed by making a small opening on the bone and the tooth is cleansed and sealed.

 

Given the nature of the procedure, all tooth nerve therapies have to be performed with anesthetic solution and may also be done while the patient is sedated.

 

Tooth Nerve Therapy

When a tooth gets infected by dental caries and it is left alone to progress, the infection travels deep into the inner layers of the tooth. There are different layers of the teeth: the outer layer of the crown is enamel and the outer later of the roots is cementum. Beneath their outer-covering is a second layer called dentin that encases pulp tissue which is nourishment and nerve supply of the tooth. When an infection first comes to the tooth, it penetrates the outer layers and courses deeper into the tissues to spread infection. If the dentist detects the problem early, such things are easily resolved with a simple dental filling but when the condition is more severe, a tooth nerve therapy may be more appropriate.

 

When the infection has reached the pulp, a simple is no longer possible because it would mean that you will be leaving the infection under the dental filling material. This can make matters worse, creating pressure so that the pain can be quite excruciating so simply covering the tooth is never the right option for treatment.

 

In children, tooth nerve therapy is a little different from how it is performed in adults. Ideally, during a root canal therapy, the canal is accessed and the entire pulp tissue is removed to be replaced by a biocompatible filling material. This is not exactly possible when you are dealing with a deciduous tooth that is sure to exfoliate in the next few years. If the child’s tooth infection is on a permanent tooth, normal root canal techniques can be followed — otherwise, the following procedures may be performed:

 

1. Pulpotomy: The most basic tooth nerve therapy that the child can receive is a pulpotomy procedure, which is nerve therapy limited to the crown of the tooth only. To eliminate the infection, the canal chamber on the crown is accessed and the entire coronal pulp is removed and then sealed. When the tooth decay is beyond normal fillings but still within the boundaries of a pulpotomy procedure the is saved this way.
2. Apexogenesis: A special type of tooth nerve therapy is apexogenesis and it is a pulp treatment given to a permanent tooth that has caught an infection during its development stages. A normal root canal procedure is not yet a good thing because the roots are not completely formed, so the tooth receives the pulp therapy procedure within the crown area but using a filling material that should still encourage root development.
3. Apexification: This kind of tooth nerve therapy is what is closest to the adult root canal procedure because the baby tooth is cleansed just as a permanent would be, but when the filling is made, what is used is a resorbable material that resorbs as the tooth begins to exfoliate when the time comes.
4. Apicoectomy: Another tooth nerve procedure that may be performed is when the infection is concentrated to the apex of the tooth. In this procedure, the apex of the roots are accessed by making a small opening on the bone and the tooth is cleansed and sealed.

 

Given the nature of the procedure, all tooth nerve therapies have to be performed with anesthetic solution and may also be done while the patient is sedated.