The importance of prosthetics
The main reason for refusals to install dentures is associated with the erroneous opinion of old-school dentists about the mandatory depulpation (removal of the nerve) of teeth before prosthetics. Before dispelling this myth, it is necessary to recall the importance of timely prosthetics.
Without an adequate prosthesis, neighboring healthy teeth begin to carry an unusual load, which leads to their increased wear, mobility and early loss. In addition, in the absence of even one tooth, speech defects appear, chewing functions are disrupted, bite pathologies occur, and even facial proportions are distorted.
Why is it bad to remove the nerve of a tooth?
Removing nerves is an unfavorable process for the tooth. The pulpless organ becomes dead, which entails irreversible consequences.
- The nutrition for which the pulp was responsible ceases, leading to a decrease in the level of mineral and organic components. The tooth becomes brittle and its shock-absorbing capacity decreases.
- Over time, cracks and chips appear on the dead tooth. Even if it is under a crown, the tooth can decay or break along with the installed prosthesis. To avoid this risk, before performing prosthetics, dentists often install pins that provide greater reliability.
- Teeth with removed nerves are much more likely to develop caries. After depulpation, the protective functions are reduced, so the organ becomes most susceptible to the destructive effects of bacteria.
This is what a nerve removal device looks like
The process of pulp removal itself is complex and labor-intensive, requiring the specialist to have the necessary knowledge in the field of dental canal treatment. As a result of the actions of an inexperienced dentist, complications may arise due to incomplete removal of the nerve or its extension beyond the apex of the tooth, which leads to the development of granulomas and periodontitis.
Causes of frequent depulpations
Why do orthopedists so often remove pulp from teeth? The main reason lies in the desire of doctors to play it safe and avoid complications after prosthetics. The fact is that teeth have a porous structure. Pores are dentinal canals that run from the enamel to the pulp of the tooth. During grinding of teeth for a crown, mechanical irritation of the pulp may occur through these dentinal canals.
And at the last stage of fixing the prosthesis, there is a toxic effect of cement. And as a result - infection and death of the pulp. However, this does not allow us to consider depulpation as a prevention of complications, since this procedure is inevitably associated with the risk of developing periodontal pathologies. After all, no one suggests removing the appendicitis for preventive purposes. Living teeth retain their stability much longer.
Whereas teeth subjected to depulpation become extremely fragile and are more susceptible to destruction, losing their shock-absorbing function.
How to treat a tooth under a crown
Not every therapy method can be applied to a dental unit covered with a prosthesis. In many cases, it needs to be removed, and only then can the problem be fixed. Filled canals, installed pins, and inlays are also difficult. If there is serious inflammation and complications, treatment can take up to several months.
First aid
What to do if your tooth suddenly hurts:
- take medications that relieve pain and inflammation (painkillers, non-steroidal drugs);
- every three hours, rinse your mouth with a solution of soda, antiseptics, pharmaceutical herbal tinctures or homemade herbal decoctions;
- Contact your dentist as soon as possible.
It is strictly forbidden to make hot compresses or heat the site of inflammation, or take antibiotics. It is not recommended to sleep without a pillow, as unimpeded blood flow is necessary.
Medicines for pain relief
Even severe toothache can be relieved with painkillers. This can be any product from the first aid kit. Dentists recommend using Ibuprofen, Ketanov, Tempalgin, Ketofril or Ortofen. There is no need to suffer from a painful symptom if there are medications available. Take strictly according to instructions.
Safe folk remedies
Immediately after dentures, many patients experience minor pain and swelling of the gums. During this period, it is possible and even recommended to rinse the mouth with decoctions of medicinal herbs. It is important to coordinate traditional medicine methods with your dentist in advance.
Can be used:
- Sage. Stops bleeding, kills germs, relieves pain. Rinse your mouth with warm infusion every 4 hours. To prepare a therapeutic rinse, place one tablespoon of dry raw materials in a container and pour 250 ml of boiling water.
- Calamus root. Perfectly relieves pain and disinfects. The decoction is prepared similarly to sage. Can be used for rinsing and application. The dry root is applied to the inflamed area and left until the fibers soften.
- Oregano. It has antiseptic, antifungal properties and relieves pain. The decoction is prepared at the rate of 2 tablespoons of dry raw materials and 250 ml of boiling water. You can rinse your mouth up to eight times a day.
- Soda. The simplest remedy that is in any kitchen. Dilute a heaping teaspoon in a glass of warm water. Rinse every 2 - 3 hours until acute symptoms subside.
Knowledge and experience of orthopedists
Of great importance in the issue of prosthetics without depulpation is the knowledge of orthopedic doctors about the safety zones of the crown parts of teeth. Safety zones are those areas of the tooth within which you can safely grind the tooth tissue without damaging the pulp.
The canines have slightly more such tissue than the lateral incisors. The age of the patient is also important: the older the person, the less likely the pulp is to be damaged.
Contact our clinic for a consultation on prosthetics without depulpation, and we will definitely find the right solution for you!
Dental prosthetics in our clinic. Types of dental crowns and methods of their manufacture
How to preserve a living tooth when installing a crown?
A patient who cares about the health and safety of his teeth should know all the possible risks that arise when removing nerves before prosthetics. To avoid depulpation and preserve a living tooth, you must:
- preliminary study the reviews of clients who have used the services of orthodontists;
- choose the right clinic that uses modern equipment;
- undergo a preliminary examination by a doctor and immediately determine the possibility of prosthetics without removing the pulp;
- If the dentist refuses to install a prosthesis on a living tooth, it is worth contacting several more doctors to determine whether installing a crown without pulp removal is really impossible in your case.
To fix a crown on a tooth with a nerve, the unit must be carefully prepared
If the orthodontist does not want to place a denture on a living tooth, find out the exact reason for the refusal. It is possible that in your case, removal of the nerve is justified. However, it will be much better if the diagnosis is confirmed by several specialists.
Should the nerve be removed before dental prosthetics?
Many patients, on the eve of prosthetics, are interested in the question of whether it is worth removing the nerve from the tooth before covering it with a crown. After all, almost everyone understands that without a nerve, a tooth, conditionally, becomes “dead”, and the depulpation procedure itself, in truth, looks scary for many (unfortunately, not everyone has yet understood and become accustomed to the fact that modern dentistry is a completely painless procedure). only dental treatment , but also any, even very complex surgical procedures).
Let us note that just ten years ago there was an opinion that before any type of prosthetics, it was most reliable to depulp the tooth (remove the nerve). At the present time, there is no single approach to this issue - everything is determined individually, based on the health of the tooth, its anatomical characteristics, the method of prosthetics and a number of other factors.
At the same time, there is a relatively universal list of indications for tooth depulpation before subsequent prosthetic crowns, including:
- uneven position of the tooth in the row (various variations of deviations are possible that directly affect the decision to remove pulp);
- advanced stages of caries, when it has deeply affected the tooth;
- any forms of pulpitis in which it is necessary to remove the nerve and treat the canals in order to eliminate the inflammatory process;
- low landing of the crown or other cases in which it is impossible to perform prosthetics without affecting the pulp.
However, practice shows that often the reason for tooth depulpation before prosthetics is the fact of contacting a doctor at the stage when the nerve is already inflamed (at a serious stage of caries and the development of pulpitis) and its removal, a priori, is mandatory. At the same time, it is worth noting that removing a nerve during the treatment of pulpitis is by no means synonymous with a “death sentence” for a tooth. On the contrary, if it is done with high quality, like canal filling , and after which the tooth is covered with a crown, such a tooth can serve for several more decades. With proper supervision and care, of course.
If we talk about situations where tooth depulpation is not required in preparation for prosthetic crowns, then, as a rule, this includes cases when the tooth is not too deeply affected by caries, and there are no inflammatory processes inside. Through diagnosis, the doctor can determine and make an informed decision whether it is worth resorting to depulpation in advance or not. There are very real cases when this can be avoided - and here a lot depends on your timely application.
Among other things, with microprosthetics of teeth (for example, with a dental inlay or veneers), when it is necessary to restore only a partially destroyed tooth, nerve removal is not required. Be that as it may, the main factor that depends only on you, influencing the degree of intervention in the tooth, is the desire to treat your teeth in a timely manner, in order not to complicate the process.
Share on social media networks:
Rating 0.00 [0 Vote(s)]
Features of installing a prosthesis on a living tooth
The procedure for installing a crown while preserving the dental nerves has its own difficulties and features. The process itself occurs according to the following scheme:
- The tooth surface is treated under local anesthesia, slowly, with periodic breaks and plenty of water. In this case, the main task of the specialist is to protect the pulp as much as possible from thermal effects.
- After grinding is completed, the tooth is treated with a special protective coating to avoid possible infection of the nerve.
- After the preparation of the tooth is completed, temporary dentures and plastic crowns are installed on it, which not only solve the aesthetic problem, but also additionally protect the nerve until the main prosthesis is manufactured.
- Before installing temporary plastic crowns, special solutions containing an antiseptic are also applied to the tooth.
The main condition for successful prosthetics of a vital tooth is not to leave the treated surface unprotected. Otherwise, there is a high risk of complications and additional dental treatment in the future.
