Januari 04, 2017
complications of root canal treatment root canal has high success rate but there are a number of complications that can arise during any routine root canal procedure of which you should be aware fortunately they are not common and do not necessarily need the tooth to be removed they include missed root canals if the tooth has more canals than anticipated
or if it is in an abnormal position bacteria remain in the infected canal and can re-contaminate the tooth the root may have large lateral and accessory canals that are difficult to sterilize fractured root or crown root treated teeth and those without a blood supply are more brittle and more prone to fracture the location
and extent of the fracture will determine if the tooth can be saved, but more often an extraction will be required re-infection this may be due to insufficient, inadequate cleaning, complex root formations or connections to outside of the tooth via fractures or lateral canal fractured instruments
this is probably the most common complication that occurs this can happen when canals are very curved or when rotary files have been used too many times without being changed or with a too much speed torque if it is a large piece of file it can sometimes be removed immediately if this occur after training has been completed and is only a tiny
piece right at the tip the tooth can often be filled up to this point if it occurred before thorough cleaning then it needs to be removed. perforation sometimes instruments may accidentally rperforate the root during filing often this particular risk when the root of the tooth is very curved or it has a sudden twist management
depends on the size and location of the perforation scelrosed and calcified canals if a canal becomes sclerosed it presents a challenge performing a root canal phoenix abscess is a dental abscess that can occur immediately following the root canal treatment risk of occurrence of a phoenix abscess is minimized by correct identification and
instrumentation of the entire root canal treatment involves repeating the endodontic treatment with the improving debridement or tooth extraction antibiotics might be indicated immature teeth with incomplete roots if a child receives a knock to a front tooth sufficient to kill off the nerve before the root has finished growing we are left
with an 'open apex'- a very wide canal that is difficult to treat a root filling cannot be placed in the normal way; a barrier to pack the filling against is needed and can only be achieved by repeatedly re-dressing the tooth every 6 weeks until this occurs perio- endo lesions if the tooth has associated periodontal problems this
can provide a continued source of bacteria and infection and the prognosis becomes questionable other very rare complications include altered sensitivity following treatment allergic reaction to the medicine or materials used perforation of the maxillary sinus thank you for watching
Tidak ada komentar
Posting Komentar