One of the key points of Oral Surgery in Vancouver WA is good access. Traditionally it was considered that access had to be as small as possible. Today, it is said that access should be as small as possible, but as large as necessary. This is taking into account that most of the posterior teeth being treated endodontically need a restoration that covers the cusps (onlay or full crown), but doing this will result in procedural errors. Poor access can cause pulp residue to be missed and the crown thus suffers from pigmentation after treatment. In addition, inadequate access generally leads to poor implementation, which automatically leads to a bad seal.
Drilling during access
If not taken into account certain parameters, the patient may lose the longitudinal axis of the tooth, which will generate in teeth being diverted from their original spatial position, or in the most troubling cases, he or she may have to undergo lateral drilling. Those originating above the cervical line will have a poor prognosis, provided they are properly sealed. However, those that occur below the cervical line may need to have the tooth treated via a root canal.
A conduit that is not found cannot be repaired, disinfected and therefore cannot be sealed, which may lead to endodontic treatment failure. It is important to search and locate all conduits that a tooth may have. It should be remembered that the first molars have four channels in almost 100% of cases; the lower incisors have two canals (vestibular and lingual); the second premolars have two ducts (one vestibular and one palatal); the upper second molars have four ducts and so on. Because of this, one of the modern concepts of cleaning a duct is to widen the area before moving forward. Doing this can, in the worst cases, involve the drilling of the root. Oral Surgery in Vancouver WA is a must at this point.
Irrigate with saline
One of the most critical steps of any endodontic treatment is root canal disinfection. To this end, the use of sodium hypochlorite, which is an excellent bactericidal, is used because it has a proteolytic effect on pulp. Not using sodium hypochlorite will allow the pulp to remain inflamed and / or infected and can cause treatment failure. Contact Lewis Family Dentistry or their Facebook page to learn more.