Perforation of the root of the tooth: what is it, treatment

In case the dentist diagnosed a perforation in a person, it is necessary to immediately start treatment.If the doctor prescribes it on early manifestations of perforation, it is most effective and short-lived in time.

In a neglected form, complications can arise, from which it will be very difficult to get rid.

concept of perforation tooth

When a person hears from the doctor, he diagnosed perforation, it is necessary to understand that the perforation of the tooth it is.

perforation is defined as the small hole in the tooth cavity, which may be formed due to several processes, namely:

• Root canals can be bent , notes that people most susceptible to the process at the time of the procedure ofThe expansion of the channels and at the time when it is prepared for the insertion of the pin.This is the most common cause of the manifestation of the pathological process.It is noted that in case of detection of perforation, treatment of diseases of the oral cavity is significantly hampered.
  

  Illiterate dental work can cause perforation teeth

• Mechanical damage can also be a cause of the pathological process.Injury can be caused by force on the jaw area, for example, during a fight.However, there are cases when the illiterate work of the dentist causes the damage.
  During the dental work, the doctor may injure the oral cavity.That is why, when it is necessary to conduct various dental manipulations, contact experienced doctors with a long record of work.
• The process can appear as a consequence of a complication of dental caries. The fact that caries in the early stages does not cause pain and discomfort, but spreads quickly.For this reason, the vast majority of people do not begin treatment at an early stage, and this contributes to the manifestation of complications, including perforation of the tooth.Unfortunately, caries can cause not only pathological processes in the area of ​​the teeth, but also lead to their loss.

Complications caused by neglected perforation - changes in the structure of the tooth and the destruction of bone tissue.

perforation

Symptoms Symptoms perforation at an early stage clear, it causes severe pain in the oral cavity.There is bleeding from the socket of the tooth, which can begin in the dentist's office during procedures and at home.In the event that the process began at a doctor's appointment, he made a mistake when working with tools.

An undetected perforation at an early stage of development develops into a neglected form. It is dangerous because it almost does not cause pain.A man is only occasionally disturbed by mild aching pains, and the internal process of inflammation proceeds swiftly.

This pathology can be noticed by the doctor during the preventive reception.

If found, the doctor will immediately suggest sealing the tooth.In most cases, this is enough, the pathological process is suppressed.However, if the thickness of the hole exceeds 2 mm, then the filling is ineffective, moreover, it can cause the sealing materials to be expelled into the periodontium and then infected.There is destructive periodontitis.

Varieties perforation

perforation tooth root

perforation can be localized in the areas of the oral cavity:

• toothbrush at the bottom of the cavity;
• in the root part of the tooth;
• at the tooth wall.

From this stand and variety of the pathological process, which, depending on its location and divided into several types:

• Perforation of the bottom of the tooth cavity of the can occur due to a strong erasure of the dental crown.There are cases when this type of pathology is manifested due to a strong expansion of the dental cavity at the time of its treatment.When a process occurs, the tooth axis moves toward the tongue or toward the cheek.
• Perforation of the root part of occurs when the teeth are bent, the lesion can be identified if the x-ray of the jaw is performed.The resulted type of a pathology should be cured as soon as possible, because it is very important to protect the periodontium from possible destruction.The destruction of periodontium threatens the destruction of teeth.The effectiveness of treatment is determined precisely by the degree of the perforation that has arisen, the places in which the disturbance occurs are different: the middle part of the root of the tooth, its apex and the position between the roots.
  
  Perforation in the upper part of the root of the tooth can be caused by improper selection of instruments by the doctor when filling the tooth, a similar violation is immediately difficult to identify.
  Pathology in the middle part occurs with insufficient processing of the dental canals or when they are improperly sealed.The most dangerous is the perforation that occurs between the roots of the teeth, because it can lead to a disruption in the functioning of the teeth.
• Perforation occurring on the walls of the tooth , may be caused by a dentist's mistake made during the treatment of the disease with dental instruments.This may be due to the lack of professionalism of the doctor or, the malfunctioning of the instruments.Provided that the doctor immediately notices the allowed oversight, he liquidates the bleeding.

Treatment of perforated teeth by filling

The causes of perforation can be injuries, illnesses, and medical errors

Treatment of pathology is made individually for each case of , depending on the location where the perforation and the degreeIts spread.

Perforation of the root of a tooth whose treatment can be performed immediately after the manifestation is considered the most dangerous, since it can cause a large number of complications.How the treatment should be performed is decided by the doctor who assesses the lesion.

An effective therapeutic method is indicated for treatment: tooth filling .When filling, the doctor first cleans the affected cavity of visible contaminants, then the cone drill penetrates into the root part.

In the root canals, alternately, the doctor enters a large file.After the dentist puts on the area of ​​the perforated special cement, which completely covers the root bottom of the tooth.

After the material has hardened, the doctor removes the remaining files from the oral cavity.However, this does not end the treatment.After the filling is done, it is recommended to take x-ray pictures of the jaw every six months, so that if the inflammatory process is repeated, it can be immediately eliminated.

There are cases when treatment with is indicated when using microsurgical methods. This manipulation can be performed only by an experienced dentist.The doctor accepts this decision, provided that the perforation is too large in size, or the affected area is in a remote location.

The doctor creates the convenience to get to the affected area and prevents bleeding.Further, the affected area is cleared and irrigation follows.After the procedure, it is enough just to seal the tooth.

Extraction of teeth with perforation

A dangerous consequence of tooth perforation is the cyst

One of the most complicated methods of treating perforation is considered to be replantation.It is performed by removing the tooth and then inserting a dental implant into its alveoli.

It is noted that removal is carried out sparingly and is assigned in the event that it is not possible to determine the area in which the perforation focus is localized.

If a surgical procedure has been performed, the treatment does not end in the dentist's office. Even with the absence of a visible inflammatory process, patients are shown antibiotics .Suitable drugs with the widest possible spectrum of action, which can penetrate into the bone tissue.

For the first two or three days, medications with anti-inflammatory action are prescribed, which contribute to the rapid restoration of oral tissue.In case the patient complains of severe pain, the doctor also prescribes pain medications.

For prophylactic purposes, it is recommended to rinse with antiseptic products that can be purchased at a pharmacy or at home.Pharmaceutical solutions are good for chlorophyllipt, as it has not only an antiseptic, but also a slight anti-inflammatory effect.