If you have pain or swelling or infection of pulp due to a cavity /decay, which is near the pulp of your teeth or involving your tooth or following deep filling; you may need:
- Indirect Pulp Capping: This pulp treatment is instituted when the decay is very near the pulp but just not reached the pulp. Further, the pulp remains intact and is not exposed even after the decay is completely removed by your dentist. The usual material used for this purpose is calcium hydroxide, which not only soothes the pulp but also plays an important role in re-mineralization near the affected area. Thereafter, the tooth is filled by teeth color resin or any other filling material which your dentist may decide for you. Subsequent to this treatment, sometimes the pulp may get irritated or inflamed in such cases you may have severe pain. You may then require the Pulp therapy treat- ment involving the pulp.
- Direct Pulp capping: This pulp treatment is instituted when the decay is very near the pulp but just not reached the pulp. Further, the pulp remains intact, but is exposed after the decay is completely removed by your dentist. The usual material used for this pur- pose is calcium hydroxide, which not only soothes the pulp but also plays important in re-mineralization near the affected area. Thereafter, the tooth is filled by tooth colored resin or any other filling material which your dentist may decide for you. Subsequent to this treatment, sometimes the pulp may get irritated or inflamed and in such cases, you may have severe pain, you may then require the pulp therapy treatment involving the pulp.
- Partial Pulpectomy /pulpotomy: The pulp therapy treatment is instituted when the decay has reached the pulp. Further, the pulp is partially intact and partially damaged. Your dentist here exercises its discretion as to whether he should completely remove both your damaged pulp and the intact pulp or remove only the damaged pulp alone. If the damaged pulp alone is removed time treatment is called partial pulpectomy or pulpotomy. The pulp is than mummified with cotton dressing containing medicine. The cotton is removed on a later visit and the tooth is restored with or without use of pins etc. as per the discretion of your dentist. During the dressing phase. If you neglect to keep your appointment, you may need more appointments and dressings in such case com- plete pulpectomy may be required. You must adhere to your appointment, some- times the intact pulp may get irritated, inflamed, and in such cases, you may have severe pain, you may
- Complete Pulpectomy/RCT: This pulp therapy treatment is instituted when the decay has reached the pulp. Further, the pulp is partially or completely damaged. Your den- tist here removes the entire damaged pulp from the pulp from the pulp chamber as well as the roots. The roots are then filled (usually with Gutta Percha) immediately or after a few dressings of cotton embedded in medicine. The treatment is called com- plete Pulpectomy or Root Canal therapy. During the dressing phase if you neglect to keep your appointments and dressings and in such case filling your root canal may become difficult. You must adhere to your appointment schedule especially during this phase. Your tooth is then restored with or without posts, pins etc., as per the discretion of your dentist. Subsequent to this treatment, sometimes you may again get pain and in such cases your tooth may require repeating of the Complete Pulpec- tomy procedure or surgically the infection would have to be removed usually by removing the tip of your tooth roots. This surgical treatment can be performed with or without removal of your tooth as per discretion of your dentist. The Pulp therapy treatment has a success rate of about 90% and in rare casesyour tooth may have to be removed.
Treatment Summary: Composite resin restoration
Patient Maintenance: In order to keep the restorations looking their best, you should have a professional cleaning three or four times a year. The reason for such frequent cleanings are to remove food stains that accumulate in microscopic spaces on the surfaces of the teeth. You should follow all the instructions given meticulously and inform the attending dental surgeon for any uneventful happening during your next visit. This will enable the dental surgeon to guide you and also take suitable remedial measures promptly.
Average Range of Treatment Life Expectancy: An average range of treatment life expectancy estimate is included in each treatment section summary.
“This estimate is based on my own clinical experience combined with three university research studies, and insurance company estimates. Your own experience could be different. I have seen poor fitting crowns and fillings last for over thirty-five years in the mouth of a patient who cleans often and well. I have also seen good fitting restoration last less than two years in the mouth of a patient whose diet and oral hygiene were poor. Medical factors, such as certain diseases, can also play a major role in the life of your restorations. Your experience will depend on many factors, only some of which you and your dentists can control. Certain factors like bruxism and or clenching of teeth can play a major role in the life of your restoration and also implant. Use of polymers would enhance the life of your restoration and also the implant when compared with ceramic or zirconia. Your following the instructions and proper follow up visits would also enhance the success and life of your implant and the restorations.”
Dr. Arun Chamria (Dental Surgeon)
Footnote: TIPS ON PREVENTING AESTHETIC PROBLEMS DURING CHILDHOOD
- Avoid taking tetracycline antibiotics for any extended period during pregnancy and giving it to your child before either year of age. It can cause staining of primary and permanent teeth that may be impossible to remove and difficult to cover.
- If your water supply is properly fluoridated, it is not necessary to give your child vitamins containing fluoride.
- Avoid foods high in calories and junk foods, such as candy, which may promote decay
- Watch out for tell-tale signs of clenching or grinding. Have your child’s dentist look for signs of wear on the teeth surfaces, Also, pay attention to headaches, backaches can be associated with clenching or grinding.
- ‘If orthodontic treatment is required, make certain careful oral hygiene and regular visits to your child’s dentists are observed and avoid refined sugars. Such foods can cause hidden discoloration and cavities of the teeth, which may be evident after the bands or brackets are removed.
- Learn about restorations (“fillings”), which can be gold, plastic silver, etc. Learn how long restorations may be expected to last and what type of materials could or should be used to give your child the most appropriate treatment.
- A sight chip or fracture of front teeth can usually be bonded. In cases of severe decay or fracture of primary teeth, a crown may be needed. For back teeth, this could be a silver-colored or stainless -steel crown. For a front tooth, a plastic or composite tooth-colored crown may be used.
- If it can be saved, don’t have a tooth extracted. It’s better to maintain a tooth in health If a primary or baby tooth is prematurely lost or removed, ask your dentist if space maintenance (to preserve room for the permanent tooth) is needed. Loss of space can often lead to the need for orthodontic treatment later on.