Usually, in the dental treatment the removal of the nerve is the last solution, the main objective being to maintain the health and functionality at the maximum level of the patient's natural teeth.
Dr. Mihaela Dan, an orthodontic specialist at the Ortho-Implant Expert Clinic, says that there are situations when the canal treatment becomes necessary, even when the nerve is still alive and healthy.
Duct treatment is a procedure used to treat a dental infection, is not painful and can save a tooth that might otherwise be completely removed. There are several specific situations in which canal treatment may be indicated, such as trauma (when the tooth exposes the tooth to external factors) or for orthodontic reasons.
Here are the most common situations where it is necessary to remove the nerve of a tooth:
When the nerve is alive and healthy
Paradoxically, there are situations where it is necessary to remove the nerve of healthy teeth.
“The first situation is one in which the tooth suffers a trauma that leads to its fracture and the exposure of the nerve from contact with the external environment. Even if the patient presents to the doctor as a matter of urgency, he may sometimes make the decision to remove the nerve, although most dentists would be tempted to try to rescue him. However, the possibility of subsequent infections, followed by the death of the nerve and its coloring in brown is great, "explains the orthodontic specialist.
“The second situation in which the nerve of a healthy tooth is removed is the one in which the dental work will be performed. To replace a missing tooth, it is necessary to support the neighboring teeth, which will be polished, a procedure by which we get very close to the nerve. In order to avoid further complications such as infection and death of the nerve under labor (which would require perforation of the crown to treat the affected nerve after a longer or shorter period from the application of the crown), most doctors prefer to remove the nerve from the beginning ", complements Dr. Mihaela Dan, orthodontist.
When the nerve is still alive, but infected
Once infected, the dental pulp (composed of the nerve, blood vessels and connective tissue) unfortunately does not have the ability to heal itself. In other words, if a tooth happens spontaneously, after more than 10 minutes, and the pain is intense, the nerve has no chance of being saved.
“The doctor will make the correct diagnosis to avoid confusing this pain with that of the gingival cause, with the one from the first days after applying the dental device or with the irradiated one from another tooth or from the maxillary sinus and the nerve will be removed. There is a possibility that the pain may subside or disappear as a result of self-administered antibiotic treatment by the patient, but if the nerve is not removed, it will die sooner or later, causing other complications (abscesses, fractures). the tooth, etc.) ”, warns the orthodontic specialist.
When the nerve is dead
For many, the patient may not be aware that the nerve of one of the teeth has died, because this can happen gradually, either without serious symptoms, or with symptoms that are overlooked or forgotten.
“This situation can occur as a result of a deep tooth decay or trauma that did not necessarily lead to tooth fracture, but only the sudden crushing and sectioning of blood vessels that enter the tooth, interrupting feeding and causing nerve death. Often, the patient presents to the doctor because of the change in the color of the tooth (usually its blackening). The dead nerve must be removed, the canal must be cleansed and disinfected, then sealed (leaded), followed by possible coronary staining by internal whitening or covering the tooth with veneer or dental crown, "says Dr. Mihaela Dan, orthodontist.
The procedure for removing the nerve involves at least two visits to the dentist: at the first meeting, the infected tissue is removed and the tooth is dressed, this stage usually removing any dental pain. At the second visit, the root canal is cleaned, disinfected, measured and sealed to prevent any further infection. Treatment of the canal is a time-consuming procedure, and this is reflected in the cost of treatment, but it is always preferable to dental extraction.