SLIDE 1 PURPOSE OF THE PURPOSE OF THE PRESETAIO: PRESETAIO: 1.
- 1. Inform you about the procedure.
Inform you about the procedure. 2.
- 2. Help answer any questions.
Help answer any questions. 3.
- 3. When you have an office visit this
When you have an office visit this will help to understand the x*rays. will help to understand the x*rays. 4.
Press the “Down Arrow Down Arrow” or ” or “ “ext Page ext Page”key to view next slide ”key to view next slide
SLIDE 2
SLIDE 3 A healthy tooth consists A healthy tooth consists
- f a crown...
- f a crown...
Crown
SLIDE 4 ...and a root. ...and a root.
Crown Root
SLIDE 5 Under the hard layers of Under the hard layers of enamel and dentin... enamel and dentin...
Enamel Dentin
SLIDE 6 is soft tissue called is soft tissue called pulp. pulp.
Enamel Dentin Pulp Tissue
SLIDE 7
PULP COTAIS: PULP COTAIS:
SLIDE 8
The pulp creates The pulp creates dentin dentin during tooth during tooth development. development. (Ages 2*18) (Ages 2*18)
SLIDE 9 The pulp may The pulp may become infected or damaged. become infected or damaged.
Decay Damaged Pulp
SLIDE 10 By: Injury... Decay... deep or By: Injury... Decay... deep or repeated fillings to a tooth. repeated fillings to a tooth.
Decay
SLIDE 11 The Pulp (“erve”) of the tooth The Pulp (“erve”) of the tooth can become damaged or can become damaged or infected: infected:
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SLIDE 12 If left untreated, If left untreated, an an abscess abscess will form. will form.
Decay Abscess Damaged Pulp
SLIDE 13 How do “deep fillings” How do “deep fillings” cause pulp problems?? cause pulp problems??
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SLIDE 14 How do “deep fillings” How do “deep fillings” cause pulp problems?? cause pulp problems??
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SLIDE 15
How do you know if the pulp of How do you know if the pulp of your tooth is damaged? your tooth is damaged?
SLIDE 16 Signs of damaged pulp: Signs of damaged pulp:
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SLIDE 17 Signs of damaged pulp: Signs of damaged pulp:
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SLIDE 18 Signs of damaged pulp: Signs of damaged pulp:
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SLIDE 19 Signs of damaged pulp: Signs of damaged pulp:
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SLIDE 20 Sometimes there are Sometimes there are no symptoms. no symptoms.
Some endodontic problems are
- nly evident on an xray...
SLIDE 21
During your During your
TREATMET TREATMET
visit at our office, the following visit at our office, the following steps are taken: steps are taken:
SLIDE 22 Preparation for Treatment Preparation for Treatment
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SLIDE 23 A dental dam is a small sheet A dental dam is a small sheet
- f rubber that surrounds
- f rubber that surrounds
the tooth. the tooth.
It will isolate your tooth and keep it clean during the procedure. As well as keep the debris out of your mouth during treatment.
SLIDE 24
Once your tooth Once your tooth is completely numb... is completely numb...
SLIDE 25 …I will make …I will make an an opening
in the crown...
Access Opening
SLIDE 26
A microscope may be used A microscope may be used to see more clearly deep to see more clearly deep inside the tooth. inside the tooth.
This allows for a much clearer view when there are potential problems
SLIDE 27 …then gently clean the pulp …then gently clean the pulp from the pulp chamber... from the pulp chamber...
Access Opening Cleaned and Shaped Pulp Chamber
SLIDE 28 ...and canals inside the roots. ...and canals inside the roots.
Access Opening Cleaned and Shaped Pulp Chamber and Root Canal
SLIDE 29
To clean in the canals I use To clean in the canals I use very small, thin instruments very small, thin instruments called FILES. called FILES.
The files look like a small thin wire… it simply has file edges along the outside
SLIDE 30
The first ones used are The first ones used are 10/100 10/100th of a th of a millimeter millimeter. . That is That is 1/254 1/254th of an th of an inch inch!! !!
So small they may occasionally separate or break within the tooth. This rarely causes a problem.
SLIDE 31
IF a file were to break, they are IF a file were to break, they are so fine, they are often sealed so fine, they are often sealed within the canal. within the canal.
It is not a cause for concern. I will certainly advise you, if any difficulties occur during the procedure..
SLIDE 32
Once the root canals are cleaned Once the root canals are cleaned and shaped and disinfected... and shaped and disinfected...
SLIDE 33 …I will …I will fill the canals... fill the canals...
Filled Root Canals
SLIDE 34 …with a rubber*like material …with a rubber*like material called gutta*percha. called gutta*percha.
Filled Root Canals
SLIDE 35
At this time the root canal is At this time the root canal is FIISHED, and the tooth must FIISHED, and the tooth must be sealed be sealed
Three kinds of sealing techniques may be used.
SLIDE 36 Sealing your ROOT CAAL Sealing your ROOT CAAL
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SLIDE 37 A temporary seal is A temporary seal is
a filling. .
Filled Root Canals Temporary SEAL
SLIDE 38 This seal is designed to last This seal is designed to last 2 to 4 weeks. 2 to 4 weeks.
Filled Root Canals Temporary Seal
SLIDE 39 With a Temporary Seal, You With a Temporary Seal, You are are OT OT finished with your care finished with your care! !
Filled Root Canals Temporary Seal
SLIDE 40 Within 4 weeks Within 4 weeks of your
root canal, root canal, you you MUST MUST return return to your general dentist, to your general dentist, who will remove the seal to who will remove the seal to place a final restoration, & place a final restoration, & begin treatment for a begin treatment for a CROW CROW. .
SLIDE 41
CROW CROW REPAIR REPAIR
If your tooth has a crown, this seals the opening.
SLIDE 42 PERMAET crown glues do PERMAET crown glues do OT allow artificial crowns to OT allow artificial crowns to be removed from teeth. be removed from teeth. The force required could split The force required could split
- r fracture the root of the
- r fracture the root of the
tooth. tooth.
SLIDE 43
The least traumatic way inside The least traumatic way inside is to make an opening is to make an opening in the top of the crown. in the top of the crown. 90% of the time your crown 90% of the time your crown can have a filling placed, can have a filling placed, BUT sometimes is MUST BE BUT sometimes is MUST BE RE*MADE RE*MADE
SLIDE 44 Anytime your tooth already has Anytime your tooth already has a crown, it a crown, it MAY MAY EED TO BE REDOE EED TO BE REDOE
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SLIDE 45
CORE CORE RESTORATIO RESTORATIO
Seals the tooth, but does "OT protect the tooth from breaking.
SLIDE 46 …a large filling, called a …a large filling, called a core core build up build up, is necessary. , is necessary.
Filled Root Canals Core build up Gutta*percha
SLIDE 47 If your tooth lacks sufficient If your tooth lacks sufficient structure to hold this filling... structure to hold this filling...
Filled Root Canals Core build up
SLIDE 48 …a …a post post may also be placed may also be placed inside the tooth. inside the tooth.
Filled Root Canals Core build up Post Gutta*percha
SLIDE 49 The purpose The purpose
- f the post is
- f the post is
to help retain to help retain the core the core build up. build up.
Post
SLIDE 50 Until the final Until the final restoration is restoration is placed, your tooth placed, your tooth will be susceptible will be susceptible to to splitting splitting or
breaking breaking... ...
SLIDE 51
DO OT ! DO OT ! DO OT ! DO OT ! DO OT ! DO OT !
Bite on your tooth unless it is protected with a crown.
SLIDE 52
…if you split or …if you split or fracture the tooth fracture the tooth … It must then be … It must then be extracted extracted ( (removed removed) ) …if you split or …if you split or fracture the tooth fracture the tooth … It must then be … It must then be extracted extracted ( (removed removed) )
SLIDE 53 At this time, a crown must be At this time, a crown must be placed, to protect your tooth placed, to protect your tooth
Gutta*percha Final Restoration
SLIDE 54
Your tooth may remain Your tooth may remain sensitive for a few days sensitive for a few days following treatment. following treatment.
Overthecounter medications (Tylenol, Motrin etc) should relieve this discomfort.
SLIDE 55
To protect your To protect your tooth from biting tooth from biting pressure and to pressure and to speed healing, I speed healing, I will shave down the will shave down the top of your tooth. top of your tooth.
SLIDE 56
For lower teeth, For lower teeth, your gums may be inflamed for your gums may be inflamed for several days several days
You will be given specific instructions on a salt water mouth rinse
SLIDE 57 If pain is severe If pain is severe
- r swelling occurs,
- r swelling occurs,
call our office. call our office.
SLIDE 58 A Team Member will review A Team Member will review
- ur After Care Pamphlet
- ur After Care Pamphlet
This will be given to you for reference at home
SLIDE 59
Brushing, Brushing, flossing and flossing and regular regular checkups and checkups and cleanings are cleanings are still important. still important.
SLIDE 60
Like any other tooth, your endodontically treated tooth can decay again. Like any other tooth, Like any other tooth, your endodontically treated your endodontically treated tooth can decay again. tooth can decay again.
SLIDE 61
Depending on your tooth, Depending on your tooth, I may schedule a follow* I may schedule a follow* up exam to evaluate the up exam to evaluate the healing process. healing process.
SLIDE 62
While it is usually best to save a While it is usually best to save a natural tooth, it is sometimes natural tooth, it is sometimes necessary to extract, or remove, necessary to extract, or remove, the tooth instead. the tooth instead.
SLIDE 63 Extraction is indicated when: Extraction is indicated when:
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SLIDE 64
When a tooth is extracted, When a tooth is extracted, it is usually replaced with a it is usually replaced with a bridge or implant. bridge or implant.
While these replacements can be successful, nothing is as good as your natural tooth.
SLIDE 65 In summary, In summary, endodontic (root canal) treatment: endodontic (root canal) treatment:
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SLIDE 66
You will need to review our You will need to review our information sheet. information sheet. If you have any questions, If you have any questions, please ask us ! please ask us !
And remember...
SLIDE 67
…with proper care... …with proper care...
SLIDE 68
Root canal treated teeth Root canal treated teeth (and (and ALL ALL your teeth) your teeth) can last a lifetime! can last a lifetime!
The End
