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6-1-2020 George Floyd & the Fuzzles-the-Muzzle Saga
7-20-2019 MUSCLES Hails His Space-Heroes
6-22-2019 It's a Curved 'Ball'-Park
4-22-2019 MUSCLES Fesses Up
3-22-2019 'MUSCLES', "BALL'-Joints & Teeth
2-15-2019 Four Canine Kitty-Corners
1-24-2019 ♥MUSCLES Luvs to SPLOOT♥
12-10-2018 A Holiday Video Card for All!
12-1-2018 Endo-dontic Nitty-Gritties
11-10-2018 Endo-dontics to the "Rescue"!
10-17-2018 MUSCLES' Autumn Message!
9-19-2018 Teeth Wanted: Dead or Alive
9-8-2018 'MUSCLES' Knows He Can!
8-16-2018 The Tooth's Inside Scoop
7-16-2018 To-GO or Not-To-GO "Studio"
6-18-2018 Oral-Care 101.9: Helpful Tid-Bits
6-12-2018 MUSCLES and His Was-Be Thinking
5-17-2018 Oral-Care 101.5: Tooth-brushing
5-7-2018 How MUSCLES Sees It--
4-27-2018 Oral-Care 101: D.O.G.G.Y.
3-11-2018 More "Perio"---More "Dontal"
2-23-2018 What's the "Perio"---What's the "Dontal"?
1-10-2018 Can a crown crown a crown?
12-18-2017 Implants, Bone & "Eating"
Teeth Wanted: Dead or Alive
"Pulp-death" most commonly occurs when the pulp is affected or injured so greatly
that the pulp's content can not be repaired back to a normal & proper vital function.
As we have seen before, this internal "dead-pulp" becomes infected and becomes
the "nidus" of the infection or abscess at the root's apex in the bone.
MUSCLES: ' And what can affect or injure the pulp to the "point of no-return"? '
The pulp gets to it's "end-point" most commonly from deep decay (cavity) & fillings,
cracks & fractures or some physical trauma. Anything that would compromise
the pulp's soft-structures will do it! The traumatic factor can occur from the TOP
crown-of-the-tooth OR even from the BOTTOM apex-of-the-root!
Physical traumas to the pulp are many--and many do not involve any pain at all!
One kind of trauma may come from chronic (long-time) severe wear of the enamel
& dentin approaching the pulp. This may be caused by incorrect tooth-brushing
techniques as discussed previously---habits like "grinding" the teeth &/or incorrect
bite-forces---abrasive or acidic foods or objects---and even accelerated wear with
dry-mouth. Another kind of physical trauma can be acutely (abruptly) or chronical-
ly formed fractures in any level of the tooth's hard-structure in the TOP-"crown"
&/or root. These fractures can occur fully, partially & at any angle! Also with acute
traumas like a sudden hit to the tooth or mouth, the tooth can be "jarred" enough
in it's bone-socket for the surrounding "perio-dontal structures" to become injured.
If the blood-vessels & nerves at the root's apex are damaged, they may "die-off"
from the Bottom-Upward into the root-canals & pulp-chamber.
MUSCLES: ' So there are several reasons WHY the pulp "dies-off"---namely
deep decay & deep fillings, cracks & fractures and physical traumas.
The pulp can "die-off" from the TOP crown-of-the-tooth to the
BOTTOM apex-of-the-tooth---OR it can "die-off" from the BOTTOM
to TOP (i.e., from the apex into the root-canals & pulp-chamber).
So we know WHY the tooth can die--so that's it? WHY does the tooth
still have a chance if it is dead? '
There are only two choices for most teeth at this point--doomed to be extracted OR
possibly "rescued" with "endo-dontic" treatment. If the tooth is a good candidate
for this latter treatment (and if it is the best treatment choice for the patient), endo-
dontics offers a "one-last-ditch-chance" for the tooth to remain and function in it's
original position! The actual tooth IS as important "Dead" as it is "Alive" for the
stable health of mouth & body! Even an implant will never function exactly as the
natural tooth. We will cover WHY a tooth with "endo-dontic" treatment still can
successfully exist & function. That will be the topic of our next dental blog.