Bloggin' along with 'MUSCLES'
c/o Carol Lee Skerpan DMD
a dental & doggy blog
Dr Skerpan: Last dental blog we covered the reasons WHY a tooth can "die-off".
Remember, "endo-dontic" treatment involves the "INSIDE-of-the-TOOTH" (more
on this treatment below). This internal treatment is needed if the inside pulp has
died-off" from TOP-to-BOTTOM OR BOTTOM-to-TOP. "Endo-dontic" treatment
should be performed in any scenario where the pulp is compromised. Keep in mind
that more often than not, there are no warnings or any pain associated with a tooth
needing "endo-dontic" treatment. Furthermore, very often x-rays do not show the
extent of pulp-death from decay, fractures or traumas!
There is one other scenario where the tooth may require "endo-dontic" treatment
--a situation where it may be necessary to intrude into the pulp deliberately. For
example, it may become impossible to properly contour &/or treat a poorly-posi-
tioned, poorly-shaped or over-extruded tooth. In such a case, the best option may
be to perform "endo-dontic" treatment to obtain a healthier proper-function &/or
a more aesthetic final result.
MUSCLES: ' But WHY does "endo-dontic" treatment exactly "rescue" a tooth from
an infection and abscess? '
Dr Skerpan: Remember that the pulp can not be repaired after it has "died-off"--
& that the dead-pulp-tissue is the "nidus" for the internal tooth infection. If such a
pulp situation is not resolved, the infection will affect the bone at the root's apex,
causing an infection & resorption ("eating-away") of the bone---also called a dento-
alveolar abscess (or a "TOOTH-to-BONE infection").
MUSCLES: ' I "feel like digging" into HOW "endo-dontic" treatment is actually
performed on the tooth. Can we "dig" into the actual "rescue"
procedure itself? '
From the previous dental blog we know WHY a tooth "dies-off" in the first place.
And now we know WHY an "endo-dontically" treated tooth still can function in
the jaw-bone & body! Understanding that there is no pulp left within a tooth
after "endo-dontic" treatment, we now can "dig" into the Nitty-Gritties of HOW
the actual procedure is performed to "rescue" a tooth (see our next dental blog).