Endodontist Asunción Archilla explains that the main indication for endodontics is irreversible pulp involvement due to deep caries, trauma or endoperiodontal lesions. It can also be recommended for teeth that are going to undergo major grinding for the placement of crowns or bridges. Our first priority is to preserve the natural dentition. When this is not possible, the alternative is extraction and replacement of the tooth, but it should be kept in mind that no form of replacement, including the implant, can compete with the natural tooth in terms of esthetics, function or proprioception, as well as providing the advantage of preserving the surrounding bone.
What are some of the symptoms to know if you need a root canal?
There may be sensitivity to cold, heat or chewing, there may be pain or signs such as discoloration, phlegmon, fistula…. However, symptoms do not always appear when the pulp is irreversibly affected, so it is very important to have regular check-ups, at least once a year, so that the professional can diagnose the existing pathology before it progresses, worsening the prognosis of the tooth or even preventing it from being preserved.
What is the procedure like?
Endodontics is a meticulous and laborious procedure, especially in the case of complex anatomies that pose a real challenge for the dental specialist, but it is a painless treatment thanks to current anesthetic techniques. The procedure consists of removing the affected pulp tissue located inside the tooth, in a system of canals that contains the blood vessels and nerve endings of the tooth. After cleaning, disinfection and shaping of the canals, they are sealed with biocompatible materials.
What is interceptive orthodontics?
Interceptive orthodontics is the treatment that is performed during the mixed dentition (period in which primary or milk teeth and permanent teeth coexist) and is intended to guide and / or correct the development of the jaws. It should be performed whenever a problem is detected, whether of skeletal origin (slowing or stimulating growth…), functional (habits: finger, pacifier…) or hygienic (premature loss of teeth…).
The objective is to achieve that the bones have a proper size and position allowing an improvement in health, function and aesthetics both dental and facial.there are several treatments depending on the pathology that the patient presents:
- Transversal plane: fixed or mobile expanders.
- Sagittal plane: chin rests, masks and bionator type mandibular advancement devices.
- Frontal plane: grids (open bites) or lifts (deep bites).