Dr Murside Gultekin Endodontics

kanal tedavisi 2

WHAT IS CANAL TREATMENT AND HOW IS IT DONE?
Root canal treatment (endodontics) is a form of treatment that consists of removing the nerves of the tooth as a result of damage to the part of the tooth called pulp (dental pulp) due to caries trauma or gum disease, followed by expanding and cleaning the root canals, and then filling the root canal system of the tooth.
IS CANAL TREATMENT AND AFTER PAIN?
Root canal treatment is not a painful procedure contrary to popular belief. After the anesthetic is applied to the painful tooth, the treatment of the tooth begins. Although it varies from person to person after the treatment, there may be minor sensitivities in the teeth for the first few days.
CAN CANAL TREATMENT BE DONE IN EVERY TEETH?
Root canal treatment can be applied to most teeth. In rare cases, if the root canals cannot be reached, if the root of the tooth is broken as a result of trauma, if the tooth does not have sufficient bone support due to gum disease, or because the tooth is too damaged to be restored, root canal treatment may not be performed.
HOW LONG DOES A CANAL TREATED TEETH LAST?
Teeth that underwent root canal treatment must be restored with a suitable restoration (filling, onlay, veneer). After restoration, the tooth continues to function like other teeth. However, if good oral hygiene is not provided by the patients after the treatment, the teeth may become infected again.
DOES THE TEETH WHICH HAS BEEN CANAL TREATMENT HAVE PAIN AGAIN AND WHAT SHOULD BE DONE WHEN THERE IS PAIN?
The pulp (tooth pulp, nerve) tissue of the teeth that underwent root canal treatment is removed and the oral chewing function continues as a dead tooth. But if it becomes infected again, it can cause pain again. In this case, the root canal treatment can be repeated, or if the condition of the tooth is not suitable, the decision to extract can be made.

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Early Childhood Caries (ECC)

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The mineral loss that occurs in the tooth with the participation of saliva by the plaque is called caries. Early childhood caries (ECC) disease is defined as the condition in which 1 or more caries, lost teeth due to caries, or filled teeth are present in the primary teeth of children 71 months of age or younger.
ECC is a very dangerous form of caries, it starts after the eruption of the teeth, develops on flat surfaces, progresses rapidly and leaves a lasting effect on the teeth. Caries that affect milk teeth in children also cause decay of permanent teeth. ECC does not only affect the teeth, it affects the whole health in terms of its results. Children with ECC show slower development than those without. Some of the children with ECC are below the required weight because the child’s desire to eat decreases due to pain.
Families should be informed that they should clean their babies’ teeth after breastfeeding or after a bottle, by wiping them with a piece of clean cheesecloth, and repeating this process after giving them drugs in the form of syrup containing sugar. If they put their children to sleep with a bottle during the day or night, it should be said that they should not put liquid foods containing sugar in the bottle and that the best approach is not to give the baby a bottle at bedtime. In addition, the child should not be allowed to fall asleep while breastfeeding or with a bottle, and the bottle should not be used as a pacifier. Sucking is a natural instinct for all babies. After the baby is full
It should be noted that a pacifier or a bottle containing only water can be given if they still need to suckle afterward. For bottle fed babies, it should be recommended not to give milk or sweet drinks to the baby at bedtime, not to feed the baby for more than 30 minutes during sleep, not to use the bottle as a pacifier, and to use glasses for other liquids after the age of 1 year. For breastfed babies, the feeding time should not be more than 30 minutes, the baby should not sleep while breastfeeding and the baby should be avoided from feeding at frequent intervals.

Although ECC is an important health problem, it is not emphasized much because the primary teeth are temporary in the mouth and their importance is not known enough. Untreated ECC causes speech disorders, learning and eating problems as a result of pain and infection. Early deciduous tooth loss due to EÇC negatively affects growth and development,
It causes orthodontic problems, aesthetic and psychological problems.

If very young children have not acquired protective habits adequately and ECC has developed in these children, the therapeutic approach should be applied by a specialist dentist,
because the treatment of ECC may be specific for each patient due to the aggressive nature of the disease.

Written by Doctor Hande İLGİN

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ECC Disease in Children

4 cocuklarda ecc hastaligi erken cocukluk cagi hastaligi

The mineral loss that occurs in the tooth with the participation of saliva by the plaque is called caries. Early childhood caries (ECC) disease is defined as the condition in which 1 or more caries, lost teeth due to caries, or filled teeth are present in the primary teeth of children 71 months of age or younger.
ECC is a very dangerous form of caries, it starts after the eruption of the teeth, develops on flat surfaces, progresses rapidly and leaves a lasting effect on the teeth. Caries affecting milk teeth in children cause permanent teeth to decay as well. ECC does not only affect the teeth, it affects the whole health in terms of its results. Children with ECC show slower development than those without. Some of the children with ECC are below the required weight because the child’s desire to eat decreases due to pain.
It should be stated to the families that they should clean their babies’ teeth after breastfeeding or after the bottle, by wiping them with a piece of clean cheesecloth, and repeat this process after giving them drugs in the form of syrup containing sugar. If they put their children to sleep with a bottle during the day or night, it should be said that they should not put liquid foods containing sugar in the bottle and that the best approach is not to give the baby a bottle at bedtime. In addition, the child should not be allowed to fall asleep while breastfeeding or with a bottle, and the bottle should not be used as a pacifier. Sucking is a natural instinct for all babies. After the baby is full
It should be noted that a pacifier or a bottle containing only water can be given if he still needs to suckle afterward. For bottle fed babies, not to give milk or sweet drinks to the baby at bedtime, not to feed the baby for more than 30 minutes during sleep,
They should be advised not to use the bottle as a pacifier, and to use cups for other liquids after 1 year of age. For breastfed babies, the feeding time should not be more than 30 minutes, the baby should not sleep while breastfeeding and the baby should be avoided from feeding at frequent intervals.

Although ECC is an important health problem, it is not given much attention due to the temporary nature of primary teeth in the mouth and the lack of awareness of their importance. Untreated ECC causes speech disorders, learning and eating problems as a result of pain and infection. Early deciduous tooth loss due to EÇC negatively affects growth and development,
It causes orthodontic problems, aesthetic and psychological problems.

If very young children have not acquired protective habits adequately and ECC has developed in these children, the therapeutic approach should be applied by a specialist dentist,
because the treatment of ECC may be specific for each patient due to the aggressive nature of the disease.

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What is Capping Treatment?

Capping treatment is the treatment for deep dentin caries if there are pains caused by hot-cold sweet-sour factors, and if these pains are temporary, short-term pain when the factor is removed. (Canal treatment is not applied in cases of prolonged pain that does not go away when the agent is removed, or in cases of throbbing pain that develops spontaneously regardless of the agent.) The aim is to clean the carious dentin from the cavity and maintain the vitality and health of the pulp with agents that will induce repair dentin formation.

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