Nerve removal in the tooth

In the process of caries development, tooth enamel destruction occurs, and an opening is formed in it, into which microorganisms are able to penetrate, first affecting the dense dentin, and then the pulp (fibrous connective tissue filling the inner space of the tooth). The removal of the nerve in the tooth is carried out when the inflammatory process develops in the pulp of the tooth. In this case, the patient experiences intense pain, the pulp becomes edematous, putting pressure on the nerve endings.

Removal of the nerve in the tooth can be shown by its mechanical destruction, with the formation of a large tooth hole, as well as with often disturbing pain sensations. Previously, for the procedure such as removal of the nerve in the tooth, dentists used arsenic, imposing it on the affected pulp. After this, the patient was given a temporary filling, which after two days was removed with arsenic, after which the nerve was eliminated. This procedure took quite a long time, causing considerable pain. Currently, thanks to modern technology, the process of nerve removal in the tooth takes about half an hour and is performed under local anesthesia. After the procedure, the patient is given a non-permanent filling and the X-ray examination of the tooth is prescribed. With good X-ray results, the final sealing of the channels and the carious hole is carried out. To avoid such radical measures as the removal of the nerve in the tooth should carefully monitor the health of the oral cavity and periodically visit the dentist for preventive purposes.

[1], [2]

The process of removing the nerve from the tooth

The process of removing the nerve from the tooth can not be started without prior anesthesia. Earlier, arsenic was used for this purpose, the procedure was long and painful. In modern medicine, the approach to anesthesia is much more sparing - with the help of anesthetics, the patient is painlessly removed the nerve for about thirty minutes. After the introduction of anesthetic with the help of the right tools, access to the pulp opens, then the root canals are thoroughly cleaned, all microorganisms are destroyed, mechanical and dental treatment takes place. To determine the length of the canal, the patient is X-rayed or an apex locator is used (a special tool that allows to determine the length of the root canal). If necessary, the patient may be given a temporary filling, in such a situation the treatment will need to be continued a little later. Then, after all the necessary procedures are performed, a permanent seal is installed. The effectiveness of the filling directly depends on the quality of cleaning channels.

Nerve removal in the milk tooth

Removal of the nerve in the milk tooth may be required when the tooth is destroyed by caries and, as a consequence, the development of pulpitis. From the age of six months, the first teeth of the baby's teeth erupt, and although they are not permanent, they can also be affected by caries. The result of such a lesion can be pulpitis, which shows the removal of the nerve. Since the roots of the milk teeth are able to form, then dissolve, in the treatment of canals, it is possible to injure the forming permanent tooth. It is for this reason that when the nerve is removed from the milk tooth, the processing and sealing of the canals is not carried out along the entire length of the root, but only at its outlet. Special preparations are used for this purpose. They destroy all microorganisms and preserve the existence of the milk tooth until the time of its replacement by a permanent one.

Nerve removal from the front tooth

Removing the nerve from the front tooth is quite a complicated procedure, requiring preliminary preparation and examination. Before removing the nerve from the tooth, the doctor should perform channel cleansing and antiseptic treatment. After this, under local anesthesia, the nerve is removed directly, after which a seal is placed on the depulpated tooth.

Removal of the nerve of the tooth during pregnancy

Removal of the nerve of the tooth during pregnancy is recommended to be carried out, starting from the second trimester of pregnancy, because in the early stages, the fetal organs and systems are laid and during this period it is better to refuse tooth treatment if the situation is not critical and does not require immediate removal of the nerve. Before the beginning of treatment, the doctor should be informed about what medicines were taken. Modern anesthetics used for anesthesia before nerve removal, have a local effect and do not penetrate the placental barrier, which allows to ensure safety for the fetus. Since pre-treatment of canals pre-X-rays, for safety, pregnant women wear a special lead apron, which protects from harmful radiation.

Tooth Teeth: Nerve Removal

Tooth wisdom: removal of the nerve in the wisdom tooth is performed with preliminary anesthesia in the development of inflammation of the pulp. After the introduction of the anesthetic, the channels are cleaned and the bacteria destroyed. In total, the procedure for removing the nerve in the wisdom tooth takes about half an hour. In order to determine the length of the channel, pre-radiological examination or determine the length of a special device. If in the process of treatment there is a need to establish a temporary filling, a permanent can be established even after a repeated visit to the dentist.

Treatment of a tooth with removal of a nerve

Before the treatment of the tooth, it is necessary to carry out a thorough examination and make an X-ray examination. When the nerve is removed, the channels are cleaned first, and then they are sealed. Treatment of the tooth with removal of the nerve is strictly according to the indications, which include the following:

• development of the inflammatory process of the pulp. The main symptoms are often recurring pains that occur spontaneously;
• tooth decay with caries and infection of pulp;

Necrosis of pulp. Such pathology can develop due to traumatization or infection. This process, as a rule, is not accompanied by any symptoms, which in turn can provoke the risk of complications. The diagnostic study is performed using X-ray.

Effects of nerve removal in the tooth

The consequences of nerve removal in the tooth in violation of the technique of treatment can be as follows:

1. Unclosed root canals, not qualitatively carried out;
2. The development of inflammation and pain syndrome as a result of insufficient treatment of the oral cavity with antiseptic agents and, as a result, incomplete destruction of bacteria;
3. Pressurization of the tooth root or maxillary nerve with a filling. Complications in such situations can lead to the development of neuralgia right up to the paralysis of soft tissues;
4. Discomfort or painful sensations associated with the penetration into the tooth hole of a fragment of the instrument. The likelihood of such a situation is low, but if it occurs, it can lead to the removal of the tooth.
5. Fracture of the tooth root. Such a situation can arise due to the lack of professionalism of the doctor. With qualitative skilled removal of the nerve, such cases should not occur. The broken root does not respond to treatment, and as a result, the tooth will need to be removed.

[3], [4]

Nerve damage with tooth extraction

Damage to the nerve when the tooth is removed is accompanied by such signs as loss of sensation in the lip, chin, tongue or cheeks. Depending on how severely damaged the nerve, it may take several days to several months to restore it. Sometimes complications in the form of incomplete recovery of the nerve, which entails such a consequence as a constant violation of sensitivity. Dentists consider such complication after tooth extraction one of the most dangerous. Treatment of such conditions is carried out with the help of vitamins B and C, as well as injections with dibazol. It is possible to administer electrophoresis with anesthetics and vitamin B, an acupuncture course.

If the tooth aching after nerve removal

If the tooth whines after removal of the nerve, this can mean both a completely natural reaction associated with the cessation of the action of the anesthetic, and any development of any complications. Aching sensations in the tooth after removal of the nerve can be accompanied by increased sensitivity of the tooth, pain with biting. Sometimes sudden pain can occur, usually worse at night, causing headache and general deterioration of well-being. If the tooth aching after removal of the nerve, to take off the unpleasant sensations, you can take an anesthetic pill. A rinse aid made of iodine, salt or soda will also help to remove discomfort in the tooth. To make it in a glass of water, add 5 drops of iodine and one teaspoon of soda or salt, then rinse the aching tooth, holding the solution in the mouth for one or two minutes. Usually pains of this nature pass through the day, a maximum of three. But there are also cases where pain after removal of the nerve can indicate the development of an inflammatory process that requires immediate medical attention.

In the case of inflammation, pain sensations only increase with time, and if the doctor does not contact the doctor in time, this can lead to serious complications.

If the tooth pulsates after removal of the nerve

If the tooth pulses after removal of the nerve, this may be a sign of its damage and incomplete removal. The main symptoms of nerve damage are intense pulsations, acute pain sensations and hypersensitivity in the tooth. Pain can irradiate into nearby teeth, as well as give to the neck, ears or whiskey. This indicates the development of the inflammatory process associated with incomplete removal of the nerve, and requires urgent medical attention.

If the tooth hurts after removal of the nerve

There are often cases when the tooth hurts after removal of the nerve. There may be several reasons for this. First, during the removal of the nerve in the upper part of the dental root, a hemorrhage occurs, the nerve is separated from the nerve trunk. It is these factors that significantly affect the occurrence of pain after removal of the nerve. Secondly, after the removal of the nerve, the tooth may become painful, if there was a build-up of pus in it. In such cases, pain usually occurs during bite. In such a situation, treatment is needed to eliminate the inflammatory process in nearby tissues. Thirdly, the causes of toothache after removal of the nerve can include processing channels with medications that cause irritation and provoke pain. If the nerve was not completely removed, and if any mistakes were made while removing it - all this, undoubtedly, can cause the development of the pain syndrome. After the elimination of pulp pain in the tooth can persist for three to five days.

However, after removal of the nerve, painful sensations should not be disturbed for such a long time. If the tooth after removal of the nerve does not cease to hurt - this is an important reason to contact the dentist.

Complications of nerve removal of the tooth

The complications of nerve removal of the tooth may be as follows:

• incomplete nerve removal;
• open root canals, substandard sealing;
• the development of pain and inflammation due to the penetration of microorganisms as a result of poor antiseptic processing.

[5], [6], [7], [8]

Tooth after nerve removal

The tooth after the removal of the nerve and the preliminary cleaning of the channels must be carefully sealed. In this case, if necessary, a non-permanent seal can be first installed, and only after a second visit to the doctor - a constant. Since after the removal of the nerve the tooth becomes much weaker, many dentists advise to install a ceramic crown. If the channels are poorly sealed, there may be a need for re-treatment.

Darkening of the tooth after removal of the nerve

Darkening of the tooth after removal of the nerve is quite common. In order to return it to whiteness, you can use the method of intra-channel bleaching. For this, the tooth cavity is filled with a special whitening gel. Before the bleaching procedure with a darkened tooth, a seal is removed and thorough cleaning of the root canals is carried out. The tooth hole is then filled with a bleaching gel and a non-permanent seal is inserted. After fourteen days, depending on the result, repeated whitening can be performed if the darkening on the tooth is preserved. In some cases, to obtain the maximum effect, several procedures are required, but not more than four. After the tooth has acquired whiteness, its restoration is carried out. Depending on the duration of the whitening effect, about a year later, repeated endo bleaching can be performed. Whitening depulpated tooth is not recommended for children, as well as pregnant and lactating women. Contraindicated procedure and in the presence of allergic reactions to hydrogen peroxide, as well as hypersensitivity of teeth.

[9], [10], [11], [12]

Why did the tooth become dark after the nerve was removed?

If the tooth has darkened after removal of the nerve, this may be a consequence of poor-quality sealing, insufficient expansion and treatment with disinfectants. To fully disinfect the disinfectant solution must penetrate to the top of the root, thereby ensuring intracanal bleaching. This procedure takes about thirty minutes to process one channel. Accordingly, if there are several channels, the procedure can take from one to one and a half hours, after which the sealing is performed. If the tooth darkens after removal of the nerve, you can return its whiteness by resorting to the method of intra-channel whitening with the help of a specially designed gel for these purposes.

How much does it cost to remove the nerve of the tooth?

The question of how much it costs to remove the nerve of the tooth, is decided individually by the dentist and depends on the complexity of the procedure, as well as on the choice of the clinic in which it will be conducted. As a rule, removal of the nerve of the tooth is accompanied by cleaning the canal, treating with antiseptic substances and sealing the canal. Namely: the removal of the nerve of the tooth includes such steps as the injection of an anesthetic into the oral cavity, the treatment of the tooth and the opening of access to the pulp, the direct removal of the nerve and the filling of the canal. The implementation of all these procedures is included in the complex of endodontic therapy and affects the cost of removing the nerve of the tooth.