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Elderly endodontic treatment and periapical disease
PAGE \* MERGEFORMAT 5
Elderly endodontic treatment and periapical disease
Author: Zhang Sijia Rebecca Wang Su Shuzhi
An emergency treatment An open drainage canal.
2 incision subperiosteal abscess development of inflammation and submucosal abscess, the incision must, in order to effectively relieve symptoms, control inflammation.
3 change the occlusal adjustment to reduce grinding periapical symptoms.
4 with the use of some anti-inflammatory, analgesic drugs.
Note that frail elderly patients, poor tolerance to pain, opening or incision in the marrow, to meet the local anesthetic, to avoid human factors increase the suffering of patients.
Two canal therapy Root canal therapy is the treatment of pulp disease, periapical disease, the most thorough and most effective way, but elderly patients with systemic conditions, dental anatomical factors and other reasons, can also be used mummification of pulp plastics surgery, air traffic control and other alternative medicines technique to streamline operations, shorten the course of treatment.
Root canal therapy steps include root canal preparation, root canal disinfection and root canal filling.
A canal preparation (1) to open the elderly dental pulp as the continuous deposition of secondary dentin, pulp cavity becomes smaller, the top and bottom of the pulp chamber the short distance, or even calcified occlusion, open pulp when no obvious sense of frustration, To edging check, to avoid excessive wear in addition to tooth structure, caused the marrow at the end of punch-through. the elderly because of the canal and root canal becomes narrow and difficult to find a root canal orifices, can be combined with various types of dental X-ray and anatomy, with the probe in the pulp chamber at the end of repeated exploration, in the root canal mouth, the probe tip can be inserted. also with root canal surgery microscope and other aids to help find.
(2) root canal working
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