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Dental necrosis or pulp necrosis is a condition in which the pulp or nerve located inside the tooth dies after dental disease. This infection, known as chronic pulpitis, does not usually have serious consequences, but if not treated correctly, it goes through several phases that end with necrosis of the pulp.
The pulp is a complex pattern of blood vessels and nerves located inside the teeth that help keep them healthy. Its main functions are to provide vitality to the tooth, protect it and repair it.
Most of the symptoms that indicate problems with the tooth and pulp occur at a stage prior to the onset of necrosis. These are varied and, regardless of the pathology that causes them, they can end in pulpal necrosis. This means that the dental pulp dies, leaving the nerves of the tooth inoperative, which are in charge of sending signals warning of any pain or discomfort.
In the early stages of pulp involvement, the tooth becomes especially sensitive to cold food or drinks. In addition, eating sweets can also be annoying if the problem is due to the presence of caries, which is one of the pathologies that can trigger dental necrosis.
As the pulp involvement progresses, the tooth stops perceiving stimuli to cold or heat, this being a clear symptom of necrosis. However, you may feel increased pressure on the affected tooth when eating or grinding your teeth.
The appearance of pulpal necrosis can be due to various pathologies and dental procedures. Below we detail some of them:
Untreated caries: Untreated caries can lead to dental necrosis if oral hygiene is neglected and the progress of tooth enamel damage is not controlled.
Trauma: receiving a blow to the mouth area can also cause necrosis depending on the intensity of the trauma caused.
Large fillings: the placement of fillings could affect dental sensitivity, which should be controlled once implanted.
How to identify dental necrosis
The existence of pulpal necrosis can sometimes only be discovered after undergoing a dental examination. Dental radiographs are also helpful in detecting the presence of caries or abscesses that may have caused pulpal necrosis.
There are several treatments to treat a necrotic tooth. These are endodontics and the extraction of the tooth that has been affected. Treatments consist of:
Root canal treatment or endodontics is a procedure in which dead pulp tissue is removed from the tooth to eliminate infection.
If the necrosis is of considerable severity or the restoration of the tooth is impossible, the only solution will be to extract the entire tooth.
Pulp necrosis can lead to a number of complications that can develop over time if the tooth is left untreated.
infection
phlegmon
abscesses
sinusitis
periodontitis
bone loss
In general, the best way to prevent pulp necrosis is to take proper care of your teeth and gums. For this, one of the main tasks that helps in prevention is oral hygiene, with correct brushing several times a day. In addition, it is also recommended to visit the dentist at least once a year.
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Source: adeslasdental
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