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In this video we will show the first visit in the treatment of periodontitis of the tooth.
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Periodontitis is a disease in which there is damage to the connective tissue between the root of the tooth and the bone. Most often, it develops due to advanced caries or after the canal filling procedure. Periodontitis can be asymptomatic or with severe symptoms. This is pain when biting, swelling of the gums or flux.
For diagnosis and choice of treatment tactics, an x-ray image of the area of the diseased tooth is performed. The effectiveness of treatment depends on the patency of the root canals, the thoroughness of their cleaning and obturation. Obturation is the filling of canals. Immunity plays an important role in healing.
Treatment of periodontitis begins with the removal of all tissues affected by caries and the creation of access to the canals.
Then determine the working length of the channels. Next, the expansion and cleaning of the channels from infection is done. This is carried out under careful repeated irrigation of the canals with antiseptics. After all the main stages of treatment, the canals are sealed. The effectiveness of treatment can be assessed after 6 months.
0:24 We prepare a carious cavity with a spherical diamond-coated burr.
1:10 We use water cooling.
1:56 From the deep parts of the tooth and from the approximate surface, we remove caries with a bur on a long stem.
2:42 We estimate the length of the canals and their patency with a K-file using an apex locator.
3:17 We open the mouths of the channels with a micromotor and a Largo wellhead tool.
3:55 Remove all overhanging edges and create direct access to the channels.
4:31 We open the buccal canals.
5:10 The canals have been traversed to their full depth in order to completely clear them of infected contents.
6:44 At all stages of treatment, we wash the canals with an antiseptic from a syringe.
7:10 Expand the channels with K-files up to size 15, creating a "track" for later use of rotating tools.
8:00 Use EDTA gel to facilitate root canal treatment.
9:04 Largo differ in size, now we use number 3.
11:23 We expand the channels with rotating nickel-titanium instruments - protapers.
12:44 Using Protaper S2.
14:50 The combined use of the Protaper and Profile systems makes it possible to properly prepare a canal of any complexity.
For diagnosis and choice of treatment tactics, an x-ray image of the area of the diseased tooth is performed. The effectiveness of treatment depends on the patency of the root canals, the thoroughness of their cleaning and obturation. Obturation is the filling of canals. Immunity plays an important role in the prognosis.
Treatment of periodontitis begins with the removal of all tissues affected by caries and the creation of access to the canals.
Then determine the working length of the channels. Next, the expansion and cleaning of the channels from infection is done. This is carried out under careful repeated irrigation of the canals with antiseptics. After all the main stages of treatment, the canals are sealed. The effectiveness of treatment can be assessed after 6 months.
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