Everyone faces a toothache. Although it seems that in itself tooth not able to hurt this not this way. The reason for the pain is the presence of nerves.
The nerve is one of the parts of the tooth. Its hard part is located outside, and the inside is represented by soft tissues. It is a pulp, that is, a fibrous substance that fills the entire cavity in the tooth, where lymphatic and blood vessels are represented, as well as nerves. Only after their removal the tooth ceases to be alive.
A few months or years after depulping it begins to crumble, and then completely crumbles.
The main function of the nerves - It is the provision of food necessary for the normal development and growth of teeth. Nerves also perform a sensory function. In other words, the pain that has arisen signals the development of a destructive process and the development of a tooth or gum disease.
Content
Why kill the nerve?
The procedure for killing a nerve is known as devitalization. Many patients are afraid of killing the nerve in the tooth. Avoid this procedure. possible under the condition of the initial stage of dentin destruction. If the pulp itself was affected, the doctor makes a choice between removing a nerve and prescribing a treatment. In some cases, partial amputation is advisable. Thanks to her, a person gets rid of severe pain.
Pulpitis, which has developed before periodontitis, is considered an indication for the complete removal of the dental nerve and the subsequent amputation of the pulp. This also applies to neglected caries.
Depulpation is often assigned with significant mechanical damage tooth and root and their destruction. It can be not only dental diseases, but also the result of injury.
When should I do depulping?
To determine the need to remove a nerve in a tooth, it is necessary to conduct a series of tests, as well as pay attention to several factors:
- Pain for no apparent reason, which does not subside for a long time. Pain can be greatly enhanced by changing the position of the body and in the process of movement. Also, many patients complain of severe pain at night.
- The aching pain that comes from certain irritants. It can be cold, moisture or sweetness. After removing the stimulus, the pain disappears gradually.
To determine the source of unpleasant sensations, often test for cold. To do this, a cotton swab is placed in the freezer, and then they are touched to several teeth in turn.
Removal of the dental nerve in the clinic
For devitalization arsenic is often used, as well as a temporary seal. This technology has been used for a long time. First, the specialist reams the canal and lays in the cavity a substance based on arsenic, which kills the dental nerve. As a rule, such treatment lasts at least 1 month. For this reason, this method is used less and less.
In accordance with more modern technologies, the patient is first given local anesthesia, after which the nerve is removed, and then a temporary or permanent filling is placed under which the medical pad is placed. The next stage is check x-ray. Despite this quick treatment, the pain can still be observed for several days. Such unpleasant feelings gradually pass.If after a week the pain is still severe, you should consult a doctor.
Separately, it is worth mentioning the removal of nerves in children. Some people believe that milk teeth cannot hurt, because there are no nerve endings. In fact, it is not. Doctors use special medications for devitalization, after which the canal is cleaned and sealed. Naturally, arsenic paste is not suitable for this purpose.
Special preparations
To kill a dental nerve, you must use certain drugs. They are divided into 2 groups. The first is based on arsenic, and the second is formaldehyde.
Arsenic paste
- Devit-ARS. This tool is used for quick and virtually painless detail. The main ingredient is arsenic anhydride, which starts the process of nerve death. To the patient did not feel pain during the procedure, lidocaine hydrochloride was added to the preparation. In the process of devitalization it is worthwhile to ensure that any infection does not enter the oral cavity. To prevent inflammation, antiseptics such as metacresol and chlorophenol are presented in the composition of the product. Devitalization using Devit-ARS takes 1-2 days. The drug is presented in the form of pasta and unidozy.
- Kaustiner Rapid. This tool is sold in a small plastic jar. It contains arsenic anhydride, lidocaine hydrochloride and menthol. The tool gently applied to the desired area. The devitalization procedure takes 2-3 days.
Today, other arsenic pastes can be found on the market, namely Septodont and Pulparsen. Anesthetics are often found in these preparations.
Armless pastes
Some patients prefer not to use such remedies, as they are confident that they will not work soon. In fact devitalization will happen 1-2 days later, however, such pastes will not harm the body.
- Devit-P. It is based on a powerful antiseptic paraform. For pain relief, lidocaine hydrochloride supplement is used. Also, when creating Devit-P, antiseptics such as menthol, camphor and chlorophenol are involved.
- Devit-S. The tool is based on paraformaldehyde, which removes pain. Also for this, a small amount of lidocaine hydrochloride is added to the paste. Creosote acts as an antiseptic.
The choice of one of the two above-mentioned groups of drugs depends on various factors. In any case, only armpitic pastes can be used to remove nerve in children.
Nerve Devitalization at Home
Sometimes there are cases when for some reason you can not get an appointment with a dentist. Respectively, you can try one of the folk remedies.
-
For the killing of the nerve in the carious cavity on the tooth is necessary put a small amount of gunpowder. To resort to this method is very careful, because there is a possibility of poisoning the body. - In some cases, devitalization can be used. vinegar essence. It is applied to the tooth very carefully, because it is possible the burn of soft tissues.
- With severe pain in the tooth, some people do alcohol rinses. Such a procedure is not very effective. To really kill the nerve, it is necessary to moisten a cotton swab in a small amount of alcohol and gently put on the problem tooth.
If you still decide to perform the devitalization in home conditions, and the procedure was successful, you still need to consult a doctor no later than 2 weeks. Otherwise, there is a high probability of infection in the tooth, which will lead to the development of the inflammatory process.
Loading ...