What situations require root canal treatment? Do I have to wear braces after nerve extraction? Medical Police: If you don't do it well, you may have to start over again
What situations require root canal treatment? Will filling material affect secondary tooth decay?
Many people need root canal treatment called “nerve tap” due to severe tooth decay. However, after root canal treatment, it does not mean that all dental problems will disappear. Dr. Li Shiwei, deputy director of Guoan Dental Clinic, said that teeth that have been denervated are more fragile and would recommend making braces to protect the teeth. After getting braces, you will not be free from tooth decay. You should continue to maintain oral hygiene habits to prevent oral diseases such as dental caries, periodontal disease, etc.
Dr. Li Shiwei said that root canal treatment will be recommended for patients who encounter the following conditions, including dental caries, nerve necrosis caused by tooth decay, pulpitis, or nerve exposure caused by tooth fracture, as well as severe tooth wear, before full mouth reconstruction. Preventive root canal treatment. Among them, the most common tooth decay is related to poor eating habits, a fondness for sweets or acidic foods, and the growth of bacteria in the oral cavity, which causes tooth decalcification and corrosion.
Dr. Li Shiwei explained that in general, if the cavities are small, resin fillings can be used; if the teeth are severely corroded and the cavities are too large, doctors will recommend that patients make denture braces or 3D tooth carvings/canvas to protect the remaining teeth. Original teeth. If the tooth decay is too severe, root canal treatment may also be recommended before making dentures to avoid possible subsequent pulpitis.
Does the material of fillings affect the chance of future tooth decay? Dr. Li Shiwei said that resin fillings are less aesthetically pleasing to the teeth and are prone to collapse or deformation due to thermal expansion and contraction, making them more prone to secondary caries. In contrast, all-ceramic crowns or 3D dental carvings have higher imitation performance, can retain more tooth substance, can be maintained for a longer period of time, and are more stable after surgery than the teeth that are repaired by large-scale dental fillings.
Is there still a risk of tooth decay after root canal treatment? Doctor: Caused by bacteria growing in the seams of dentures
Dr. Li Shiwei reminds that whether it is root canal treatment or filling, it does not mean that there is no risk of tooth decay again. Taking dentures as an example, if bacteria invade the joint between natural teeth and dentures, it may still cause infection and cause tooth decay again.
Dr. Li Shiwei pointed out that since the tooth structure becomes quite fragile after nerve extraction and before braces are completed, even if there is no pain, you still need to be careful to avoid eating foods that are too hard, too sour, and too sweet, otherwise the bacteria will invade and infect the teeth again. , entering the space for root canal treatment, the root canal treatment may even have to be done all over again.
Root canal treatment is “not just one time”? Maintain 3 actions every day to keep your teeth healthy
Dr. Li Shiwei said that root canal treatment is usually not completed in one go, but usually needs to be performed in 2-3 times. Some patients’ dental nervous systems are more complicated, and even diagnosis must be done through computerized tomography before the nerves can be extracted.
Dr. Li Shiwei pointed out that if you do not want to face root canal treatment, the best way is to control your daily eating habits, such as regular teeth cleaning and check-ups, good oral health care, and the correct use of dental floss, toothbrushes, and mouthwash. After finishing a meal, you can use dental floss to remove food residues between teeth; after brushing, you can use a fluoride mouthwash with anti-cavity effect, about 2-3 times a day. Eat less after rinsing your mouth until before your next meal to avoid bacterial growth.
In addition, patients who do not choose braces after root canal treatment also need to avoid eating betel nut, nuts and other too hard foods to prevent fragile teeth from breaking and requiring tooth extraction. It is recommended to touch foods that require excessive teething and snacks such as chewing gum as little as possible to avoid damage to the temporomandibular joints due to overuse.
