How to perform pulp drainage for dental caries?

Written by Li Bao Hua
Dentistry
Updated on September 12, 2024
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Pulpotomy and drainage for caries involve a treatment method for acute pulpitis or apical periodontitis caused by infected dental nerves. Teeth are composed of enamel, dentin, cementum, and pulp tissue. The pulp tissue, also known as the dental nerve, is located within the innermost part of the tooth, surrounded by the hard layers of dentin and cementum. Therefore, once the dental nerve becomes inflamed, the pressure within the pulp chamber rapidly increases. To alleviate the pain, it is necessary to release this pressure, namely by performing a pulpotomy and drainage. This can be done by drilling to remove some of the infected dental tissues, and then opening up the pulp chamber to relieve the pressure, significantly reducing the pain. If the dental nerve is completely purulent and necrotic, the top of the pulp chamber can be removed, followed by thorough pulpotomy and drainage.

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What causes cavities in children?

There are many causes of dental cavities in children, with bacterial infection being a common one. During childhood, if teeth are not brushed promptly after eating, the amount of bacteria in the mouth increases. These bacteria then break down food, producing glucose or lactic acid, which leads to demineralization on the surface of the teeth, eventually causing cavities over time. Additionally, it might be related to the sleep patterns during childhood, as children have longer sleep durations. During sleep, the brain inhibits saliva production, which reduces its effectiveness in washing away food residue on the teeth, thereby making cavities more likely to develop. Furthermore, children's preference for sweets also contributes to the high incidence of cavities.

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Does a cavity mean tooth decay?

The common term for dental caries is tooth decay. In the past, many people believed that tooth decay was caused by a kind of "tooth worm" that eroded the teeth, leading to tooth damage. In fact, it's the presence of a large amount of dental plaque and tartar on the teeth, and the erosion caused by numerous bacteria on these surfaces, which is what we now refer to as the phenomenon of caries, causing the teeth to turn black. Severe erosion can affect the enamel and dentin, and if it breaks through to the dental pulp, severe pulpitis can occur. When suffering from dental caries, it is essential to seek early treatment to remove the necrotic enamel and further prevent its progression.

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Do early-stage cavities need to be treated?

Cavities refer to the chronic, progressive destructive disease of the hard tissues of the teeth under the influence of plaque bacteria. For early-stage carious white spots, fluorides, fluoride toothpaste, or topical fluoride application can be used to halt the progression of cavities at that stage and prevent further development. Inactive caries can be effectively prevented and treated by brushing and rinsing. If not taken seriously, the cavity will continue to develop deeper, which can be classified into superficial, moderate, and deep caries. After the occurrence of cavities, patients may experience pain from thermal stimuli and pain from food impaction. When the stimuli are removed, the pain disappears. Cavities need treatment. If left untreated, they can lead to pulpitis, periapical periodontitis, and even result in tooth loss. Thus, early-stage caries should be adequately attended to, with an emphasis on early detection and treatment of cavities.

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What are the harms of dental caries in children?

Due to not forming the habit of brushing daily during childhood, and the frequent consumption of sugary foods during this period, the incidence of dental caries in children is relatively high. The onset of the disease is due to the presence of a large amount of dental plaque on the teeth, where bacteria gradually corrode the teeth, leading to the occurrence of caries. Initially, caries damage the tooth enamel on the surface, further progress destroys the dentin, and finally, it penetrates the dental pulp, forming pulpitis, which presents with obvious swelling and pain. Severe cases can also cause periapical periodontitis, leading to tooth loss, and affecting the normal emergence of permanent teeth. Therefore, it is important to maintain good oral hygiene and seek timely symptomatic treatment when children develop dental caries.

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Is tooth decay a contagious disease?

Cavities occur due to a large amount of dental plaque and tartar on the teeth, which erodes the teeth over time, causing damage to the enamel and dentin. This results in the appearance of black spots, black patches, and cavities. However, cavities are not contagious because there are always a large number of bacteria in the mouth due to eating and other reasons, so it is important to develop good brushing habits and the correct technique. Although brushing can remove some dental plaque, its effect is limited. It is best to undergo dental and gum cleaning treatments to significantly improve the removal of dental plaque and eliminate the harm of cavities to the human body.