What does root canal accomplish?

Root canal therapy is used to treat pathological conditions inside a tooth that have affected its nerve tissue, and often the tissues that surround its root too.

By completing a tooth’s treatment, a dentist can both resolve its internal problems as well as set the stage so your body’s healing process can take place as effectively as possible, thus allowing the tissues surrounding its root to return to and/or maintain a healthy status.

The procedure itself is basically a two-staged process.
A) Cleansing the tooth’s interior. – The first portion of the procedure removes compromised (infected, necrotic, degenerating) tissues, and associated debris and contaminates, from within a tooth’s nerve space.
B) Sealing off the treated area. – The procedure is completed by filling in and sealing off the tooth’s cleansed internal space, so contaminates can’t leak back in, or out.

Details:
A) Cleaning the tooth. – What does this step accomplish?
Dentists use root canal treatment to resolve a wide range of nerve-related problems. For example, this same fix is used when a tooth’s nerve tissue is: 1) Acutely inflamed, 2) In the process of dying, or 3) Completely necrotic (dead).

Necrotic pulp tissue removed from a tooth.
This is nerve tissue that’s been pulled out of a tooth’s canal.
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And although each of these conditions is different, what they all have in common is that they involve (or will involve) a situation where the tooth’s nerve space harbors contaminates that will ultimately leak out of the tooth’s root tip and persistently irritate (inflame) the tissues that surround it.

So, the underlying goal of the cleaning portion of the root canal procedure is for the dentist to remove as many of these irritants (or items that will degrade into irritants) as possible.

These types of items include pulp (nerve) tissue (live or dead), the organic debris left over from the breakdown of this tissue, bacteria and the toxins and additional byproducts they have created.

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The dental lab industry ain’t never gonna be the same

The age of small dental laboratories
My partner and I started our lab in a basement more than 30 years ago. It was just the two of us, and our business model privileged quality over volume. The prevailing attitude at the time was: the larger the lab, the more frequently quality would be sacrificed.
I will never forget a particular incident that happened when we were still in that basement. One of our first accounts loved our work, but he would never refer his colleagues to us because he didn’t want us to get “too big.” He stopped sending us work when we grew from a two-person lab to an eight-person lab. Even though the quality of our work was maintained (dental lab supplies online), his perception of our size drove him away. That dentist is probably having a difficult time finding a lab these days.

The age of larger dental laboratories
The labs that are able to remain in business have grown to become midsized (like mine) or large-scale. Hiring more technicians and investing in sophisticated equipment allows us to increase production and keep costs competitive; however, the challenge that we all face is maintaining quality.
Imagine the fabrication of your crown being reduced to an assembly line of technicians, each doing one part of a multiple-step procedure. Imagine dipping dies all day while the next person waxes, followed by the next person who waxes the margins, then the next one who sprues, and so on.

The lure of offshore
Offshoring is double jeopardy. The work is sent overseas, most commonly to China, where labs may employ up to 1,500 technicians in one factory. We now have the large, corporate assembly line, as well as concerns about foreign-made products. FDA, ADA, HIPAA, and OSHA regulations do not apply there; therefore, we have no guarantee that approved materials are being used.

Just like in your dental practice, my biggest expense is labor. I take pride in the handcrafted work we produce, similarly to how you are proud of the dental team you have assembled. But that means we have to pay salary, overtime, vacation, medical, social security, state taxes, unemployment, and so forth.

Technology to the rescue
Digital dentistry has arguably been the biggest advancement in years for both dental labs and practices. Digital scanning in-office can reduce overhead and expedite procedures. We have seen previous systems that only resulted in milled or printed models and that still required hand-waxed crowns, but the latest generation enables the digital design and production of restorations that can be fit and adjusted on a final model or produced without a model.

The future of dental laboratories
Small labs, staffed by five people or fewer, will likely be unable to purchase the necessary traditional products or new technology and will certainly not be able to compete financially with the larger labs. These smaller, quality labs will probably close due to inability to compete.
The midsized and larger quality labs will be able to carry on, but getting new labor and affording the continuous upgrades to technology and training will be very costly. Deciding to be “bought out” by allowing a larger entity to finance the business and supply the merchandise will necessarily be attractive.
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Some Knowledge of Use Clove Oil in Dentistry

The oil extracted from a clove is known as eugenol. Depending on where the oil is extracted from — either the bud, leaf, or stem — the concentration of eugenol generally ranges from 60 to 90%.Clove oil is generally used in dentistry to treat pain from a dry socket, as well as used in a number of temporary restorative materials. Because the aroma of the oil is very strong, clove oil often leaves a lingering, aromatic presence in the dental office. Clove oil can be found in most natural health stores and in some grocery stores.

Considerations for Using Clove Oil
Clove oil, although natural, is known to be toxic in specific amounts,so people wishing to use the oil for dental pain should be cautious of the amount they are using at a time.

Clove oil may cause
Any of the above symptoms should be reported to your physician immediately. Using clove oil as a dental pain reliever isn’t for everyone. Its use in children has not yet been evaluated by the Food and Drug Administration (FDA), and as a matter of fact, the FDA currently does not strictly regulate herbs and supplements, such as clove oil. People with bleeding disorders should not use clove oil, as it is known to cause increased bleeding. Also, oil of cloves is known to decrease blood glucose levels, so diabetics should use caution when considering the use of clove oil for dental pain.

Place two to three drops of the oil in a clean, small container. Add 1/4 to 1/2 teaspoon of olive oil. This mixture will prevent any soft tissue irritation that is common when using clove oil on its own.Soak a small piece of cotton in the oil mixture until it is saturated. Blot the cotton on a piece of tissue to remove the excess oil before placing the cotton in your mouth. Using a clean pair of tweezers, hold the cotton on the painful area for 10 seconds, making sure you do not swallow any of the oil. dental apex locator Once complete, rinse your mouth with saline solution. This step may be repeated two to three times daily.Always see your dentist if the pain from a toothache persists. Clove oil should only be used as a temporary way to relieve pain from a toothache. Your best pain remedy is to see your dentist.

There is a distinctive smell that is often associated with your dental office. Some people love it; others are sadly reminded of a bad dental experience every time they get a whiff of it. What is responsible for the aroma? Chances are, you are smelling clove oil. Used in dentistry for over a century, clove oil is a very effective antiseptic that is known to help relieve dental pain.Cloves are dried buds from a tree in the Myrtaceae family. Primarily harvested in Indonesia, cloves were thought to first originate in Syria, when they were discovered in a ceramic pot by archaeologists who predict the cloves date back to 1721 BC.

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Management of Bleeding after Tooth Extraction

Manual pressure on gauze pack placed over the area can be used by the dentist to arrest the bleeding. The gauze size should be small to just cover the extraction socket. The gauze which is used may be moistened so that the blood doesn’t coagulate in the gauze and blood clot is not dislodged when the clot is removed.


Gauze pack placed on tooth extraction site

If a large vessel is involved, then it can be clamped with a hemostat and is tied with resorbable stitches (3-0 cat gut sutures) If the bleeding is from bone, then absorbable haemostatic gauze or bone wax over the site of bleeding can be placed.

A small amount of blood is mixed with the saliva (Or spit).  So the patient should not freak out about the amount of blood loss he is having.

After the tooth extraction procedure, the patient is advised to firmly bite (not chew) on the gauze for at least 30mins. The gauze should be held in mouth for 30-45mins. The patient should not talk for a minimum of 2-3 hrs after the tooth extraction.

Slight oozing of blood may occur up to 24hrs after the extraction. It is considered to be normal. There might be some oozing of the blood at night from the extraction site and the patient may have blood stains on pillow after the tooth extraction. There is nothing to be worried about it. The bleeding will stop on its own.

After the wisdom tooth removal, bleeding may occur up to 3 days. Bleeding and oozing of blood from the extraction site, 3 days after the wisdom tooth removal is considered as normal. However after 3 days, the bleeding should be very less or barely noticeable.

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Profuse Bleeding during Tooth Extraction Procedure

Bleeding refers to loss of blood or escape of blood which occurs from the circulatory system. Bleeding after tooth extraction procedure is normal. Gauze pack is given by the dentist after the tooth extraction to control the bleeding. The patient is instructed to bite on the gauze pad for 30-45 minutes after the tooth extraction procedure.

Profuse Bleeding during Tooth Extraction Procedure
Excessive, profuse bleeding can occur during the extraction procedure if there is accidental tearing or cutting of the large artery or vein. Laceration of inferior alveolar artery or vein during attempted root removal can cause profuse bleeding.

The bleeding is also profuse in region of inflammation where the tissues are excessively hyperemic.

Profuse bleeding can occur during the extraction if there is injudicious use of suction apparatus or when the wound is wiped excessively which causes continual removal of blood clots.

Patients with high blood pressure and those with bleeding disorders bleed profusely after the tooth removal. That’s why in cases of elevated blood pressure and bleeding disorders, tooth extraction procedure is not performed.

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