How endodontic and periapical disease is treated in children

Considering that the child has a periapical abscess, that is, pulp necrosis and suppuration, and then drains pus from the gums, it is recommended to go to the hospital as soon as possible for the root canal of the tooth**, cooperate with the doctor to return to the doctor on time to change the dressing to reduce inflammation, and then fill the tooth after the inflammation is eliminated, you can consult the doctor specifically.

Answer]:1Emergency treatmentMost of the patients with endodontic disease and apical periapical disease come to the clinic because of tooth pain, and the main problem for patients to solve and check the car is to reduce the pain immediately, that is, emergency treatment.

Emergency treatment is the initial stage in the process of endodontic disease and apical periapical disease, and it is also an important step in the process. It contains: medullary drainage; Incision to drain pus; Appease**; anti-inflammatory and analgesic; grinding and grinding; Acupuncture analgesia, etc.

Among them, marrow opening and drainage are the most important.

2.Endodontics**Endodontics** to be done after symptoms are relieved**. Such as root canal**, plastic extinction**, etc.

Endodontics**: Preserved living pulp is preferred.

**Principle: The pulp of young permanent teeth should be preserved by pulp preservation first, including pulp capping to preserve all the pulp and myelectomy to preserve part of the pulp.

It takes 2 to 3 years after the eruption of the permanent tooth to reach the desired length, and the root tip is completed after 3 to 5 years. Once the pulp of a young permanent tooth dies, the root of the tooth stops developing and becomes a short, open root. Therefore, for dead pulp teeth that are open to the root tip and the root is not fully developed, the first method that promotes the continuation of the root tip formation, that is, apical inductionplasty.

If there are acute or subacute symptoms in apical inductionplasty, emergency treatment should be done first, and it should be continued after the inflammation is reduced**. If there are no acute symptoms of the teeth, the following steps should be taken:

1.1st treatment.

1) Sterilize the surgical field and isolate the teeth.

2) Pulp opening, pulp removal and pulp extraction to the place where there is living pulp tissue, which can be inferred from the degree of sensitivity, and damage to the tooth should be avoided*. If the marrow is violated, it can be performed under local anesthesia.

3) Rinse the root canal with saline to remove the necrotic tissue debris, and excessive pressure should not be used to avoid pressing the necrotic tissue or infection deep into the root canal.

4) Gently wipe the root canal wall with 2 chloroamimine solution, and if necessary, use a root canal file or enlargement needle to scrape the contaminated tissues of the canal wall, and be careful not to hurt the teeth*.

5) Dry the root canal with a sterile cotton twist.

6) Pine seal wood grenade oil or camphorol cotton twist. Do not let the cotton twist compress the residual pith in the apical area to facilitate drainage.

7) Observe 2 3 days before doing the second treatment.

2.2nd treatment.

Remove the previous temporary sealant. Only slight exudation, no abnormal symptoms of teeth, iodoform calcium hydroxide paste early agent to seal the root canal, do not use pressure. After 3 months, there will be a follow-up examination to check whether there is any abnormality in the teeth.

X-rays can be taken every six months to see if the root continues to form or the apex has been closed. If the root tip is basically formed or has been closed, you can use zinc oxide clove oil paste to fill the root instead, do not fill to the root tip. It should be noted that induction of apical formation** is easy to obtain good efficacy in the short term, but abnormalities may also occur in the long term (after 2 to 3 years).

The principle of pulp disease and periapical disease of young permanent teeth is to preserve the living marrow, if the living pulp cannot be preserved, the tooth should be preserved. Therefore, pulp preservation is preferred for pulp preservation in young permanent teeth, including pulp capping and pulpectomy, and apical induction plasty should be performed for dead pulp teeth whose roots have not yet fully developed.

The first purpose of endodontic disease and periapical disease of deciduous teeth is: to eliminate infection and chronic inflammation and eliminate pain; Restore the function of the tooth stool and maintain the integrity of the primary dentition; Prolongs the preservation of the affected tooth; Maintain good chewing function for the healthy growth of children.

**]1.Pulp opening and drainage: In the acute stage, the medullary cavity should be opened and the root pulp should be removed to ensure the patency of the root canal, so that the inflammatory substances can be drained from the root canal.

2. Incision and drainage: In the acute purulent stage, the pus reaches the subperiosteal or submucosa, and the abscess in the corresponding apical area of the affected tooth is obviously incised, and the pus is drained and discharged.

3 root canals**: After remission in the acute phase, the infection in the root canal is completely removed, and the root canal is tightly filled for permanence**.

4 Apical curettage: This surgery is done to remove the apical lesion when the lesion is large, but only for the upper and lower anterior teeth.

Root canalitis, in which the clear acorns are caused, is caused by periodontal disease. Symptoms are:

The tooth is elongated and cannot be bitten. There is a severe, persistent spontaneous pain. Percussion pain is significant.

As the inflammation progresses, the gingiva at the apex of the affected tooth is congested and edematous, and a periapical abscess can be formed, and the maxillofacial area is swollen, and systemic symptoms such as high fever may appear. Pain is relieved after abscess rupture or incision and drainage;

At present, many patients go to the dentist and say that they need to do a root canal**, but the expensive cost is not affordable for every patient, and it is very painful. According to some patients, it is difficult for those who have just undergone surgery to even eat, and it is easy to do it backwards. But the effect is definitely a little bit.

Now, as far as I know, there is a latest biotechnology achievement, which has the effect of curing the root cause of periodontal disease next to the chong, that is, "tooth**", which is through modern biotechnology, extracting effective nursing ingredients from a variety of natural plants, penetrating into the gums, dissolving and extracting tartar, to achieve anti-inflammatory effect, and also extracting natural nutrients that are more beneficial to the gums than vitamin C, which can absorb sufficient nutrients from the gums through the mouth, and can also penetrate into the gums, dissolve the judgment solution and remove the tartar, and achieve anti-inflammatory effect. The effect is particularly pronounced for root canalitis and is worth considering.

At the same time, we must pay attention to oral hygiene, and dental care should be done every day.