How to solve the problem of underwearing? What to do if the base of the pulp is pierced

The bottom is worn normally, that is, zinc phosphate, zinc polycarboxylate or composite resin cushion, it will not have any effect, calcium hydroxide has no strength, and it is not suitable for the bottom.

You are a dead pulp tooth, you must open the drainage, open it for a week, and then seal the medicine and do the root canal**. Apical inflammation may occur when sealed! Calcium hydroxide is a myeloid protection drug, and it is useless if the pulp teeth are dead, unless there is occlusal pain, it is not the bottom, but the calcium hydroxide for sealing medicine.

Finally, the best way to confirm whether the underpass is to pierce it and ask the patient whether it is a toothache or a toothache, if the tooth is painful, it is really underpenetration, if it is a toothache, then it is a root canal orifice, and the tooth is not a dead pulp tooth.

You're really careless...

Ca(OH)2 is too soft to fit. It's better to use an MTA, but it's too expensive.

The second is to use glass ions, the sealing is better, there is a certain hardness, it doesn't matter if it is a little wet (you can't keep it completely dry where you perforate, this is the reason for using glass ions) There is the kind of light curing, it feels easier to use, if it is adjusted by hand, it must mainly have a certain fluidity. And when you make up, don't press hard... Don't make up the bottom, and as a result, the root canal hole is blocked...

If it's the tooth that pierces the bottom, the life span is basically gone... Wait for it to collapse, or sprout where the bottom is pierced...

The pain of a small area of underpass is not very severe.

Now be sure to perform a thorough root canal**.

Do not fill the dead pulp tooth directly. Plus there is a bottom to wear. The pressure will increase after filling. Exacerbates the pain.

**Post-calcium hydroxide.

Bottom. Seal the tincture of the water door. Do not use afterburner on the upper layer of filling material. Be sure not to bite hard objects. Crown repair can be performed after six months of observation.

However, this tooth is prone to recurrent swelling and pain. It is best to recommend unplugging.

If it is iatrogenic or the bottom penetration is very small, the bottom of the medullary chamber can be directly covered and observed, and there are no adverse reactions to fill. The odds are actually very small.

But if it is ulcerated, polyps, or the underside is noticeable. It's huge. There is no retention value. Just unplug it.

It is necessary to see the size of the penetration, generally less than 3mm, the bleeding can be stopped and the penetration can be repaired with mercury, and the root canal ** follow-up observation should be continued, and the X-ray should be checked every week to see the bone condition under the puncture at the apical bifurcation, and the tooth loosening and percussion should be checked. If there is no bone destruction or no enlargement of the limit at the penetration, the shadow is less than 2mm, and the tooth is loose and does not grow, the root canal can be filled by percussion (-), and zinc oxide paste and zinc phosphate are used to cushion the bottom layer by layer. Be careful not to flip the mercury into the through-opening.

**At the end of the day, the patient was instructed to observe for 2 weeks without spontaneous pain and no progressive loosening, and it was recommended to undergo full crown repair after the follow-up examination.

If the penetration is greater than 3mm, the apical fork will usually have progressive bone destruction, and the general filling effect is poor, and once the filling is not tight, it is easy to let the dressing change penetrate into the periodontal tissue, forming iatrogenic apical inflammation, so it is still recommended to extract.

Floor medullary penetration is common in oral medicine, and the solution is simple:

1. Expose the bottom piercing part, look at the size and shape, gently scrape off the surface attachments, and wipe off the grease with alcohol.

2. Calcium hydroxide is lightly picked and spread from one side to the other side, and gradually covers the bottom wear part, and can continue to other ** after drying.

Different reasons are different in the way.

It can be divided into, iatrogenic and pathological.

The bottom transmission is generally filled with materials, but there are advantages and disadvantages of various materials, and there are no perfect glass ions at present.

The main prognostic problems of underpenetration are inflammation, reattachment of the cementum alveolar ligament, and occlusion.

Analysis: Hello; First you need to determine what is causing this; In this case, it is best to go to the hospital for a specific examination, and determine the best plan according to the specific examination results, and do not ignore this situation, so as not to delay the first time and affect the first effect.

Suggestions:

It seems that you are a peer, and you are still a little aware of it before doing things in the future, so protect yourself. Since you all know that he is a c-root, you have to make it clear to him at the beginning, what is the point of making up for it if it is worn sideways?

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Management of medullary floor perforation depends on the situation.

Fresh, finer perforations can be repaired with a material (e.g., MTA) that repairs the perforation. Then do a regular root canal**.

If the perforation is large or the surrounding inflammation is severe, the prognosis is poor. It can be tried to fill, but it needs to be explained to the patient in advance, and if the inflammation is not controlled, the affected tooth needs to be extracted.

The indications for tooth segmentation are very strict, and the decision to use tooth segmentation should be based on the shape, thickness, and orientation of the tooth root that can be preserved. Curved, smaller and sloping roots are not suitable for tooth segmentation. In order to protect the root of the affected tooth from lateral force damage, it is necessary to make a joint crown with the adjacent tooth, or at least an inlay on the adjacent tooth for restoration.

Therefore, if you do not have a special need, do not try to do tooth separation lightly.

If the perforation location is relatively high and the diameter is relatively small, such as the diameter of 1-2mm, the perforation can be repaired with the material of the perforation, and then the root canal and repair will be done. If the perforation is large or due to decay, it should be removed.

The feasibility of tooth separation depends on whether the conditions of the two halves of the teeth to be separated in the future are suitable for separate restorations, and if the conditions are too poor, it is not suitable for tooth separation and should be extracted.

One reason could be that you didn't wash them cleanly, or that the socks you bought didn't have a very high cotton content. You can take a look at the ** net (sleepless socks shop), socks have a cotton content of more than 85%.

That's you, not washed! When you wash it, you won't feel hard!