Is it painful to remove the nerve from the tooth? Why does a tooth need a nerve? How to remove the nerve from the tooth
With unbearable toothache, almost every one of us had to face. In most cases, extreme discomfort is associated with inflammation or nerve damage. One of the most correct solutions in such situations is the eradication of the pulp. Let's see how the nerve is removed from the tooth. In what cases is it necessary to do this? Is it painful to remove the nerve from the tooth? Let's understand.
What functions does the nerve?
Why does the tooth need a nerve? Due to it, teeth have sensitivity to external stimuli, for example, exposure to cold and heat. Nerve fibers transmit signals to the brain about other factors that cause pain. In the absence of pulp, the tooth gradually dies. Because the absence of blood vessels and nerve endings that lie in the inner shells, leads to a loss of blood supply and the intake of minerals in the tissue. A tooth without a nerve is capable of retaining its former structure for some time. However, eventually, destructive processes will necessarily take place in it.
Signs of nerve damage
To understand how bad things are and whether it is worth resorting to removing the nerve, you need to listen to your own sensations. Certainly the procedure will not be avoided if the aching pain is regularly felt, which develops for no apparent reason. Increased discomfort may be closer to the evening, with a change in the position of the head, in particular when tilting and trying to lie down.
Make sure the nerve is damaged will allow a cold test. To do this, it is enough to take a piece of ice and attach it to the sick tooth. If there is acute discomfort, and the pain does not continue for several seconds after the irritant is eliminated, then it is urgent to make an appointment for a consultation with the dentist.
Indications for the procedure of
In what cases is the nerve removed from the tooth? Most often this need arises when deep carious processes develop. Disease-causing bacteria destroy the structure of tissues, penetrating into the pulp chamber. This is followed by inflammatory processes. In dental practice, the disease is called pulpitis. The pathological phenomenon is often accompanied by intolerable pain. Over time, discomfort can move to neighboring tissue sites.
Sometimes the nerve is removed after getting injured. Damage to the pulp as a result of mechanical action is less common than in all possible infectious lesions. To avoid the development of inflammatory processes, you will also have to remove soft tooth tissues.
In rare cases, the pulp is squashed by stones formed in the root canals. At the same time, a compressive effect appears on the vascular bundles in the tooth structure, which causes irritation and a sensation of pain. The nerve in such a situation can visually look healthy. However, to eliminate discomfort, it still has to be removed.
Nerve removal with arsenic
Until quite recently, there was no adequate alternative to arsenic-based procedures. Is it painful to remove the nerve from the tooth in this way? Such a decision can cause a lot of discomfort.
The operation involves processing the relevant area with "Lidocaine" and opening the top of the tooth. This allows the dentist to access the pulp. Then arsenic paste is poured into the hole formed. The place of dissection of hard tissues is covered with a hard seal.
How to remove the nerve from the tooth? After a few days, the pulp softens. The temporary seal is removed, and all dead tissue is removed. Then you should clean the tooth channels. Finally, a permanent seal is established.
At first glance, the procedure seems pretty simple. However, to this method of nerve removal these days are resorted to in isolated cases. After all, the decision is fraught with the development of complications. The fact is that direct dental canals are rare in patients. It is not at all easy to process branched paths of nerve endings for dentists. Special problems arise in situations where arsenic killed not all soft tissues. In this case, it may happen that the nerve is removed, and the tooth hurts.
Modern nerve removal methods
Is it painful to remove the nerve from the tooth these days? Today, dentists are able to offer a patient a quality anesthesia. In most cases, the only discomfort is the need for a long stay in the dental chair. After local anesthesia, doctors resort to a standard procedure:
- Preparation of the working area - that the dentist is comfortable to perform manipulations, and the fluid in the pulp chamber is not drained, the tooth is protected with a special protective film.
- Treatment of hard tissues - zones affected by caries are cut. Air cooling is used during the procedure.
- Accessing the pulp - the chamber, where the nerve endings and blood vessels lie, is opened.
- Nerve removal - soft tissues are extracted from the tooth with a pulp extractor. The tool is a thin spiral. The latter, in fact, is wound around the nerve.
- Channel washing involves the treatment of tissues with disinfection liquids, which makes it possible to remove small particles of pulp and avoid the spread of infections.
- At the end, the channels are sealed.
Nerve removal without anesthesia
Some patients in dental surgeries have individual intolerance to the active substances of drugs that are used for analgesia. In such cases, the procedure is performed without anesthesia. Is it painful to remove the nerve from the tooth in such a situation? If the pulp has softened as a result of exposure to arsenic, only a slight discomfort will be felt when processing channels mechanically. When the nerve is still alive, the procedure will be painful. How much the discomfort will be, depends on the sensitivity of the patient.
Causes of discomfort after nerve removal
What causes the effect when the nerve is removed and the tooth hurts? There are several explanations for the phenomenon. After eliminating the pulp, temporary discomfort may occur. In this there is nothing to worry about. The pain caused by mechanical action on hard tissues gradually disappears. Often unpleasant feelings are a small ripple. Usually, this effect occurs when the tooth is pressed.
The cause of pain after the procedure is often a medical error. Unqualified dentists sometimes do not completely remove the nerve, poorly clean the tissues. In some cases, parts of the medical instrument are stuck in the channels. To avoid this, it is advisable to seek help from approved dentists.
Cost of procedure
How much does it cost to remove a nerve from the tooth? Here everything depends on several factors. First, the price is determined by the method that is used to remove the nerve. In addition, the operation in each case may consist of several procedures and require the use of certain supplies. On average, treatment with pulpitis is about 4000 rubles.
Possible consequences of
Is the nerve removed from the tooth? If there is no emergency, it is better to wait with the procedure. Without pulp, the tooth is considered dead. Local tissues cease to feed on oxygen and nutrients. Gradually the enamel can begin to crumble. Proceeding from this, one should resort to such measures only when the pulp is susceptible to serious inflammatory processes.
A tooth, devoid of a nerve, eventually fades. There is nothing surprising. The phenomenon is explained by the lack of the ability to feed tissues with phosphorus through the channels. It is this microelement that is responsible for the gloss of the enamel. The shade of the tooth can also change when used when sealing low-quality or low-quality materials.
Features of nerve removal during pregnancy
Is it necessary to remove the nerve if the toothache of a future mother hurts? Women in the position are not recommended to resort to any dental procedures until the 27th week of pregnancy. In the early stages of the dentist's activity, they are potentially capable of harming the unformed fetus. Exceptions are only situations where inflammation of the pulp is fraught with the development of all sorts of complications and serious consequences for health.
Before removing the nerve, the dentist must ask what medication the pregnant woman takes. One can not do without radiography of dental canals with the use of a protective apron, which protects the fetus from harmful radiation. The procedure of nerve removal can be carried out with the use of analgesic sprays, the active substances of which are not able to penetrate the placenta and affect the state of the future baby.
Is it necessary to remove nerves in the milk teeth?
Some parents are convinced that there is absolutely no need to spend money on the treatment of baby teeth in children. Because they will eventually fall out for natural reasons. In fact, baby teeth should remain healthy until their physiological change occurs. If the tissues develop pathological processes in the form of inflammation, in the future it can harm the condition of the entire oral cavity. Therefore, the need to remove the nerve in the milk teeth is due to objective reasons.
Apparently, the removal of the nerve from the tooth is a responsible procedure. It is necessary to approach the operation with all seriousness. In order not to feel pain during the necessary measures and not to face complications, it is extremely important to contact a qualified doctor. Also to get rid of the discomfort is to follow all the recommendations of the dentist.