Periodontics is the part of dentistry that deals with the prevention, diagnosis and treatment of periodontal disease (gingivitis and periodontitis), i.e. those that affect the gums or periodontal tissue are subject teeth. Moreover endodontics deals with the study of everything related to pulp diseases, visit dentist to getting over your dental terror.
Thus, also it called periodontal treatment, prevention or treatment of periodontal diseases such as gingivitis and periodontitis. Y ranges from performing curettage for removing accumulated plaque under the gum line or periodontal pockets, to prevention and treatment of diseases peri-implantitis (resulting from the complications that can arise after placing a fixed dental implant or prosthesis).
Endodontics, meanwhile, involves treatment of pulp diseases caused by infection or a dental trauma, as well as prevention of possible complications thereof. This allows access to the interior of the dental cavity to remove the part of the pulp that has been damaged and then the access point is sealed and leads to the restoration of the tooth.
However, it is important to note that sometimes can cause periodontal diseases and endodontic pathology backwards: pulp disease can cause periodontal disease. Furthermore, both dental pathologies coexist being independent from each other. These situations are known as endo-periodontales lesions, whose diagnosis and treatment is essential to determine the origin of the injury and anticipate your dentist’s next move.
This is because there is a clear relationship between the pulp of a tooth and the periodontal tissue around it, as this not only supports the teeth, but also through you feed the roots. Moreover, there is communication between the periodontium and the pulp through the dentinal tubules and other conduits that are in the dentin and root of a tooth.
So when there has long been a periodontal disease that has not been properly treated, the pulp may be altered degenerative nature, as an internal resorption a pulp attack or the appearance of calcifications.
In these cases it is important to use all the diagnostic resources available to clarify the etiology of the lesion and to determine the most appropriate treatment that can only be a periodontal or endodontic treatment, or a combination of both techniques.
Why a root canal done?
Endodontics is performed when there is a dental infection that affects part or all of the pulp (pulpitis), which is the soft tissue in the interior of the tooth and which occupies from the crown to the root, and containing blood vessels the nerves.
Hence precisely that dental pain is always originates in the pulp and is a sure sign that it is being affected by an infectious process that began with the formation of a cavity and has crossed the dentin. It may also be necessary when one has suffered trauma to the tooth that has caused breakage.
With endodontics, held after following a course of antibiotics, the affected part of the pulp is removed and then the tooth is restored. In any case, the goal is to save the tooth where this is possible.
In fact, if given the existence of pulpitis not endodontics is performed; the infection can spread to the surrounding tissues, forming an abscess. And this complication can lead to other more serious and can even cause death of the patient:
- Tooth loss by forcing removal.
- Spread of infection to the blood (sepsis).
- Facial Cellulitis Ludwig’s angina or if it reaches the soft tissue of the jaw.
- Osteomyelitis if it affects the jawbone.
If through the blood reaches other parts of the body can cause endocarditis, brain abscess, pneumonia and other diseases, some of which can be life threatening.
But all this, including the need for a root canal, can be avoided if the following recommendations are followed:
- Maintaining good dental hygiene, including the use of dental floss or interdental brushes.
- Regular professional dental cleaning at least once a year every six months-better to remove tartar and plaque where the toothbrush cannot reach.
- Visit your dentist regularly for a review of dental health.
- Call your dentist always feel a throbbing pain remained endodontist will refer to it if necessary.
Keep in mind that sometimes the pain may disappear spontaneously, but not the infection, which continue to attack the pulp affecting the tooth roots, which can lead to tooth loss or the aforementioned complications.