Complications With Dental Crowns - The Crowned Tooth That Now Needs Root Canal medicine

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Here's a disappointing and frustrating event that sometimes takes place in the world of dentistry. A inpatient comes in with a tooth that is broken or has a large cavity. The tooth hasn't been bothering the inpatient but it obviously needs repair. The dentist takes a look at the tooth and decides that the damage the tooth has sustained is considerable adequate that the tooth requires the placement of a dental crown. The needed work is begun (and even perhaps completed) without incident. Then sometime during the next few days, weeks, or even months the scenario changes. Now the tooth does hurt. The dentist tells the inpatient that they need root canal treatment. So what has happened? Why have things changed?

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The apparent sass is that the patient's "good" tooth has been damaged by the crowning process and because of that it now needs root canal treatment. After all, the tooth didn't hurt until after the crown policy had been performed. Well, in response to this train of thought, sometimes the "obvious" isn't correct. And while creating a dental crown for the tooth no doubt did play a role in the tooth's subsequent need for root canal treatment, it probably wasn't the initiating cause. Here's why.

The housing for a tooth's nerve tissue is unlike most any other tissue in the body. The nerve, a soft tissue, is encased in a hard shell (the tooth). And because of this, the following complication can occur. When a tooth is traumatized (such as receives a blow, is annoyed by the proximity of tooth decay, is drilled upon) the response of the dental nerve is to swell (an inflammation reaction). That's what tissues do when they are insulted. It's just like when you traumatize (twist) your ankle the tissue surrounding the ankle becomes swollen.

The complication that arises is that this swelling tissue is contained by the confines of the hard tooth. So even though a swelling response occurs, the size of the space in which the nerve lies doesn't. The net effect is that the nerve tissue is settled under a compressive force, several times what is general for it.

Now, here's where the real question comes into play. As the military build, the blood vessels contained in the tooth's nerve tissue become compressed. The net effect of this is that the blood flow to the pulp becomes restricted. So, those considerable duties that the circulatory ideas provides (carrying oxygen and nutrients to the pulp, carrying away excess fluids) are inhibited. As a result, the nerve tissue's potential to rebound healthily from the insult is compromised. In the most extreme cases, the nerve tissue will die.

So, with our situation where the inpatient had a tooth that seemed just fine initially, the dental crown policy was started (and perhaps even finished) and now the tooth hurts, what has taken place? Was the dental crown policy too traumatic for the tooth? Is it what has caused the nerve in the tooth to become damaged to the point that it now needs root canal treatment?

Well, the sass is both yes and no. Just from the timing alone you would have to theorize that this was the case. The reality of the matter, however, is that the dental crown policy most likely only precipitated the timing of an event that would have happened anyway. Here's why.

When teeth caress a traumatic episode, such as that described above, they might support adequate damage to their nerve tissue that it does die. With many episodes, however, the caress may only effect in damaging the nerve, in the sense that it is still alive but debilitated. Because of this, in the time to come when other traumatic episodes (one or many, each of varying intensity) are experienced, the nerve's resiliency (ability to healthily rebound) will be subpar. Any one chapter might originate adequate stress for the nerve tissue to push it over the edge, thus causing its death and creating a need for root canal treatment. No one would ever be able to anticipate which specific traumatic chapter might trigger this policy of events. It's plainly that the possible all the time exists.

So, in the case of our dental crown, yes the trauma of having the dental crown made could have been stressful adequate that it is what caused the degeneration of the nerve. But more likely the tooth was already in a compromised state due to some other caress (most likely the very one that cause need for the placement of the dental crown in the first place). The dental crown policy was plainly the last straw. The debilitated nerve tissue just wasn't resilient adequate to survive the procedure.

This exact same type of scenario can occur with other types of dental treatments. Whatever that involves stressing a tooth, whether during a policy or once a recovery has been settled into use, can be the culprit. This means that the placement of fillings, dental bridges, partial dentures or even a man persisting or renewing a teeth grist habit can set off a policy of events just like those described here.

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