Complication of pulpitis is periodontitis, when the bacterial content of the root canals extends beyond the root. In the dental clinic S.I.Y. Dental for the treatment of periodontitis, a depotphorese method is used.
Depotphorese is one of the most effective methods of root canal treatment used in endodontics. The meaning of this method lies in the action of a weak electric field, through which calcium hydroxide is penetrated into the root canals. It is this drug, penetrating into the canals of the tooth, sterilizes them, since it has a rather strong bactericidal property. And as you know, the quality of endodontic treatment can only guarantee the sterility of the root canals.
In comparison with the classical methods of treatment of canals, depophoresis has significant advantages:
- the use of the method allows successfully treating even strongly curved roots that are not accessible to the instrumental approach
- after the depophoresis, the mechanical stability of the tooth root is preserved
- all apical root delta of the tooth is sterilized reliably, which prevents reinfection
- after the treatment, the need to carry out a resection of the apex of the dental root disappears;
- success of treatment is 95%
- the procedure is simple, economical and, if carried out properly, does not give the patient any unpleasant sensations
Depophoresis is recomended to patients in the following cases:
- if the patient has curved, obliterated and difficult to access channels for processing, or a wide apical opening
- if the channels have already been sealed and their re-sealing for objective reasons is impossible or there is a piece of the dental instrument in the channel
- if a cyst is found on the apex of the root of the tooth
- if the channel contains gangrenous contents and necrotic tissues
The method of depotphorese is shown practically to all, except for a few points:
- the presence of an allergic reaction to copper
- if the root canal of the tooth was previously closed with a silver pin
- if the patient has worsened periodontitis
Depotphorese is very effective in the treatment of tooth cysts. First, the doctor still cleans the root canal, removes nerve endings, fluid from the gums. Further, unlike most methods, antiseptic agents are not used, instead of them calcium oxide is poured into the cavity of the cyst. This substance is subjected to a weak electric discharge. Its particles begin to move in a chaotic order and get to the most remote parts of the cavity, while removing most of the bacteria. For optimal results, it is recommended to repeat the procedure at least three times. Only after this can be guaranteed a 100% result.
Results of treatment
After depotphorese in the canals of the root of the tooth, virtually no pathogens and microorganisms remain. Remains of pulp, which may be in the channel system, disintegrate after the procedure and disappear. In addition, copper-calcium hydroxide stimulates the rapid formation of bone tissue, which contributes to the fastest healing of the dental canals.
As a result, the depulled tooth can be retained for a fairly long time, avoiding recurrences of the inflammatory process.