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CAN ROOT CANALS BE AVOIDED?

 

What is a root canal treatment?

 

Endodontic therapy or a root canal treatment is a procedure that is performed when the pulp of a tooth becomes infected or damaged due to decay, trauma, or cracks. The pulp is the soft tissue inside the tooth that contains nerves and blood vessels. When the pulp is infected, it can cause severe pain, swelling, and sensitivity. If left untreated, the infection can spread to the surrounding bone and tissues, leading to serious complications.


Example of root canal treatment completed on first molar by Dr David Hakham

Some common signs and symptoms of needing a root canal are:


- Persistent or throbbing toothache

- Sensitivity to hot or cold foods and drinks

- Discoloration or darkening of the tooth

- Swelling or tenderness of the gums or face

- A foul taste or smell in the mouth

- A pimple-like bump on the gum near the tooth


If you experience any of these symptoms, you should see a dentist as soon as possible to diagnose and treat the problem.



 

Biomimetic Dentistry and Its Advantages


The main purpose of this article is to explore how biomimetic dentistry can help avoid root canal treatments in teeth with large cavities. Biomimetic dentistry is a revolutionary approach that aims to restore teeth in a way that mimics their natural structure and function, rather than replacing them with artificial materials. By using biomimetic dentistry, you can preserve your natural teeth and avoid the need for root canals and other invasive procedures.

 

Traditional Dentistry vs. Biomimetic Dentistry


Let's take a look at how traditional dentistry and biomimetic dentistry differ in their treatment of teeth with large cavities.

 

Traditional dentistry treats teeth with large cavities by removing the infected pulp and placing a filling and a crown. A filling is a material that fills the space left by the decayed tooth, and a crown is a cap that covers the entire tooth to protect it from further damage. This method is effective in eliminating the infection and restoring the appearance of the tooth, but it has some drawbacks and limitations, such as:


- It weakens the tooth structure by removing a large amount of healthy tooth tissue along with the decayed part

- It increases the risk of fracture and reinfection by creating gaps and cracks between the filling, the crown, and the tooth

- It requires multiple visits and high costs, as the filling and the crown have to be prepared and fitted by a lab technician

- It does not restore the natural function and biomechanics of the tooth, as the filling and the crown do not respond to temperature, pressure, and moisture changes like the natural tooth does


Biomimetic dentistry, on the other hand, treats teeth with large cavities by repairing them with materials and techniques that mimic the natural tooth structure and function. Biomimetic dentistry is based on the principles of biology, chemistry, and physics and uses advanced adhesive and composite technologies to bond and rebuild the tooth.

 

Benefits of Biomimetic Dentistry


Some of the benefits of biomimetic dentistry are:


- It conserves tooth structure and vitality by removing only the infected and damaged tissue, and preserving as much of the healthy tissue as possible

- It enhances strength and sealing by creating a seamless and durable bond between the tooth and the restoration, and preventing bacteria and fluids from entering the tooth

- It prevents future retreatment cycles by restoring the natural function and biomechanics of the tooth, and allowing the tooth to adapt to the changes in the oral environment

 

Examples of How Biomimetic Dentistry Helps Avoid Root Canal Treatments


But how exactly does biomimetic dentistry prevent root canals in teeth with large cavities? Let's look at some examples and evidence of how biomimetic dentistry can treat these cases without resorting to root canals.

 

One example is the use of indirect pulp capping, which is a technique that involves placing a protective layer of material over the thin layer of dentin that separates the cavity from the pulp. This way, the pulp can be isolated from the bacteria and stimuli, and the dentin can remineralize and form a barrier against the infection. The indirect pulp capping is followed by placing a composite restoration that bonds and seals the tooth. This technique has been shown to have a high survival rate and a low failure rate in treating teeth with deep cavities and asymptomatic pulpitis, which is a moderate inflammation of the pulp.


A tooth with a large cavity that was treated with Biomimetic dentist, Dr. David Hakham, who avoided a root canal on this tooth
A tooth with a large cavity that was treated by Dr. Hakham. A root canal treatment was avoided.

Another example is the use of partial pulpotomy, which is a technique that involves removing only the superficial layer of the infected pulp, and leaving the deeper layer intact. This way, the pulp can heal and regenerate, and the tooth can maintain its vitality and sensitivity. The partial pulpotomy is followed by placing a biocompatible material that seals and protects the pulp, and then a composite restoration that matches the color and shape of the tooth. This technique has been shown to have a high success rate and a low complication rate in treating teeth with large cavities and reversible pulpitis, which is a mild inflammation of the pulp.


These are just some of the examples of how biomimetic dentistry can prevent root canals in teeth with large cavities. There are many more cases and studies that demonstrate the effectiveness and superiority of biomimetic dentistry over traditional dentistry in terms of esthetics, function, durability, and cost-effectiveness. For instance, a study by Magne and colleagues found that biomimetic restorations had a 10-year survival rate of 97%, compared to 81% for traditional restorations. Another study by Alleman and colleagues found that biomimetic restorations reduced the need for root canals by 90%, compared to traditional restorations.

 


Photo of final restoration on tooth restored with Biomimetic Dentistry By Dr. David Hakham
Final Restoration of Tooth Restored with Biomimetic Dentistry

In conclusion, biomimetic dentistry is a revolutionary approach that can help avoid root canals in teeth with large cavities. By mimicking the natural tooth structure and function, biomimetic dentistry can preserve the natural teeth and avoid the drawbacks and limitations of traditional dentistry. Biomimetic dentistry can also provide better outcomes and advantages in terms of esthetics, function, durability, and cost-effectiveness. Therefore, biomimetic dentistry is the future of dentistry, and the best option for patients who want to keep their natural teeth healthy and beautiful.

 



If you want to learn more about biomimetic dentistry or if you want to schedule a consulation, please call us at (323) 728-0241, or schedule an appointment on our website. We would love to hear from you and answer any questions you may have.

 

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