A type of treatment that is performed in dentistry is called endodontics. It generally consists of the removal of the dental pulp and the subsequent filling and sealing of the pulp cavity.
Pulp protection: treatment carried out by means of a kind of provisional filling or “filling” that seeks the conservative recovery of pulp damage that is not yet irreversible.
Pulp Capping: A medicated insulation under fillings or fillings when the pulp or “nerve” has been exposed during cavity removal, grinding a tooth, or dental trauma.
Pulpotomy: superficial partial removal of the pulp, followed by covering the wound at the entrance of the root with medicinal substances.
Pulpectomy: total removal of said pulp, whether it is vital (biopulpectomy) or gangrenous (necropulpectomy), followed by disinfection, instrumentation and filling or obturation of the root system where said pulp was located (root canal treatment). Out of habit, although improperly, root canal treatment is often called “endodontics” (whose performance implies a previous pulpectomy), and we will do so throughout this information. It can be done using different procedures (manual and/or mechanical) and different materials and sealing or filling techniques.
Apicoformation: which consists of the treatment of immature teeth of young people who have suffered caries or trauma, but whose root has not finished forming and its apical end is open, which makes conventional treatment impossible. It is made with bioactive materials that facilitate the creation of an apical barrier.
Revascularization: it is a regenerative treatment with an alternative biological approach to treat immature teeth with necrotic pulp due to caries or trauma that, unlike the techniques that postulate the use of apical barriers, allows the continuation of root development.
Surgical endodontics or endodontic surgery: it is colloquially known as apicoectomy and the treatment is performed through an incision in the gum and the affected area of the root is repaired with an appropriate special seal, being indicated in cases where treatment through the crown is not possible.
The purpose is to functionally preserve a tooth and the tissues that surround it, including the bone. Occasionally it may also be necessary as a consequence of restorative procedures or fixed prosthetics.
The alternative is the loss of the tooth with the consequences that this entails, the alteration of the functionality of the mouth or the loss of bone for example.
In summary, it is a treatment focused on maintaining the tooth, avoiding its loss and the need to place dental implants later.