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Two-stage dental denervation

The tooth consists of two parts, the crown and the root. The crown of the white part is visible and the root is located under the crown. The pulp is the nucleus of the tooth and the location of nerves and blood vessels. If the pulp becomes infected, it needs to be emptied and cleaned to be filled with a special material called tooth denervation. Sometimes it is necessary to perform dental denervation in two stages, which is called two-stage denervation. If you also need neurosurgery, Doctor in Pocket approved dentists are the best choice to do so.

Two-stage dental denervation, if not done in a timely manner, may leave no choice but to extract the tooth. When the pallet is damaged and there is no possibility of spontaneous repair, the first stage of denervation is needed. Pulp infection manifests itself as pain or loosening of the tooth. However, the infection may be so widespread that it destroys the pulp and no message is exchanged between the nerves; Therefore, the person thinks that the tooth has healed, while after a while the following symptoms appear:

  • Swelling of the face
  • Darkening of teeth
  • Purulent discharge from the mouth
  • Feeling pain when chewing
  • Gingivitis is involved around the teeth

Stages of denervation

The steps of denervation are as follows:

  1. Anesthesia of the mouth
  2. Make a hole in the crown to access the pulp
  3. Empty and remove the entire pulp chamber
  4. Shave the walls of the pulp chamber, root and tip
  5. Filling the pulp with special fillers
  6. Tooth veneer if necessary to reduce the possibility of tooth fracture

What is two-stage denervation?

In fact, it is the same re-treatment of denervated teeth. The tooth may not heal as expected; As a result, it needs to be treated again. Factors that contribute to the failure of neurosurgery include the following:

  • Break a tooth
  • Create new decay
  • Break, crack or loosen the cover
  • The root canal is not well cleaned due to tightness or curvature
  • Failure to identify sub-root canal branches in primary treatment
  • Failure to attach veneers or other restorations to the tooth in a timely manner
  • Contamination of the saliva inside the teeth during restoration, resulting in re-infection

Observe oral health after denervation

No pain will be felt during the denervation due to the effect of the anesthetic. After the denervation, there may be mild pain for a few days, which can be relieved with painkillers. After the first denervation session, it is necessary to wait one to two weeks for the veneer to be installed and the treatment process to take effect. During this time, soft foods should be used and toothbrushes and floss should not be forgotten. After that, the cover will be re-visited if necessary.

At this appointment, the doctor examines the tooth; Because there may be re-denervation. Two-stage denervation, which is actually re-treatment, should not be delayed. It should be treated as soon as possible before the condition of the tooth becomes more acute. Neurosurgery, whether single-stage or two-stage, has a lifespan of 10 to 15 years or even longer because the tooth is weaker.


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