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Quick help for the mouth: when the teeth are almost destroyed


First aid for the mouth: save damaged teeth

Serious diseases such as inflammation of the dental pulp or accidents often severely affect the mouth. But modern medicine manages to preserve many a tooth that was actually thought to be lost. "Even a broken tooth doesn't mean that an implant has to be used these days," says Dr. Stephan Ziegler, head dentist and founder of the KU64 dental practice in Berlin.

Treat the root

When the pulp is inflamed, also called dental pulp, dangerous bacteria penetrate the interior of the tooth via carious holes, for example, and attack the sensitive tissue there. While this disease often used to pull the affected tooth in the past, today dentists in most cases keep the bit intact through root canal treatment. "Under local anesthesia, we remove the inflamed pulp through a small opening in the tooth. Fine special instruments widen the root canal so that it can then be disinfected with a rinsing solution and freed of any bacteria, ”explains Dr. Ziegler. Finally, a filling material closes the affected area and a crown stabilizes the treated tooth. “Many people imagine root canal treatment is much worse than it actually is. Ultimately, it serves as a gentle alternative to pulling the diseased tooth, ”emphasizes the KU64 expert.

Preserve your tooth

Accidents, particularly in the sports sector, often cause teeth to be damaged. Depending on the severity of the injury, different methods of saving them are suitable. If the edges have broken off, a plastic adhesive, for example, helps to fix them back in place. But even in worse cases such as tooth loss, the chances of restoring the original state are good. “If neither the nerve nor the root is injured, we can actually preserve the tooth. However, those affected should quickly see a dentist and do not touch knocked-out teeth at the root so that it does not suffer any damage, ”warns Dr. Ziegler.

With a short transport time of up to one hour, UHT milk, saline or saliva are suitable for storage. In the meantime, however, there are also rescue boxes with a special nutrient solution in which teeth can last up to 48 hours. After insertion, the doctor fixes the tooth with a splint for about ten days so that it can grow in place again. Since he was permanently cut off from the nutrient supply due to the accident, a root canal treatment is then carried out to remove the pulp. Therefore, patients no longer feel pain or temperature differences in the affected area, but the tactile sensation remains when they bite. (sb, pm)

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