What is Endodontic Disease?
The "endodontic system" is the hollow area inside a tooth that is filled with sensitive pulp (blood vessels, nerves, and connective tissue) Endodontic disease refers to the damage done to the dental pulp, also known as pulpitis. The pulp is protected from bacteria by the resistant enamel covering the crown. Damage to the enamel, either by trauma or a devleopmental abnormality that allows bacetia to reach the pulp, will result in pulpitis(an inflamed pulp) and possibly pulp necrosis.
What causes Endodontic Disease?
There are many issues that can cause the tooth's durability and health to be negatively affected. Some of these issues include: trauma, tooth malformations, and bacterial periodontal infections. Teeth are fractured from external trauma (i.e. aggressive play, automobile impacts) or from biting inappropriate objects (i.e. real bones, hard nylon toys, rocks, fences, cages). Trauma to the tooth can also injure the pulp beyond it's ability to repair. If the pulp is direclty exposed at a fracture site, the affected tooth will need endodontic treatment or extraction.
What are the options to treat Endodontic Disease?
The pulpitis may be reversible or irreversible, depending upon the severity of the insult. Minor trauma generally causes reversible pulpitis with the tooth surviving. Irreversible pulpitis is a result of inflammation blocking blood flow to the root of the tooth which generally results in the "death" of the tooth. The most common cause of irreversible pulpitis is when a tooth is fractured, exposing the pulp tissue to bacteria. When this happens, the inside of the tooth fills up with infected material through the openings in the tip of the root and into the jaw.