Restorative dentistry | Management of decayed teeth
When there is slight or moderate tooth decay, i.e. decay is only limited to the enamel or dentine, then decay can be removed and the tooth can be restored with tooth colored filling.
When tooth decay (dental caries) is extensive and has progressed deeper into the tooth, it reaches the pulp chamber affecting the nerves and blood vessels. Such conditions may cause severe toothache, difficulty in biting, chewing and if not intervened, it may even cause swelling and infection around the tooth.
APICOECTOMY
In cases where a tooth has been infected for a very long time & no treatment has been sought, there may develop a severe infection at the root tip. In such cases, an apicoectomy may be done. In this procedure, the gum tissue near the tooth is opened to see the underlying bone and to remove any infected tissue. The infected portion of the root-tip is also removed and the root canal sealed completely to ensure no seepage of infection into the canal.