What are the Non-radiation Routine Examinations for Root Canal Therapy?
Many patients in the clinic complained: “The teeth that have been drawn are not cleaned. 『This may be because you are too anxious to let the doctor check the results. Next, I will introduce the eight most commonly used examinations for root canal therapy in addition to radiological examinations.
It should be noted that there are no order requirements for the following examinations, and not all of them have to be done, but the physician will choose the appropriate examination according to clinical needs. So don’t use these to question your doctor!
Before beginning the introduction, we still have to declare that as long as the instrument has its limits, for example, when the disease is still in its early stages, whether it is a dental X-ray film, a dental computer tomography, or even a dental microscope, it may not be detected.
Illness is a dynamic process of time, which cannot be detected now, “time” is the best assistance; as time passes, maybe a clearer diagnosis will be found next week, next month, and half a year, so it is regularly The return visit is the most important.
Another meaning is that the check is just a small piece of the puzzle.
But dental X-ray or computer tomography is not a panacea, it is just one of the messages. A single X-ray or computerized tomography does not represent any diagnosis. It must be coordinated with other clinical dynamics, examinations, patient complaints, and so on. After synthesis, there is a way to give a dynamic diagnosis.
Inspection I
Extraoral examination: whether the appearance of the face and neck is abnormal, swollen, skin color, temperature, pustules like acne but has not been good, the condition of the temporomandibular joint, related muscle examinations and records, etc.
Intra oral examination
1. Oral cleanliness and taste. Lips, oral mucosa, gums, etc., soft parts; whether there are cracks, white spots, erythema, lumps, pustules, etc.
2. Are there any cavities, decalcifications or cracks on the teeth that can be seen with the naked eye? Changes in the color of the teeth or the fillings, the missing or falling of the fillings, braces or tooth decay on the edge of the braces, residual roots after tooth decapitation, tooth defects and arrangement, diet or living habits on the teeth Performance etc.
The above is the information collected by the dentist before the device is used. Please remember that until now, it has only collected information, and no relevant diagnosis has been given! This also reminds the patient that when you find these things are abnormal, please contact the dentist directly instead of guessing, diagnosing, treating, and thinking that it is all right!
Check two, knock / press / touch / shake
The stomatologist will use a device to knock, press, and touch the teeth, dental meat, bones and other teeth with the fingers, and observe the patient’s response. Whether the patient can report the discomfort complained by the patient again or the doctor can feel the texture of these tissues.
The doctor will also shake the teeth with a moderate force, and the teeth will shake normally. Doctors will compare the degree of shaking between the teeth, is it greater than the original physiological shaking? Still smaller?
Examination 3. Traceability of pustules
The pustules on the flesh are often easy to find. The doctor will use a positioning soft plastic needle (for example: a male glue needle) and use dental X-ray to find the source of the pustule. However, occasionally, the pustules on the skin are not always good. When looking for the source of pustules, it may be found that the source is actually the cause of the teeth.
Inspection IV. Dyeing and Lighting
One of the diagnostic tools for root canal therapy is to use staining or special light sources to make the cracks on the less obvious tooth surface more obvious and easier to interpret, but this is not absolute.
Check five, occlusal inspection
Use occlusal paper, soft and hard test objects to reproduce the occlusion (for example, it will be sour and weak when biting; or it may be painful like being electrocuted). Check the pattern and distribution of occlusion, and also observe whether there will be biting and sour feeling at a certain occlusion point.
Check the depth of periodontal sac
This is also one of the tests that patients are afraid of, and it is also often misunderstood by doctors why they use sharp things to prick their teeth. Physicians often use periodontal probes (pointy things with scales on them) to measure the depth of the periodontal sac to obtain one of the periodontal information.
Inspection 7. Electricity, cold and heat test
In 5-6 types of dental activity tests, physicians often use the following three types: current, cold, and heat to collect the activity of your dental pulp. These individual values and temperature responses can be used as a reference, but they also need to be matched with other clinical findings or tests at different time points.
One of most people’s questions and fears: “Physicians need electricity, electricity me? “You don’t need to worry about this, because the current is very weak, it will only make you feel, and it will not cause harm easily.
Check eight: local anesthesia
Dental anesthesia can be used in addition to treatment; if it is used in examinations, it is often used to help identify which area of tooth pain, or one of the non-dental pain methods.
