What are the Non Radiation Routine Examinations of Root Canal Therapy?
In clinic, many patients complain that they have not completely extracted the nerve teeth. This may be because your heart is too anxious to allow the doctor to examine the results. Next, I’d like to introduce to you the eight most commonly used examinations for root canal therapy in addition to radiology.
It should be noted that the following examinations are not required in order, and not all of them must be done. Instead, the doctor will select the appropriate examination according to the clinical needs. So don’t question your doctor with these!
Before the introduction, it should be stated that as long as the instrument is limited, for example, when the disease is still in the early stage, whether it is dental X-ray, dental computer tomography, or even dental microscopy, it may not be detected.
Disease is a dynamic process of time, which can’t be detected now, “time” is the best assistance; as time goes on, maybe next week, next month, half a year later, a more clear diagnosis can be found, so regular return visit is the most important.
On the other hand, inspection is just a small piece of the puzzle.
But dental X-rays or computed tomography are not everything, just one of the messages. A single X-ray or CT scan does not represent any diagnosis. It is necessary to cooperate with other clinical dynamic manifestations, examinations, patients’ complaints, etc. only after comprehensive analysis can a dynamic diagnosis be made.
Examination I. internal and external examination
Extra oral examination: whether there is abnormal appearance, swelling, skin color, temperature near the face and neck, abscess like acne but not good all the time, temporomandibular joint condition, related muscle examination and record, etc.
Intra oral examination
- Oral cleanliness and taste. Lips, oral mucosa, gums, etc., soft parts; whether there are broken skin, white spot, red spot, hard block, abscess, etc.
- Is there any tooth decay, decalcification or tooth crack pattern visible to the naked eye? The color change of teeth or fillings, the fall off or collapse of fillings, the defect or decay of teeth at the edge of the braces, the residual roots left after the decapitation of teeth, the defect and arrangement of teeth, the performance of diet or living habits on teeth, etc.
All of the above information is collected by dentists before using the instrument. Please remember, up to now, it’s just collecting information, and no relevant diagnosis has been given! This also reminds the patient that when you find these abnormalities, please go to the dentist directly, instead of guessing, diagnosing, treating and thinking it’s OK!
Check II. Knock / press / touch / shake
Dentists will knock, press and touch teeth, tooth flesh, bone and other teeth with instruments to observe the patient’s response, and whether the discomfort complained by the patient can be presented again or the doctor can feel the texture of these tissues.
And the doctor will also shake the teeth with moderate force, and the teeth themselves will have normal physiological shaking. Doctors will compare the degree of shaking between teeth. Is it greater than the original physiological shaking? Or smaller?
Inspection III. tracing the source of pyogenic tube
The abscess on the tooth is very easy to find. The doctor will use the positioning soft glue needle (e.g. Malay glue needle) and cooperate with the dental X-ray to find the source of the abscess. However, occasionally in the skin has not been good abscess, it is possible to find the source of abscess is actually the cause of teeth.
Inspection IV. dyeing and lighting
One of the diagnostic tools of root canal therapy is to use staining or special light source to make the cracks on the surface of less obvious teeth appear obvious and easy to read, but this is not absolute.
Inspection v. occlusion inspection
Use occlusal paper, soft and hard test object to reproduce the occlusal situation (for example, it will be soft and weak when biting; or it will be like the pain when being electrified). Check the pattern and distribution of occlusion, and then observe whether there will be biting pain and acid feeling at a certain occlusion point.
Examination VI. depth of periodontal pocket
It’s also one of the tests patients are afraid of, and it’s also a common misunderstanding of why doctors use sharp things to stab teeth. Doctors often use the periodontal probe (pointed thing, with scale on it) to measure the depth of periodontal pouch to obtain one of periodontal related information.
Inspection 7. Electrical, cold and hot tests
In 5-6 kinds of dental activity tests, doctors often use the following three kinds: current, cold and heat to collect the activity of your pulp. These individual values and temperature responses can be used as a reference, but also in combination with other clinical findings or tests at different time points, and only when compared with each other can they make sense.
One of the questions and fears of most people: “doctors need electricity. How about me? You don’t need to worry about this, because the current is very weak, it will only make you feel, and it is not easy to cause damage.
Examination VIII. Local anesthesia
In addition to the use of local anesthesia in dentistry, it can be used in treatment; if it is used in examination, it is often used to help identify the problem of tooth pain in which area, or one of the non tooth pain methods.
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