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Nerve devitaliser in root canal - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Dental Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2572 Questions
Doctor :   Hi
Doctor :   How can I help you?
User :   what is a nerve devitaliser in root canal
User :   hello
Doctor :   Nerve devitaliser in RCT is a procedure where the pulp tissue which contains nerve(which is cause pain) is
Doctor :   intentionally destroyed.
Doctor :   The pulp material containing the nerve roots are not removed but its function with regards to pain and sensation are lost by this procedure
User :   may i know your name please
Doctor :   I am Dr XXXXXXXX here.
User :   ok doctor i am undergoing RCT in XXXXXX
User :   in my lower jaw tooth
Doctor :   Ok
User :   she has opened the 3 roots
User :   and now one root is giving trouble while filing
Doctor :   Ok
User :   means when she inserts file deep to a certain point it pains like hell
User :   becz the infection si severe deep
Doctor :   Since you have severe pain, nerve devitaliser can /was performed so that the nerve causing pain is intentionally destroyed.
Doctor :   Let me explain this, there are plenty of nerve roots present in the root pulp.
User :   not is is not performed
User :   she said it is the last option and not recommended initally
Doctor :   Local anaesthetics may not be useful in reducing the pain to a great extent to reduce the pain.
Doctor :   Hence in this instance, permanently destroying the nerve roots in the pulp will stop the pain.
Doctor :   You may be asked to continue antibiotics and antiinflammatory drugs for some more time to control the infection.
Doctor :   And a repeat RCT to remove the dead tissues located deep may be performed and filled later.
Doctor :   Have you followed what I have suggested?
User :   yes currently the situation is: she has taken x-ray by which she found infection is deep and we havent reached tht deep
User :   because one root is not allowing to do that deep because the files when touch the tissue pain
Doctor :   Yes.
User :   how is the nerve devitaliser procedure performed
Doctor :   I am general physician and my expertise on dental science is limited, but based on my general medical knowledge,
Doctor :   the procedure is a simple one
Doctor :   in which an agent is injected at into the tooth pulp.
Doctor :   This agent will induce damages on the nerve root, which will block the nerve roots.
Doctor :   The disadvantage is, this can be a permanent one
Doctor :   and the damaged nerve roots may not regain its function, thereby tooth sensation can be lost.
Doctor :   You can discuss with your dentist who will be able to answer this question more appropriately,
Doctor :   Alternatively, you can take a specialist opinion from one of our expert dentist
Doctor :   WWW.WWWW.WW
Doctor :   This URL will link you to obtaining dentist opinion.
Doctor :   Have you followed what I have suggested?
Doctor :   Are you there?
User :   yes
Doctor :   Do you have any other query?
User :   does it cost more to ask her or same
Doctor :   I am sorry, this will be a paid service.
User :   but i have already subcribed to 1 month paid service
User :   499 package
Doctor :   The current package that you have involves 5 chats with a general physician valid for a month time.
Doctor :   If you do not wish for a specialist opinion,
Doctor :   then I can discuss your issues with one of our dentist(who is presently not available now)
Doctor :   and mail you with the details on your email id.
User :   will it cost
Doctor :   No.
User :   ok then u can email me
User :   at YYYY@YYYY
Doctor :   It may not be as elaborate as the specialist opinion.
Doctor :   But I can send you a broad info about the needed.
Doctor :   Do you have any other query?
User :   ok
User :   no nothing more
Doctor :   Ok
User :   when can you email me
Doctor :   I shall send you the mail in the next 24 hour time.
User :   ok fine
User :   thanks
Doctor :   Thanks for consulting me.
Doctor :   Bye for now.
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