To cope with pulpitis, the patient no longer have teeth removed or conserved, but simply injected antibiotics. Those who had experienced toothache will surely feel very tormented by the pain often spreads to the nerves of the brain. The pain was so unbearable, it is not strange if the patient is often irritable. In medical terms, diseases that attack the teeth and cause taste-nyutan nyut intolerable it is called pulpitis. Pulpitis is an inflammation of the dental pulp by bacteria such as Streptococcus, Propionibacterium, Eubacterium, and Actinomyces. By Tetiana Haniastuti, oral biology lecturer Faculty of Dentistry, University of Gadjah Mada (UGM), Yogyakarta, the bacteria causing tooth meginfeksi swelling in the pulp that press on nerves causing pain. He said so far to treat toothaches are the doctors doing therapy with conventional methods. The doctor will perform a root canal treatment or pulpotomi pulpectomy. Pulpectomy is forgiveness nine whole root and coronal tooth tissue, and pulpotomi meant to take root and coronal tooth tissue in the infection, while the existing network in the canal was abandoned. Conventional methods are often of the revocation pengonservasian and will damage the teeth. The technique is fairly "radical" was done with the consideration that the patient did not experience more severe pain. In addition, the technique is done to prevent the pain spread to the entire network gear. On the tooth root canal treatment, carried out taking the entire pulp tissue that includes blood vessels, nerve fibers, and connective tissue. It resulted in a blank space that is usually replaced with a root canal filling, gutta percha for example. Tooth root canal treatment is conventionally would have consequences on the fragility of the teeth.
Teeth are not strong anymore because of the structure of the network vulnerable. If the pressure is strong, the teeth will break easily. According to a well Tetiana, oral doctorate in microbiology from the University of Niigata, Japan, it's because of economic limitations, tek nology, and knowledge of the dentist, tooth extraction in Indonesia is an act that commonly done in patients with pulpitis. "Even the patients themselves who requested that their teeth removed to relieve your pain," said Hani woman who fondly called it. Furthermore, Hani said the actual date or missing teeth due to be revoked is not the problem. Indeed, missing teeth be the beginning of other problems, such as the loss of space for the emergence of permanent teeth.
If it happens in permanent teeth, causing tooth will easily dated because of the bone tissue and joint infection (periodontal pocket). Hani, together with Professor Hoshino Etsuro from Niigata University, Japan, developed a method of treatment of dental pain is more sophisticated. The method was known as lesions Sterilization and Tissue Repair-MP 3Mix SavePulp erapy Th (LSTR). "This method will get a lot of opposition from practitioners of dentistry. Because, LSTR change many things about the toothache treatment paradigm, "said Hani. No Damage According to Hani, LSTR methods applied in Indonesia does not damage the teeth as well as the method of extraction. The method is still maintaining the vitality of dental pulp in a way to prevent infection. You do this by giving antibiotics injected into the pulp. The entry of antibiotics is expected to kill bacteria.
When there is a lull in the killing of bacteria or bacterial activity is, at the same time, there was a tooth cell regeneration. The existence of regeneration allows for dental tissue repair, especially in the pulp. Based on research conducted by Hoshino in vitro and in situ, the combination of three antibiotics, namely metronidazole, ciprofl oxacin and minocycline, proved effective in killing oral bacteria found in dental caries and nerve lesions in the teeth (endodontic). In the case of pulpitis, the patient's permanent teeth treated by the method of claim LSTR no longer feel the pain. In addition, the teeth to function normally. Parameter indicates the success of the method LSTR. Hani also successfully tested with immunohistokimiawi technique, a technique of determining the location of antigen (target protein) in tissues or cells using antigen-antibody reaction.
Nerve fibers and cells Odon toblas (dentin-forming cells) in the dental pulp remains vital. "If odontoblas still vital, it will be able to form tertiary dentine resulting in dental tissue repair," he explained. During this time, due to pulpitis endodontic therapy should be undertaken by conservation specialists whose numbers have not been a lot of gear. The experts have the skills and specialized equipment. However, the technique LSTR, not needed a doctor who specializes conservation, general dentist can apply these methods. In addition to easy to do, a method that allows the vitality of the tooth will be retained. That way, normal dental function is maintained. Hani said many patients complain when I have repeatedly come to the dentist. They generally spare much time is wasted to line up and back and forth from home to the doctor. The presence check method of LSTR make a shorter time. Once a patient comes, and direct therapeutic process is complete. Another advantage of this method is LSTR it cost a little more patient. Because the method is just using antibiotic injections.
