There are ways to accomplish this. One approach is to establish an entry point for the surgical procedure. This might entail making an incision in the gum tissue above the tooth, followed by a gentle separation of the soft tissues from the underlying bone. Your dentist would likely need to remove a small portion of supportive bone surrounding the tooth to access the decay. Specialised instruments, such as bone files, are employed to carefully excavate the affected area while preserving healthy tissue. Once the bone has been removed and the decay is accessible, your dentist would utilise dental burs or other cutting tools to eliminate the decayed material, taking care not to harm any remaining healthy tooth structure. Following the removal of the decay, your dentist would fill the cavity with a suitable restorative material, employing direct or indirect capping with Biodentine or GIC in the depth and subsequently sealing with composite resin, depending on the severity and location of the decay. Glass Ionomer Cement is relatively cheaper than Biodentine, and is a good restorative material that can get the job done. This could potentially obviate the need for a root canal procedure and save your tooth. I strongly advise seeking a second opinion from a qualified dentist. Furthermore, a dentist could also use guided access by employing a CBCT (Cone Beam Computed Tomography) scan to obtain a comprehensive view of the affected tooth and surrounding structures to remove the decay. A CBCT scan typically costs between $100 and $200. An X-ray would be a more affordable option to begin with and often gets the job done most of the time. By utilising a 2-layered or 3-layered base liner approach with GIC or/and Biodentine, and composite resin, you can create a strong, long-lasting dental restoration while minimising the risk of complications such as sensitivity or microleakage, and avoid root canal.
microleakage.
