{"id":17781,"date":"2022-11-02T11:21:21","date_gmt":"2022-11-02T11:21:21","guid":{"rendered":"https:\/\/nutrident.fr\/?page_id=17781"},"modified":"2022-11-03T12:18:11","modified_gmt":"2022-11-03T12:18:11","slug":"necrotic-tooth","status":"publish","type":"page","link":"https:\/\/nutrident.fr\/en\/necrotic-tooth\/","title":{"rendered":"Necrotic tooth: causes and treatments"},"content":{"rendered":"<div class=\"meta\"><div class=\"meta__users\"><\/div><div class=\"meta__date-modified\">Updated:&nbsp;<span>November 3, 2022<\/span><\/div><\/div><div class=\"wp-block-image\">\n<figure class=\"alignright size-medium\"><img width=\"300\" height=\"237\" src=\"https:\/\/nutrident.fr\/wp-content\/uploads\/2022\/07\/dent-necrose-300x237.jpg\" alt=\"necrotic tooth\" class=\"wp-image-13886\" srcset=\"https:\/\/nutrident.fr\/wp-content\/uploads\/2022\/07\/dent-necrose-300x237.jpg 300w, https:\/\/nutrident.fr\/wp-content\/uploads\/2022\/07\/dent-necrose-768x607.jpg 768w, https:\/\/nutrident.fr\/wp-content\/uploads\/2022\/07\/dent-necrose-240x190.jpg 240w, https:\/\/nutrident.fr\/wp-content\/uploads\/2022\/07\/dent-necrose.jpg 1000w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption>A necrotic tooth is the result of an untreated infection!<\/figcaption><\/figure><\/div>\n\n\n<p>A tooth attacked by bacteria requires the intervention of the dentist, because <strong>it cannot be healed naturally<\/strong>. If you let the infection progress, the tooth will necrose.  <\/p>\n\n\n\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_33_2 counter-hierarchy ez-toc-counter ez-toc-white ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\">Contenus<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" style=\"display: none;\"><label for=\"item\" aria-label=\"Table of Content\"><i class=\"ez-toc-glyphicon ez-toc-icon-toggle\"><\/i><\/label><input type=\"checkbox\" id=\"item\"><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1'><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/nutrident.fr\/en\/necrotic-tooth\/#The_different_stages_of_a_necrotic_tooth\" title=\"The different stages of a necrotic tooth\">The different stages of a necrotic tooth<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/nutrident.fr\/en\/necrotic-tooth\/#What_are_the_signs_of_a_necrotic_tooth\" title=\"What are the signs of a necrotic tooth?  \">What are the signs of a necrotic tooth?  <\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/nutrident.fr\/en\/necrotic-tooth\/#How_to_treat_a_necrotic_tooth\" title=\"How to treat a necrotic tooth?  \">How to treat a necrotic tooth?  <\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/nutrident.fr\/en\/necrotic-tooth\/#Health_insurance_coverage_for_necrotic_teeth\" title=\"Health insurance coverage for necrotic teeth\">Health insurance coverage for necrotic teeth<\/a><\/li><\/ul><\/nav><\/div>\n<h2><span class=\"ez-toc-section\" id=\"The_different_stages_of_a_necrotic_tooth\"><\/span>The different stages of a necrotic tooth<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>The bacteria that live in your mouth start by attacking the surface of your tooth: the enamel. This is how <a href=\"https:\/\/nutrident.fr\/en\/tooth-decay\/\" data-type=\"page\" data-id=\"10663\">tooth decay<\/a> is created. If you don't have it treated by a dentist, <strong>the bacteria continue to grow and reach the dentin<\/strong>.<\/p>\n\n\n\n<p>At this stage, you are bound to feel pain and you need to go to <a href=\"https:\/\/nutrident.fr\/en\/emergency-dentist-uk\/\" data-type=\"post\" data-id=\"2030\">the dentist urg<\/a>ently, otherwise the infection spreads to the heart of your tooth: the pulp. It is the living part of the tooth. If it is affected, the suffering becomes intense, because it is innervated and vascularized.<\/p>\n\n\n\n<p>When the pulp tissue is attacked by bacteria, it eventually dies. This is <strong>called necrotic tooth<\/strong>.<\/p>\n\n\n\n<p>The infection can also spread from the root of the tooth, in which case it is not visible, but just as painful. The germs then pass through the top of the root of the tooth, which is called the apex.<\/p>\n\n\n\n<h3>Other causes of dental necrosis<\/h3>\n\n\n\n<p>In addition to caries and root passage, dental necrosis can be induced by <strong>repeated trauma<\/strong> that alters the health of the dental pulp and precipitates its degeneration. A shock can damage the vascularization of the tooth which is then badly irrigated and becomes fragile.<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"alignright size-medium\"><img width=\"300\" height=\"200\" src=\"https:\/\/nutrident.fr\/wp-content\/uploads\/2022\/07\/boxing-100733_640-300x200.jpg\" alt=\"boxer with damaged tooth\" class=\"wp-image-13889\" srcset=\"https:\/\/nutrident.fr\/wp-content\/uploads\/2022\/07\/boxing-100733_640-300x200.jpg 300w, https:\/\/nutrident.fr\/wp-content\/uploads\/2022\/07\/boxing-100733_640-254x169.jpg 254w, https:\/\/nutrident.fr\/wp-content\/uploads\/2022\/07\/boxing-100733_640.jpg 640w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption>Repeated trauma can also cause dental necrosis.  <\/figcaption><\/figure><\/div>\n\n\n<p>It can be caused by accidental shocks, by playing a sport like boxing, or by a behavioral defect, such as <a href=\"https:\/\/nutrident.fr\/en\/bruxism\/\">bruxism<\/a>, which consists of grinding one's teeth by rubbing the two jaws together.  <strong>Surgery<\/strong> performed close to the pulp can also cause significant trauma (e.g., placement of a post or a crown).<\/p>\n\n\n\n<p>Wherever the infection comes from, the risk is that the bacteria will progress to the jawbone and cause increasingly serious consequences. It can start with an <a href=\"https:\/\/nutrident.fr\/en\/tooth-abscess-information\/\" data-type=\"post\" data-id=\"5022\">abscess<\/a> and develop into periodontal disease, with loosening and <strong>then falling out of the teeth<\/strong>.<\/p>\n\n\n\n<p>In all cases, the necrosis of the tooth is irreversible.<\/p>\n\n\n\n<h2><span class=\"ez-toc-section\" id=\"What_are_the_signs_of_a_necrotic_tooth\"><\/span>What are the signs of a necrotic tooth?  <span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Before a tooth necroses, you inevitably go through intense <strong>pain<\/strong> that can be stabbing and continuous, punctuated by spikes &#8211; the famous toothache &#8211; that are very difficult to bear.<\/p>\n\n\n\n<p>If you have not visited your dentist, the pain stops when the tooth is dead. However, the danger remains, as the infection can spread to adjacent teeth, as well as to the jawbone.<\/p>\n\n\n\n<p>Once the tooth is dead, <strong>it changes its color<\/strong> to grayish shades. They are caused by the degeneration of the hemoglobin in the blood cells, similar to a hematoma that leaves yellow, green and brown marks.<\/p>\n\n\n\n<h2><span class=\"ez-toc-section\" id=\"How_to_treat_a_necrotic_tooth\"><\/span>How to treat a necrotic tooth?  <span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>The death of the tooth does not mean that you are exempt from visiting the dentist. It <strong>is essential that the infection be contained<\/strong> to prevent it from spreading to the rest of the mouth.<\/p>\n\n\n\n<p>The tooth must be <strong>devitalized<\/strong>. This consists of removing the nerve and the necrotic pulp, then eradicating the bacteria. The cavity is carefully disinfected and then resealed to make it watertight so that it can no longer serve as a refuge for bacteria.<\/p>\n\n\n\n<p>This operation weakens the tooth, because of the loss of tissue. In particular, it can become brittle and require a crown. The advantage of the crown is that it can be made of ceramic, in a shade identical to that of your natural teeth.  <\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"alignright size-medium\"><img width=\"300\" height=\"199\" src=\"https:\/\/nutrident.fr\/wp-content\/uploads\/2022\/07\/Depositphotos_113870708_s-2015-300x199.jpg\" alt=\"dental crown\" class=\"wp-image-13892\" srcset=\"https:\/\/nutrident.fr\/wp-content\/uploads\/2022\/07\/Depositphotos_113870708_s-2015-300x199.jpg 300w, https:\/\/nutrident.fr\/wp-content\/uploads\/2022\/07\/Depositphotos_113870708_s-2015-254x169.jpg 254w, https:\/\/nutrident.fr\/wp-content\/uploads\/2022\/07\/Depositphotos_113870708_s-2015.jpg 500w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption>Once the tooth is devitalized, it is necessary to place a crown to protect it.  <\/figcaption><\/figure><\/div>\n\n\n<p>If it is a back tooth, you can have a less expensive and better reimbursed metal-colored <strong>crown<\/strong>. The metal crown is a little less expensive, but less aesthetic. The crowns installed today last more than 20 years, so it may be worth spending a little more money on them.<\/p>\n\n\n\n<h2><span class=\"ez-toc-section\" id=\"Health_insurance_coverage_for_necrotic_teeth\"><\/span>Health insurance coverage for necrotic teeth<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Ask your dentist for an estimate, as rates differ from one practitioner to another. The health insurance reimburses 70% of the conventional rates, which are as follows<\/p>\n\n\n\n<ul><li>devitalization of an incisor or canine : 33,74 \u20ac ;<\/li><li>devitalisation of a premolar : 48,20 \u20ac ;<\/li><li>devitalization of a molar : 81,94 \u20ac.<\/li><\/ul>\n\n\n\n<p>The installation of the crown is reimbursed at 75.25 \u20ac, while it costs on average 600 \u20ac. Send your dentist's estimate to your mutual insurance company to find out what you will have to pay.<\/p>\n\n\n\n<p>If you want to change your health insurance company or if you are looking for a company with better dental coverage, don't hesitate to use our free comparison tool:<\/p>\n<div class=\"article-data before-content\"><div class=\"article-data__date\"><div class=\"article-data__date-modified\"><time class=\"published\" datetime=\"2022-11-02T11:21:21+00:00\">This article was originally published on&nbsp;<span class=\"2\">November 2, 2022<\/span>&nbsp;and was most recently updated on&nbsp;<span>November 3, 2022<\/span><\/time><br><\/div><\/div><\/div><div class=\"user-info\"><\/div><!--copyscapeskip--><div class=\"medical_references\"><div class=\"medical_references__heading\"><span>Medical Sources<\/span><\/div><div class=\"medical_references__list\"><div class=\"medical-references__heading\"><strong>Ameli<\/strong>. <a href=\"https:\/\/www.ameli.fr\/assure\/remboursements\/rembourse\/soins-protheses-dentaires\/consultations-soins-dentaires\">Consultations and dental care: your reimbursements<\/a>.<\/div>\n<div class=\"medical-references__list\">\n<p><a href=\"http:\/\/thesesante.ups-tlse.fr\/764\/1\/2015TOU33012.pdf\">Vitality tests and dental trauma<\/a>, <strong>Quentin Reversat<\/strong>, thesis for the state diploma of doctor of dental surgery , thesis n\u00b0 2015-tou3-3012, 09 February 2015.<\/p>\n<p><strong>C\u00e9cile Sevestre<\/strong>. <a href=\"https:\/\/dumas.ccsd.cnrs.fr\/dumas-01522645\/document\">Management of immature 44 and 45 necrosis in a ten-year-old child<\/a>: a clinical case. Life Sciences [q-bio]. 2017. dumas-01522645.<\/p>\n<\/div>\n<\/div><\/div><!--\/copyscapeskip-->","protected":false},"excerpt":{"rendered":"<p>Updated:&nbsp;November 3, 2022 A tooth attacked by bacteria requires the intervention of the dentist, because it cannot be healed naturally. If you let the infection progress, the tooth will necrose. The different stages of a necrotic tooth The bacteria that live in your mouth start by attacking the surface of your tooth: the enamel. This [&hellip;]<\/p>\n","protected":false},"author":10,"featured_media":13887,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"inline_featured_image":false},"acf":[],"_links":{"self":[{"href":"https:\/\/nutrident.fr\/en\/wp-json\/wp\/v2\/pages\/17781"}],"collection":[{"href":"https:\/\/nutrident.fr\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/nutrident.fr\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/nutrident.fr\/en\/wp-json\/wp\/v2\/users\/10"}],"replies":[{"embeddable":true,"href":"https:\/\/nutrident.fr\/en\/wp-json\/wp\/v2\/comments?post=17781"}],"version-history":[{"count":3,"href":"https:\/\/nutrident.fr\/en\/wp-json\/wp\/v2\/pages\/17781\/revisions"}],"predecessor-version":[{"id":18977,"href":"https:\/\/nutrident.fr\/en\/wp-json\/wp\/v2\/pages\/17781\/revisions\/18977"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/nutrident.fr\/en\/wp-json\/wp\/v2\/media\/13887"}],"wp:attachment":[{"href":"https:\/\/nutrident.fr\/en\/wp-json\/wp\/v2\/media?parent=17781"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}