Endodontic treatment?

Endodontics is the branch of dentistry that deals with the diagnosis and treatment of dental nerve disorders. In clinical terms, endodontics involves either treating and preserving part or all of the dental pulp, or removing the entire dental pulp - in the case of irreversible conditions. Therefore, removal of the dental pulp is indicated in cases of irreversible inflamed and infected pulp tissue.

The dental pulp is a tissue located inside the tooth: tissue made up of nerves and blood vessels. Through root canal treatment we save teeth that would otherwise have to be extracted due to irreversible pulp inflammation. If endodontic/canal treatment is not carried out in time, infection of the bone at the root tip can occur, which can lead in time to tooth loss.

When the dental pulp (composed of nerves, arterioles, venules, lymphatic tissue and fibrous tissue) becomes diseased or injured, the endodontist intervenes with endodontic treatment to save the tooth. Root canal (endodontic) treatment aims to remove infected or inflamed pulp tissue, clean and disinfect the endodontic system and then fill (obturate) the canal with a material that prevents bacteria from growing.

About root canal treatment

Endodontic treatment consists of one or more sessions in which the dentist performs certain therapeutic procedures, which will remove the infection from the dental pulp and sanitise the affected areas so that the infection does not return.

The main objective of the dental specialisation called endodontics is to perform root canal treatments. The mere mention of this procedure tends to arouse fear of the dentist, as most people will perceive it as painful. However, although the description of the procedure itself may seem a little scary, root canal (endodontic) treatment is a very simple and safe treatment. Thanks to advances in technique and technology, you shouldn't feel pain when your endodontist performs the work. A fully developed tooth can survive very well without a pulp, provided it is reconstructed to maintain its strength over a long period of time. The empty root canal is usually filled with a material called gutta-percha and a paste and is covered with a dental crown to maintain its shape and function.

Endodontic treatment should be carried out by a specialist endodontist. Root canal treatment usually takes one or two visits, but from time to time additional visits are necessary, as like humans some teeth prove more difficult to treat. Because any tooth without a nerve becomes brittle after endodontic treatment is completed, we recommend applying a fiberglass post to reduce the susceptibility of the tooth to fracture, and then capping it with a crown to increase the strength of the tooth.

What does endodontic treatment involve / how is it performed?

Root canal treatment is recommended when the pulp tissue inside the tooth is infected or inflamed, or when there is not enough tooth structure when rebuilding the tooth. During root canal treatment, the tissue inside the root, as well as any bacteria, is removed and the inside of the root is cleaned and sealed. This type of treatment requires both time and an experienced doctor and high-performance equipment.

Since the root canals of a tooth can sometimes be difficult to locate, the dental microscope, together with other modern techniques and equipment, allows optimal preparation and sealing of root canals and therefore increases the success rate of endodontic treatment.

What are the stages of endodontic treatment?

All medical procedures will be carried out under local anaesthesia, however, there are some cases in which the dental infection is very advanced and the anaesthetic will not have maximum effect.In the first stage of treatment the doctor will remove the root tissue, clean and sanitise the pulp chamber and root canals of infection. In the second stage the doctor will fill the root canals - filling them with materials that will prevent the penetration of bacteria and reinfection of the tooth, after which the whole space will be closed with a temporary filling.The last stage of endodontic treatment involves restoring the tooth to its functional state by building a dental crown or other similar work.

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