Endodontics / canal treatments

What is endodontics?

Endodontics is a dentistry branch that aims to remove the nerve from a tooth or to correct an improperly completed treatment.

When root canal is required?

Root canal is required when a cavity reaches the pulp chamber causing inflammation of the pulp tissue.

After a dental trauma that led to fractured pulp chamber, improper prosthetics or procedures that led to pulp tissue inflammation.

When there are performed dental restorations that involve prosthetics. To prepare teeth as reliable pillars, preparatory sanding procedure may lead to pulp chamber opening. In this case endodontic treatment is mandatory.

In cases when pulp inflammation is reversible and when it is in an early stage. In such events short impulses of pain are caused by cold or sweet stimuli. This particular inflammation can be treated by addressing the cavity that caused it. However if this treatment fails and pain persists then root canal has to be performed.

Endodontics at Smart Dental clinic

The tooth has a vascular and nervous tissue (nerve) inside the root canals, which ensures the supply of nutrients. When inflammation or infection of this tissue occurs, it is necessary to remove it. This procedure means to remove the nerve, to polish the inside canals and to seal them with special materials. At Smart Dental clinic a method of three-dimensional filling of root canals is coming in to support the action of manual rotating needles implied by any endodontic treatment. Also, Obtura III system is used in order to maintain a constant modeling and condensation temperature of gutta-percha.

The length of the root canal is measured electronically, so we will know exactly how far to stop with the instrumentation and cleaning of the canal and how far the canal filling will go.

Dam isolation (a rubber foil that seals treated teeth from the rest of denture and soft parts preventing saliva to touch the operated area) is a standard procedure at our office for all treatments.
Among dentists there is a saying that underlines the importance of dam sealing: “What cannot be isolated with dental dams,cannot be treated”. In a nutshell this translates that when dam isolation is not used there is a greater chance for treatment failure.

Dam Isolation gives dental treatment a better chance for success because:
- saliva contamination does not occur
- accidental penetration of foreign materials into the patient's oral cavity is avoided
- the risk of swallowing or aspirating small instruments is eliminated
- the soft parts (tongue, lips and gums) are protected from the action of cutting tools
- unpleasant tastes or irritating chemicals no longer interfere with the patient’s mouth
- it helps the doctor to better focus on the treatment actions.

Endodontic treatment with microscope

An optical magnification device can be used in most dental treatments, including in endodontics. An improved visibility increases the chance of a successful treatment.

The main target of an endodontic treatment is to keep a well anchored tooth on the dental arch for as long as possible. In some cases when severe cavities affect the tooth integrity, fiberglass pivots are used to support reconstruction. When the treatment is done correctly and when oral hygiene is a top priority, then one tooth could remain on the dental arch for a very long time.

Antibiotics can have side effects. This is why it is prescribed under rigorous conditions. Only after a thorough examination and only after it is precisely determined that there is an infection going on, the decision of prescribing antibiotics is taken. Antibiotics help reduce dental infection and do the prep work for endodontic treatment.

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