Dentorium Educational Corner: You asked about endodontics

pitali ste o endodonciji

What is an endodontic treatment?

Endo treatment takes care of root canals, which includes nerve extraction, cleaning and dilation of root canals and the subsequent filling of the space.

When is this treatment required?

Tooth root treatment is required in the case of nerve inflammation (acute inflammation), or when you need to treat a dead tooth (chronic inflammation) and it is necessary to clean, disinfect and fill the canal space. It is also suggested if the caries has reached the nerve itself, affecting its health.

korijen zuba
The image above shows the periapical process around the tip of the tooth root. The image on the right shows the situation after six months: the deteriorating process was stopped and the healing and tooth restoration have been successful.

Important for the patient!

Diagnosis is based on patient’s reported symptoms (pain, swelling, etc.), clinical examination and RVG (an X-ray image of the individual tooth).

You are always free to ask questions and obtain additional information, so at the end of the appointment make sure to ask your dentist to show and explain to you what work has been done and what to expect.

The process of endodontics is conveyed in several stages:

First appointment

– cleaning, widening and disinfection of the canal, application of the medication – which affects the area around the canal, where the periapical process mainly occurs (visible in the picture as a darkening around the tip of the tooth root, indicating inflammation of the tooth root).

Second appointment

– after 4 – 6 weeks, extraction of the medication and filling of root canals – the image and the apex locator (the device that determines the length of the canal) control the filling, done throughout the entire canal.

Third appointment

– build-up and filling or, depending on the case, preparation for the crown

Image control is done immediately after the root filling, then after a month, then after six months, until the condition is completely stable.

We monitor the situation and the changes around the root channel, by making sure there are no new processes, or by ensuring a visible reduction of the decay process.

If the inflammation starts again (due to an accumulation of granulation tissue and bacteria that spreads) and is not treated, the consequence is the loss of the tooth and adjacent teeth; it can also endanger your overall health.

The success depends on the quality of processing and filling.

All endodontic treatments at Dentorium are done under a microscope. Whether we are talking about endodontics, surgery, periodontology, prosthetics, or conservative dentistry, working with a microscope provides a top-notch scan of the working area and the work itself can be done with extreme precision, efficiency and a high success rate.