Endodontics is the branch of dentistry that deals with the treatment of diseases of the dental pulp and periapical tissues. The dental pulp, located inside the root canal, contains nerves, blood vessels and connective tissue, being essential for the health of the tooth. When the pulp is affected by tooth decay, trauma or other conditions, endodontic treatment becomes necessary to save the tooth and prevent further complications.
Endodontic treatment
Endodontic treatment, also known as root canal treatment, involves removing the infected or inflamed pulp, disinfecting and cleaning the root canals, and filling them with definitive sealing materials. This procedure aims to keep the tooth on the arch and eliminate the pain associated with inflammation of the dental pulp.
When is root canal treatment necessary?
Channel treatment becomes necessary in the following situations:
- Untreated tooth decay that reaches the dental pulp
- Dental trauma affecting the pulp
- Advanced periodontal diseases
- Dental fractures
Endodontic treatment procedure
A correct and complete endodontic treatment involves going through several stages, each of which has a crucial role in the success of the procedure:
- Correct diagnosis: Before treatment begins, a series of x-rays is performed to assess the condition of the tooth and dental pulp. CBCT radiographs (Cone Beam Computer Tomograph) provide a precise three-dimensional image, essential for a correct diagnosis.
- Local anesthesia: To ensure patient comfort, local anesthesia is administered, with or without a needle, depending on his preferences.
- Isolation of the problem tooth: With the dental dam, isolate the work area, keeping it clean and dry. This device protects the patient from ingesting substances used in the treatment and prevents contamination of the treatment area.
- Cleaning root canals: With the dental microscope, the endodontist can identify all root canals, even calcified ones or difficult to find. The canals are thoroughly cleaned, removing organic debris and infected tissue.
- Canal disinfection: Root canals are disinfected using special solutions, such as sodium hypochlorite and chlorhexidine, activated with ultrasound for maximum efficiency.
- Roat Filling: Cleaned and disinfected canals are three-dimensionally filled with biocompatible materials such as gutta-percha and dental sealants, to prevent reinfection.
- Control X-ray: At the end of the treatment, a control X-ray is performed to check the success of the obturation and ensure quality of treatment.
Channel Reprocessing
There are situations where a previous root canal treatment was not performed properly, requiring retreatment. Symptoms that indicate the need for retreatment include:
- Dental abscess
- Dental cyst or dental granuloma
A root canal retreatment involves removing old filling materials, disinfecting and sealing the canals to eliminate infection and prevent complications.< /p>
The importance of post-treatment care
After an endodontic treatment, it is essential that the tooth is regularly monitored by dental check-ups and X-rays. Depending on the degree of coronal destruction, endodontically treated molars and premolars are recommended to be covered with dental crowns to prevent further fractures.
Endodontics plays a crucial role in maintaining dental health and avoiding premature extractions. By using modern technologies and medical expertise, endodontic treatments in our clinic ensure a high success rate and contribute to extending the life of the teeth on the arch. Schedule a consultation and find out how we can save and improve the dental health of your teeth.
