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Endodontics

Root Canal

Endodontic is a specialized type of dentistry that deals with inflammed tooth pulp. The causes, diagnosis, prevention and treatment of diseases and injuries to the pulp.

Tooth pulp, the soft tissue that contains nerves, blood vessels and connective tissues, runs through the hard tissue inside the tooth (dentine) and extends from the crown (top) of the tooth down to the tip of the root in the jaw bone. In the past, if you had a damaged or diseased tooth. But today, injured or diseased teeth often can be saved with endodontic therapy, also known as root canal treatment .

When do you need a root canal treatment?

You may need root canal treatment if you experience the following:

  • Significant tooth discomfort or pain
  • Prolonged tooth sensitivity to hot and cold
  • Gum tenderness to the touch and when chewing
  • Swelling
  • Tooth discoloration
  • Drainage and tenderness in the lymph nodes, jaw bone and gingival tissues

If a root canal procedure is not performed, an abscess (infected pus pocket) can form at the tip of the tooth root which can be painful. Even if there is no pain, the bone holding the tooth in the jaw can be damaged.

Endodontic treatment is necessary when the dental pulp becomes inflamed or infected as a result of deep tooth decay, repeated dental procedures on the tooth or a crack, chip or other injury to the tooth. Most teeth can be saved by endodontic treatment.

Tooth extraction is not necessary unless:

  • Roots are severely fractured
  • The tooth does not have adequate bone support
  • The tooth cannot be restored
  • Root canals are not accessible

Endodontic Procedures

You may need root canal treatment if you experience the following:

At the first dental visit, you may be prescribed antibiotic treatment for a number of days before the root canal procedure is performed. At the beginning of the procedure, the dentist will anesthetize the tooth sufficiently to prevent pain while performing the root canal procedure.

A drill is then used to access the pulp chamber and associated canals of the tooth. Using flexible nickel titanium pin-like files, the dentist will delicately cleanse the length of the canals and tip (or apex) of the root to completely remove all traces of infection or debris.

This process is performed with a great deal of care in order to minimize damage or trauma to the surrounding ligaments and bone. To accomplish this, the dentist use an apex locator that works as a sonar probe to locate the tip of the root.

Ocassionally the dentist have to use our microscope providing up to 32-times magnification. After disinfecting the canals the dentist can apply a anti –bacterial material inside the root and temporary filling to achieve a complete healing and a symptoms free tooth. This can take some days, sometimes some weeks. Only then the dentist will start with the final root canal filling including root canal sterilization with our Diode Laser System.

Once the tooth is deemed to be healing properly and the root canal treatment deemed a success, a permanent restoration on your tooth is placed. For back teeth you may need a crown to prevent any tooth fracture

Additional endodontic procedures

Endodontic treatment may also be required for surgical removal of diseased or abnormal (pathologic) tissues, repair procedures associated with the surgical removal of pathologic tissues, repair of cracked teeth or the replacement (replantation) of teeth knocked out (avulsed) by injury including following procedures in our clinic:

1. Surgical removal of tooth structure, such as an apicoectomy, or root-end resection (the removal of the root tip and the surrounding infected tissue of an abscessed toot) and hemisection (the process of cutting a tooth with two roots in half).

2. Root-end filling.

3. Endodontic implants, which extend through the root canal into the periapical bone structure (tip or apex of the root of a tooth), whereas other types of tooth implants are anchored directly in the gums or jawbones.

4. Bleaching of dentin and enamel

5. Retreatment of teeth previously treated endodontically

6. Placement of posts and/or cores to save and strengthen teeth

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