Endodontics – what is it?
Endodontics, or colloquially “root canal therapy”, is the field of dentistry that is experiencing its prime today. In the past, teeth with deep caries and infected dental pulp (“nerve” of the tooth) were qualified for removal, especially if they were multi-root teeth in the depths of the mouth (molars). Currently, dentists have extremely precise tools that allow cleaning even the most inaccessible and narrow channels, and when working with the use of a microscope, they are able to guarantee the perfection of the treatment.
Endodontics – types of treatments
Endodontic treatment is carried out in both deciduous and permanent teeth. In the case of permanent teeth that have not completed the development of the root (in the case of anterior teeth up to 9-10 years, in the case of lateral – even up to 16 years) can be done so-called biological treatment, which is partial cleaning of the canals and the use of materials that are intended to ensure the proper further development of the tooth. In mature teeth, the optimal method of treatment is partial dental pulp amputation performed under local anesthesia.
Nowadays, we are moving away from devitalization methods (so-called tooth poisoning) due to the high probability of leaving remains of dead pulp in the lateral channels of the tooth, impossible to clean with mechanical tools. The basis of endodontics is mechanical and chemical treatment, ie cleaning of canals and their widening with simultaneous rinsing with disinfectants.
There are entire systems of endodontic machine tools available on the market, improved over the years to meet even the most demanding channels and allow their treatment in a few minutes. Of course, we use such systems in our office.
Endodontics – the course of the procedure
The treatment starts with providing comfort to the patient and the doctor, and therefore local anesthesia is performed, followed by the use of a cofferdam. The use of rubber dam in endodontics is necessary for several reasons. It not only facilitates the doctor’s work, but also prevents small, precise canal tools from falling into the mouth and throat of the patient, and protects the mucous membrane against irritation by disinfectants used to rinse channels. After this preparation of the patient, the doctor cleans the cavity to gain initial access to the channels, and then sets the treatment microscope over the treated tooth. From this moment, the treatment is carried out at an enlarged scale, thanks to which the endodontist finds all the canals without any problems and proceeds to their purification and elaboration. A qualified dental assistant cooperates with the doctor all the time, which allows him to work with the microscope continuously and guarantees exceptional precision and accuracy of the procedure.
Depending on the physician’s decision, temporary or final filling is used. The channels are finally filled with the best available material – biologically compatible liquid gutta-percha, which is introduced using a special dispenser (“gun”) and ensures an extremely tight filling. In the case of temporary filling, another visit is required to check and execute the final filling.
During endodontic therapy, X-ray examinations are necessary, which allow first to assess the number and course of the canals, and then verify the correctness of the performed procedure (tight filling of all channels). Photographs are taken in our clinic, maintaining the highest safety standards and using the latest equipment (so-called digital radiovisiography), which allows us to get pictures in excellent quality with the minimum radiation dose (for comparison – the dose affecting the patient during 1 x-ray image corresponds to the amount radiation that each of us receives naturally during the week – so-called background radiation, completely harmless to health).
Endodontics – indications and contraindications