Endodontics

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.

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Endodontics – indications and contraindications

  • Indications

  • Contraindications

Endodontic treatment may be carried out in all teeth in which root canals have been infected. The symptom of such an infection is usually acute pain, especially intensifying under the influence of cold dishes or drinks. If these symptoms are ignored, the pain may slowly regress spontaneously, intensifying with warm dishes. Sometimes an unpleasant odor appears. This is not a sign of self-curing, on the contrary – it is evidence of pulp necrosis and is an absolute indication for root canal treatment. Endodontics is the last resort to removing a tooth. Negligence of treatment leads to irreversible changes in the bone surrounding the roots of the teeth and then only the extraction remains.

Endodontic treatment is not always recommended, especially when the channels are excessively narrowed (we call it obliteration) or the root is cracked longitudinally. A contraindication is also the significant destruction of the tooth, when its maintenance in the mouth is doubtful, a high degree of looseness or pathological changes in the bone surrounding the roots. Root canal treatment is not recommended in patients with undergoing immunosuppression (eg after transplantation) as well as in some heart conditions. The final decision is always made by the dentist in consultation with the physician administering the patient.

All the above situations are an indication for surgical treatment. In the case of single-rooted teeth, the only option is extraction, while in multi-root teeth, it is possible to remove only the infected root or its fragment, leaving the larger part of the tooth if it does not show any pathological changes. Sometimes in the lower molar teeth you can perform the so-called premolarisation – “cutting the tooth in half”, to thoroughly clean the space between the roots. Such 2 new teeth, well-endodontically treated and rebuilt, can still function in the oral cavity for a long time.

Endodontics – types of treatments

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 – frequently asked questions (FAQ)

Pricing

Endodontic consultation (deducted from the cost of the visit)150 PLN
Endodontic treatment of a milk toothStarting at 300 PLN
Endodontic treatment of a incisorsStarting at 700 PLN
Endodontic treatment of a premolar toothStarting at 850 PLN
Endodontic treatment of a 3-channel molar toothStarting at 1000 PLN
Endodontic treatment of a tooth with more channelsStarting at 1150 PLN
Root canal treatment using a microscope incisorsStarting at 1000 PLN
Root canal treatment using a microscope premolar toothStarting at 1300 PLN
Root canal treatment using a microscope molar toothStarting at 1600 PLN
Root canal treatment using a microscope 4-channel molar toothStarting at 1800 PLN
Removal of a root-crown inlay from the toothStarting at 300 PLN
Closure of the canal perforation with MTA300 PLN

Get in touch with us

+48 505 250 150
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