Brief

Endodontics is a dental specialty focused on dental pulp and periradicular tissue problems, offered by Advanced Dentistry. This includes root canal treatment, which removes infected pulp and seals the tooth, as well as other procedures such as endodontic retreatments, apical surgery, root fracture treatment, and endodontic drainage. Vital and devital extirpation, endodontic fillings, calcium hydroxide dressing application, and MTA perforation closure are specific procedures. Advanced Dentistry also offers root canal treatments and retreatments using a microscope , utilizing advanced technology for precision and enhanced patient comfort. Benefits of endodontics include pain elimination, preventing infection spread, and preserving natural teeth.

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Endodontics is a branch of dentistry focused on diagnosing and treating problems associated with the dental pulp and periradicular tissues. At Advanced Dentistry, our team of endodontic experts is dedicated to preserving and protecting our patients' teeth.

What is Endodontics?

Manual root canal treatment

Endodontics deals with the inside of the tooth, particularly the dental pulp, which contains nerves and blood vessels. When the dental pulp is damaged or infected, it can cause severe pain and ultimately lead to tooth loss. Through endodontics, we can treat these issues and help preserve natural teeth.

Common Endodontic Treatments

The most well-known endodontic treatment is root canal therapy, involving the removal of infected or damaged pulp, cleaning the root canals, and filling and sealing the tooth. Other endodontic procedures may include endodontic retreatment, apical surgery (apical resection), treatment of dental traumas, or root fractures.

When is Endodontic Treatment Necessary?

If you have severe dental pain, sensitivity to hot or cold temperatures that persists after the heat or cold source has been removed, inflammation or swelling of the gums, discoloration of a tooth, or a cracked or broken tooth, you might need endodontic treatment.

Benefits of Endodontic Treatment

Endodontic treatment can eliminate pain caused by pulpal infections and prevent the spread of infections into the surrounding bone tissue. Additionally, it helps preserve natural teeth, avoiding issues associated with tooth loss, difficulties in chewing or speaking, and loss of self-esteem.

At Advanced Dentistry, we strive to offer our patients the best solutions for maintaining the health and functionality of their teeth. If you have questions about endodontics or your oral health condition, please contact us.

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Vital Extirpation

Endodontic treatment performed with rotary endomotor/micromotor

Vital extirpation is an endodontic procedure that involves removing healthy or inflamed but living dental pulp from the pulp chamber and root canal. It is often necessary when a dental infection has reached the pulp or when there is a high risk of infection due to an injury or deep cavity. Vital extirpation can reduce pain and prevent the spread of infection.

Devital Extirpation

Devital extirpation, on the other hand, involves removing pulp that has died or is necrotizing. This is usually necessary when a tooth is severely damaged by cavities or trauma and the pulp cannot be saved. The goal of devital extirpation is to clean the root canal and prepare the tooth for a filling or crown.

Endodontic Drainage

Endodontic drainage is a procedure that allows the drainage of pus from an acute dental infection. This is achieved by creating a small hole in the tooth through which the pus can be drained. Drainage can help reduce pressure and pain, thus providing immediate comfort to the patient.

Calcium Hydroxide Dressing Application

Endodontic fillings of teeth

Calcium hydroxide is often used in endodontics as a temporary dressing during root canal therapy. It has antibacterial properties, stimulates dentin formation, and neutralizes acids produced by bacteria in the tooth. Calcium hydroxide can be applied in the pulp chamber and root canal to protect the tooth and stimulate healing between treatment sessions.

Endodontics is essential for maintaining the health of teeth affected by deep infections and to prevent extraction. In our clinic, we use the latest endodontic techniques and materials.

MTA Perforation Closure

MTA (Mineral Trioxide Aggregate) perforation closure is an effective and proven method in endodontics for treating accidental or pathological perforations of the pulp cavity or root canal. Perforations represent an unintentional communication between the root canal and the periradicular tissues, which can lead to inflammation, infection, and ultimately tooth loss if not properly treated. MTA, due to its bioactive properties and ability to promote tissue regeneration, has proven to be a material of choice for closing perforations, stimulating healing, and maintaining the integrity of the tooth and surrounding tissues.

Microscope Root Canal Treatments and Retreatments

At Advanced Dentistry, we are proud to offer microscope root canal treatments and retreatments, using state-of-the-art technology to ensure precise and effective results.

What are Microscope Root Canal Treatments?

Microscope root canal treatment

Microscope root canal treatment involves using a specialized dental microscope to closely examine the root canals of teeth and allows for more detailed and precise treatment. The dental microscope magnifies the image, giving the dentist a much more detailed view of the internal structure of the tooth than is possible with the naked eye. This allows for more accurate and effective treatment, with a higher long-term success rate.

What are Retreatments of the Canal under the Microscope?

Retreatment of the canal under the microscope is necessary when a previous root canal treatment has failed or when the infection recurs. The retreatment involves removing the existing filling, cleaning the root canals, treating any residual infections, and reintroducing a new filling. Using a dental microscope in the canal retreatment can help identify and treat problematic areas that were overlooked in the initial treatment.

Benefits of Microscope Canal Treatment

Microscope root canal retreatment

There are numerous advantages to using a dental microscope in canal treatments:

  • Improved Precision: The dental microscope allows the dentist to see the internal structure of the tooth in detail, providing a level of precision that is not possible with the naked eye.
  • Better Results: Improved precision leads to better results, with a higher long-term success rate for canal treatments.
  • Increased Comfort: Dental microscopy can reduce the time required for canal treatment, meaning less stress and discomfort for the patient.

At Advanced Dentistry, we are committed to using cutting-edge technology to ensure the best results for our patients. If you have questions about microscope canal treatments or would like to schedule a consultation, please contact us.

Frequently asked questions

Endodontics is a specialization of dentistry that deals with diagnosing and treating problems inside the tooth, particularly the dental pulp and periapical tissues.

A root canal treatment is an endodontic procedure that removes infected or inflamed tissue from the root canal of the tooth. The goal is to save a tooth that would otherwise need to be extracted.

Root canal re-treatment involves removing the existing canal filling and treating the tooth again, especially when there is still infection despite being treated. For precision and high success rate, the use of a microscope in re-treating the tooth is recommended.

Root canal treatment is necessary when the tooth pulp (the soft part inside the tooth containing nerves and blood vessels) is infected or inflamed, usually due to a deep cavity, dental injury, or a cracked tooth.

Many patients find root canal treatment comparable to having a filling. Due to local anesthetics, most patients do not feel pain during the procedure.

The duration of a root canal treatment varies, but usually requires one or two visits to the dental office. Each session can last between 30 minutes and two hours.

After root canal treatment, it's normal to experience mild discomfort for a few days, which can be managed with pain medication recommended by the dentist. It is important to avoid chewing on the treated side until the final restoration is completed.

In most cases, placing a crown after root canal treatment is recommended to protect the weakened tooth and to restore its function and appearance.

Although rare, complications can include persistent infections, fractures of the tooth, or problems with the filling material. If you have persistent pain or other abnormal symptoms after treatment, contact your dentist urgently.

Root canal treatments have a high success rate, usually over 95%. With proper care, a tooth treated endodontically with an applied crown can last a lifetime.

The main alternative to root canal treatment is the extraction of the tooth, followed by replacing it with an implant, bridge, or denture.

Depending on the state of deterioration of the treated tooth, the dentist may recommend a root canal re-treatment or extraction of the tooth.

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