Root canal treatment
Endodontics is commonly known as root canal treatment. For most people, this concept goes farthest into the tooth. In endodontic treatment, infected tissue is removed from the root canal and then replaced with plastic material. If the tooth is qualified by the doctor for root canal treatment, it means that the caries bacteria have entered the tooth roots. They overcame the enamel, dentin and got into the innervated pulp of the tooth, which is connected to the bloodstream of the entire body. This situation, which is dangerous for the tooth and negatively affects the joints as well as the heart, kidneys and other organs, requires immediate treatment.
Root canal treatment is necessary when pulpitis occurs. The reasons for this may be various: deep carious cavities, large fillings, tooth injuries.
Modern equipment that we have at our disposal, among others. The operating microscope, endodontic scaler and digital radiography enable effective treatment in one visit.
Stages of endodontic (root canal) treatment:
- Diagnosis – after taking an X-ray, the number of channels is determined.
- Cleaning the tooth crown – the tooth is cleaned of caries bacteria, and the tooth walls are designed to allow easy access to all root canals.
- Debridement of infected canals – the infected pulp is cleared of all canals. Then, chemical disinfection is performed to clean the canals of bacterial residues that have not been removed mechanically.
- Filling the cleaned canals – empty canals in the roots are filled with a special preparation that provides a tight barrier against re-penetration of bacteria..
- The final stage of tooth treatment is to restore its anatomical shape.
When endodontic treatment is needed
Endodontic treatment is necessary not only to preserve the tooth or its root, but also to prevent chronic and hidden inflammation from affecting overall health. In endodontic treatment, it is very important to position the root of the tooth. If they are strongly curved, the endodontist has a lot of difficulties with completely cleaning the canal despite the use of the highest quality equipment. The time needed for root canal treatment is usually 2 hours (if the tooth has fewer canals, about 1.5 hours). This procedure is performed under anesthesia, thanks to which the patient does not feel any discomfort.
During root canal treatment, doctors use a surgical microscope, which is an invaluable device because it allows for the most thorough cleaning of the tooth roots from bacteria. Magnification vision provided by the microscope enables very precise work in a small treatment area, e.g. 1mm.
In terms of this treatment, this allows for:
- finding and treating the main and additional root canals of the tooth with their branches, which in traditional treatment are often invisible to the doctor,
- removal from the canal of broken fragments of endodontic instruments, crown-root inlays, hard cements filling the canal,
- unblocking very narrow root canals,
- effective treatment in cases with very complicated and rare anatomy of the root canal system,
- treatment of tooth root resorption – a condition leading to the loss of hard tooth tissues, as well as the alveolar bone. It can occur as a result of both pathological and physiological factors. This process is extremely harmful and can lead to serious and irreversible changes such as atrophy of dentin, cementum, and even the surrounding bone.