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Endodontic Dental Treatment

Endodontics is the area of dentistry dealing with root canal therapy, including treatment of root canal infection, dental pulp removal and treatment of pulp decay, removal of infected dentin, optimal root canal shaping, high-quality airtight sealing of root canals along their length.

A clinical case below (Photos 1-3) demonstrates endodontic treatment of a mobile tooth:

Dentistry as we want it to be

At the current stage of development of dentistry, it is a common understanding that if a dental treatment was determined solely by visible issues, many details would be overlooked that eventually could affect the treatment outcome.

The modern dental treatment is impossible without a microscope. Magnification allows to identify and remove fragments of dental instruments, seal root perforations, effectively unseal the hard-to-reach root canals and treat them, identify other hidden canals or cracks and other issues.

Thanks to dental microscopes used at our Clinic, not only do we ensure high quality dental treatments for common issues, but we also achieve good results in complicated cases where little could be done without a microscope magnification. That is why we can positively say that the use of a microscope in dental treatments has clear benefits and provides for a higher quality dental care.

Endodontic Treatment Process

Anatomy of root canals varies and depends on the individual. The reasons for endodontic treatment could be one of the following: Pulpitis is an inflammation of the tooth pulp, usually due to a complication of caries. It could go unnoticed without symptoms, for instance, under an old, low-quality filling or crown.

Pulpitis could also cause pain of different nature and intensity. Pulpitis could be usually treated in one visit.

Periodontitis is a complication of pulpitis when the inflammatory process affects the tissues outside the tooth (periodontium). It could occur in different ways, it could hurt or go symptomless, even if tooth decay is extensive. An X-ray may show an image of what is sometimes mistakenly called a cyst. However, in most cases it is a wrong assumption, because a cyst cannot be diagnosed with an X-ray image. Generally, periodontitis could be cured provided all root canals are thoroughly cleaned.

In some cases, periodontitis could develop due to errors made during a root canal treatment, dental malpractice, because some root canals were overlooked or improperly obturated, or due to the lack of a proper antiseptic treatment. It could also result from perforations or instrument fragments left in canals.

Depending on the severity of a situation, treatment of periodontitis could be completed in one visit, two and more visits.

This clinical case (Photos 1-3) shows rehabilitation of a tooth with a fragment of an instrument removed from the root tip:

Once the diagnosis is made and a treatment plan is agreed with a client, the treatment is performed under a general anesthesia. The tooth is isolated with a rubber dam (this is essential for effective endodontic treatment).  

All dental root canals get thoroughly cleaned out, disinfected and filled using the method of liquid gutta-percha volume condensation.

Tooth filling methods that could cause tooth colour change are not applied.

Since the main goal of endodontic treatment is the preservation of a tooth for possible restoration or covering with a dental crown, it is essential that all necessary steps are taken to ensure its life cycle is extended. The Clinic of Aesthetic Dentistry offers endodontic treatments of a high standard, including treatments in complicated cases. For more details, please call us on (044) 230-83-88.