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Endodontics

Endodontics is a branch of dental medicine that deals with the treatment of teeth. Since it is a procedure that requires precise and steady hands as it involves the intricate internal structure of the tooth, our recommendation is to entrust tooth treatment to an experienced dentist or endodontics specialist. This procedure treats the root of the tooth, more precisely, its canals.

 

Endodontics – The primary task of every dentist is to treat the tooth and protect it from further decay.

 

We want to keep the tooth alive for as long as possible and enable it to regain its function. This is precisely the role of endodontics.

When is endodontics recommended?

 

  • when a filling alone is not sufficient.
  • when a decayed tooth is not treated in a timely manner or is poorly treated, and the infection spreads, affecting the inner part of the tooth, i.e. the dental pulp.
  • when we want to save the tooth from further decay and extraction.

 

What is dental pulp?

 

Dental pulp is the soft tissue permeated with nerve fibers that surrounds the inner layer of the tooth, dentin. Untreated decay (caries) penetrates the pulp, leading to pulpitis.

 

What is pulpitis?

 

Pulpitis is inflammation or infection of the dental pulp caused by bacteria from periodontal pockets and a symptom is high sensitivity to hot and cold stimuli.

Did you know that dental injury and trauma can also cause pulpitis?

 

Endodontics – What if pulpitis is not treated in a timely manner?

If the inflammation is not treated promptly, the tissue can die due to decay and the inner part of the tooth becomes susceptible to various microorganisms, causing an infection that spreads to the root of the tooth and the surrounding area.

Endotontics – Protocol

 

If the dentist decides to treat the pulp, a soothing agent is placed in the tooth, after which the tooth is temporarily sealed with temporary filling. It is necessary to wait for a certain period for the pulp to recover and then the pain will disappear. If the pulp cannot be saved, the tissue is removed from the root canal and an endodontic procedure is performed.

  1. Diagnosis – taking an orthopantomogram and/or targeted X-ray of the problematic tooth to determine its condition and the number of canals.
  2. Local anaesthesia.
  3. A hole is being formed at the top of the tooth.
  4. If a significant portion of the pulp is still functional, a substance (toxin) is added to the tooth to numb the nerve fibers, which can act within the tooth for 6 to 8 weeks and the tooth is sealed with a temporary filling. After 6 to 8 weeks, the pulp is removed from the canal, which is then filled with a permanent filling.
  5. When there is an extensive pulp damage which cannot be cured, the dental pulp is immediately removed and the root canals are treated or the tooth needs to be extracted.
  6. The root canals are filled with a substitute material.
  7. Follow-up diagnostics – an X-ray is taken, either a targeted image or othopantomogram, to check if the canals are fully filled.
  8. A composite or ceramic onlay/inlay/overlay filling is placed on the tooth or the tooth is restored using a dental crown. Depending on the situation, a root dowel can be placed in the canal to support the crown.

 

The tooth becomes non-vital, due to the removal of the nerve and the enamel gradually darkens. However, the good news is that such a tooth can be bleached from the inside of the tooth. This procedure is called endodontic bleaching.

Endotontics – Is endodontic treatment a painful procedure?

 

Since it involves a kind of microsurgical procedure, local anaesthesia is administered before the endodontic process. Therefore, the procedure is painless. However, removing the nerve can be painful even with anaesthesia if the pulp happens to still be alive.

Book your specialized dental examination in our dental polyclinic

 

+385 1 20 80 328

info@en.milicicdent.hr