What is Endodontics?
Endodontics is one of the procedures that a dentist performs frequently and endodontics (also called endodontics, canal or undercut) and in the treatment of the inner part of the tooth, the pulp, when it is affected (cavities, fracture, caries, etc.) as the pulpitis It is the cause of many pains and can, in the absence of treatment, lead to the emergence of an abscess in the teeth, and the treatment of the canal consists of removing the pulp, the living part of the tooth, cleansing the entire system of internal canals of the teeth, expanding the main channels and filling them with a filling material to close them, after that The dentist will have to rebuild the tooth, and the nature of this reconstruction will depend on the cause of the decay, the extent of material loss and the prognosis after surgery.
Why is the root treatment of the tooth and not extracted directly?
Any tooth with pulpitis needs care and treatment. First of all, pulpitis in your teeth will be responsible for many pains that will go away through the endodontic treatment done by your dentist, and if left untreated, tooth extraction will be the dentist’s last resort. To drain the infection and remove the infection while eliminating the risk of its spread.
Your dentist will always recommend this type of treatment rather than an extraction, when possible, regardless of the severity of the pain and the extent of the lesion. to each other, and finally preserving the jawbone around it, the alveolar bone, aging is responsible in each person for the gradual bone loss and this accelerates to the alveolar bone in the absence of stimulation.
What are the reasons for using Endodontics?
At the end of the clinical examination performed during a dental consultation, your dentist will recommend a dental pulp treatment (deconstruction), in the following cases:
• Your teeth have a very deep cavity that has affected the pulp inside your tooth.
• Your tooth suffers from irreversible pulpitis (it is a victim of inflammation that can only be relieved).
• Necrotic tooth.
• Your teeth have lost a lot of material, which makes replacement therapy necessary, which requires weakening your tooth.
How does my dentist do realistic endodontic treatment?
Endodontics is a treatment that is frequently performed by your dentist. As for any treatment, its indications will be requested during the dental consultation with the help of a careful clinical examination of the causal tooth, and a clinical examination supplemented by a radiological examination, so the extermination session is painless because it is always performed under local anesthesia Even if your tooth has caries, this session includes a careful operating protocol followed by your dentist in which there is a chronology:
• Anesthesia of the tooth (Dental anesthesia varies according to the tooth and the arch).
• Protect the tooth by placing a dam around it.
• Opening the tooth to reach the inner part to be treated.
• Removal of inflamed tissue or sharp edges in the event of a fracture
• Cleaning, disinfection and mechanical preparation of the pulp chamber and ducts.
• Seal the canals with gutta-percha cones and antiseptic putty.
• Close the tooth with a temporary filling.
• Directing treatment towards achieving definitive care.
• In some cases, your dentist will describe the endodontic treatment that must be performed as “complex”, in particular this will be the case:
• If your tooth’s prognosis is poor with respect to preservation (excessive loss of material, unfavorable crown/root ratio, etc.).
• If your tooth is a wisdom tooth and has a semi-apical abscess.
• If your teeth and their roots have many accessory canals.
• If the channels of your tooth are calcified.
• If your tooth suffers from root resorption.
• If you have a general illness that prevents the “complex” dental pulp treatment.
After the endodontic treatment is completed by your dentist, it is very common to feel postoperative pain, your dead teeth are not responsible for the pain, the pain is caused by local and temporary inflammation in the supporting tissues of the teeth, your dentist will prescribe painkillers and advise you not to put too much pressure on this tooth, The pain usually subsides after 3 days. If your tooth was previously infected, the prescription of painkillers will be supplemented with a prescription of antibiotics.
What is the final reconstruction after Endodontics?
At the end of the endodontic treatment, your dentist should perform a final reconstruction of your teeth. Treatment options are numerous such as classic fillings (combined or amalgam fillings), indirect restoration techniques (inlays) or even prosthetics (dental crowns, a crown-covered false stump, etc).
The choice will be guided mainly by the cause of decay and loss of substance, in fact, once your teeth become non-vital, they “tend” to be “more fragile” on the one hand due to their loss of vitality and on the other hand due to the embrittlement associated with the loss of essence, this is why Most of the final reconstructions consist of dental crowns, in fact, the final reconstruction by the crown makes it possible to “strengthen” your teeth and ensure a true seal over time for the treatment of the dental pulp, cases where restorations using direct technique are very rare .
What is the root treatment review?
Sometimes a tooth that underwent endodontic treatment a few years ago shows clinically or radiologically an infection that spreads to the end of its roots (granuloma or cyst), and the resumption of such periodontal treatment is always a complicated business, as its prognosis is variable and your dentist will present it to you if it is There is a chance of recovery.
In the case of root re-treatment, it is about removing all the old caulking materials present in the canals, disinfecting the canal system completely and implementing a new watertight dam using existing techniques.
When resuming conventional treatment does not provide conclusive results or when the apical lesion is very advanced, your dentist may consider sub-apical surgery. Schematically, the purpose of this surgery is to cut the end of the affected root (“apical cut”) and “backward” blockage of the canal. (From the outside and start from its end and not from its opening).
Endodontics in our specialized clinics
• Endodontics (endodontics) is the specialty of dentistry that consists of treating diseases of the pulp of the teeth.
• Diseases of the dental pulp are manifested either by infection or inflammation of the root canal system that contains the pulp, in the popular language, it is the famous toothache, in order to eliminate this inflammation or infection, the dentist performs the treatment of the dental pulp, that is, the removal of vitality under the influence of Local anesthesia.
• It begins by removing all traces of infection within the root of the tooth through mechanical and chemical (pharmacological) procedures, then, once all the root canals of the tooth are clean, proceeds to seal it with biocompatible and waterproof products.
• The tooth is considered dead, but the treatment of its root makes it possible to place a crown or inlay without having to resort to an implant.
Endodontics Center
• The caries reaching the nerve and needs dental pulp treatment and x-rays after root canal filling
• The root canal system of a tooth is often difficult to access and is usually very small, so it is often difficult to obtain working conditions with optimal vision.
• In our center, Endodontics is performed like many other classic procedures such as prosthetics, which often require great precision, by means of optical magnification such as magnifying glasses or surgical microscopes installed in all surgeries.
• Endodontics, endodontic treatment or devitalization is one of the most difficult work that can be done in dentistry.
• The removal is performed in the roots and can only be seen with an x-ray, only a dental surgeon is able to properly assess the quality of the root canal.
Root canal procedures
• When a cavity reaches the enamel, it is sufficient to remove it with a cutter and fill the resulting cavity with a dental filling and treatment material.
• If the decay is deeper up to the dentin, again, if you are some distance from the nerve, simply remove the cavity and fill the cavity until the tooth is healed.
• When the caries is deeper, it can reach the nerve, as soon as it approaches the increase in pain, these pains can become unbearable and do not pass with traditional analgesics.
• The only therapeutic solution then becomes a cure for de-vitalization.
• In the middle of each tooth there is a cavity called the pulp chamber.
• Inside this cavity there is a blood vessel and a nerve ending.
• When the decay approaches the nerve, the body reacts with blood flow to the pulp chamber.
• This blood flow leads to an increase in pressure in this closed cavity and then the nerve is compressed there.
• Followed by a violent pain called chafing of the teeth.
• The only curative solution then is to reduce the vitality which consists in opening the pulp chamber, the blood can then flow, the nerve is no longer compressed, and the pain subsides.
• Finally, it will be necessary to clean each tooth root, shape it, and finally fill it with embalming paste, generally the endometrium.
• The filler paste should fill the root completely without going over it.
• For molars with 3 or 4 roots, this filling must be done for each of the roots.
• When the roots are curved or difficult to form or even calcified, the dental surgeon can send his patient to a specialist in endodontics.
Follow up on root canals
• The latter treats the roots only and does not practice any other treatment.
• The cost is generally high, due to the high technique of the gesture and the use of the microscope most often to shape the entry of the canals.
• The health insurance does not cover the fees justified by the endodontist.
• So, it is not the practitioner who chooses to waste the tooth as we often hear, but the extent of the decay that when it reaches the nerve leaves no other choice for the dental surgeon.
• Once the cavity touches the nerve, the bacteria it contains spread along the nerve, so the tooth must be culled.
• Some practitioners isolate the tooth from the rest of the mouth during endodontic treatment using a rubber dam to allow better treatment (the tooth is isolated from saliva).
• This rubber dam will allow the practitioner to irrigate the ducts with an antiseptic without spreading it into the mouth.
• Well-disassembled teeth are the guarantee of successful endodontic treatment.
• A tooth when poorly destroyed often becomes painful years after poor endodontic treatment is perceived; It would then be necessary to deposit the compensatory perception to reach the roots again.
• While good treatment will ensure the durability of the reconstruction of the prosthesis.
• The importance of Endodontics
• Endodontics aims to relieve pain caused by inflammation or infection in the inner part of the tooth (or pulp).
• Thanks to anesthesia and modern technologies, this treatment is now painless for the patient. Recent developments (devices, microscopy, laser) in the field of endodontics over the past few years have made it possible to improve the reliability and predictability of this type of treatment with success rates of up to About 95%.
• Once anesthesia is performed, an operating field is placed around the tooth to isolate it from any external contamination, so it will remain clean and free of bacteria in the saliva.
• Then an opening is made through the tooth to reach the inflamed or infected part.
• Small instruments are used in addition to antiseptic solutions to clean the root canals and remove the pulp. The precise measurement, which is electronically determined by the apex locator, gives a very precise end to this cleaning.
• When the inner space of the tooth is properly disinfected, the tooth can be filled, the material is compressed and sealed in order to ensure a three-dimensional seal, which is an indispensable condition for the long-term preservation of the results obtained.
• At the end of the treatment, your teeth are in an intermediate stage, a period during which they should not be pressed too much, the opening created to access the inner part is filled with temporary cement; If necessary, the temporary tooth is resealed.
• You should then consult the usual dental surgeon who will strengthen the tooth thanks to the appropriate reconstruction.
reprocessing
Endodontic treatment forms the basis of the tooth, when it is actually carried out, the tooth nerve is absent and the canals are closed in principle.
However, it happens that this treatment must be resumed:
• If the already treated tooth remains painful.
• Marking repeated necrosis, entry point for bacterial contamination of roots.
• If an abscess occurs.
• In these cases, Endodontics can still save the tooth.
A delicate, sometimes long, and often complex step, which consists of removing the prosthesis (crown and/or abutment) as well as the materials used during the initial treatment and then attempting to treat a new pulp, following all the required procedures, the purpose of which is to obtain a clearing New to the inside of the tooth by eliminating existing bacteria.
Although speculation is not always quantifiable, technical and technological advances have made it possible to cross the line, if done well, its success rate is now approaching 95%.
A temporary healing step (water-tight reconstruction) may be necessary to test this new treatment.
Endodontics is the part of dentistry that treats the inside of the tooth, and it consists of the treatment and prevention of periapical infections.
A dentist performs endodontics on teeth when they cannot survive, either because they are already inflamed, or because they risk becoming so (decay).
This endodontic treatment is also called pulp treatment, root canal or Endodontics.
The granuloma and cyst are also likely to be treated with an apical excision. This is an intervention in which we cut off the end of the root, seal it with the tip and scrape the adjacent bone.
In our clinic, Endodontics is performed under a microscope by a specialist equipped with a dedicated room and a modern technology platform (operating microscope, operating drapes, ultrasound, digital radiography, 3D imaging), and the microscope we use is located at the center of this technical platform. The inner part of the tooth can be enlarged up to 25 times, making possible treatments completely impractical with the naked eye.
