Endodontics
Endodontics also known as root canal treatment is a branch of dentistry treating the tooth pulp and the degenerative effects in the surrounding tissue. Endodontic treatment deals with removing internal infected tooth tissue, cleaning and disinfection of the root canal and filling it with appropriate material.
- Irreversible inflammation of the tooth pulp (nerve and blood vessels)
- Deep cavities without the possibility of biological treatment
- Pulp necrosis
- Gangrene of the pulp and periapical inflammation
- Injury
- The dental or surgical indications and others.
The effectiveness of endodontic treatment is high and amounts to an average of 80-97%.
Well-cured root canal tooth can be used for a very long time (even 20 years!) Both alone and in combination with other structures. It can be a pillar of a denture bridge, or if there is a dental crown on it, it can be a support to the removable denture.
Now, thanks to new technologies and materials, many teeth, which not long ago was sentenced to removal can be treated and saved.
A very important part is to accurately measure the length of the canal what is possible by using the apex (electronic measurement of the length of the channel) and X-ray images. In our office we measure the length of the channel very precisely with an endometer Root ZX Swiss company Morita, and X-rays are taken with French Kodak cameras and Finnish Satelec company.
The use of a microscope allows for good visibility and very thorough cleaning of the root canals from bacteria and dead or infected, inflamed pulp. It is also possible to find additional canals, expanding obliterated (narrowing) and clogged ducts or strongly curved canals. The use of the microscope more than once helped save teeth that were initially estimated to remove.
To describe the channels we use the latest Swiss technological appliances ATR by Dentsplay company. With the right vertical movement and quarter-turn it is possible to unblock narrow and curved canals. Introduced device into the canal moves from side to side, what ensures equal widening of the canal, and then filling it tight.
To fill the canals we use well-proven special equipment, so-called. Obtura II system.
The best and most biocompatible material with the body which is used for filling is gutta-percha (coagulate from subtropical trees). It is introduced into the canal in the form of liquid at a predetermined depth so that the material tightly filled canal without leaving air bubbles.
Smooth gutta-percha allows to fill the side and curved canals permanently and tightly.