Endodontics

Root channel treatment is the removal of the dental pulp with the internal nerve.

The empty space is then closed in order to prevent bacteria. The dental pulp, in the tooth underneath the hard tissue (enamel and dentin) is a soft tissue which contains blood vessels, nerves and connective tissue. It has the fundamental task , when growing, to create surrounding hard tissue. It extends from the dental crown to the tip of the roots.

 

When a root channel treatment is necessary?

When the pulp is inflamed or is infected. The causes can be many. Deep cavities, continuous dental therapies, traumas, cracks or fractured crowns. If the infection is not treated immediately, it can lead to a lot of pain or abscesses.
 e / ricorrenti  ascessi.

 

What are the symptoms?

Recurrent symptoms are:

  • Hypersensitive to hot and cold temp
  • Spontaneous pain
  • Pain when chewing
  • change of color (discoloration of tooth)
  • In advanced phase swelling and pus

In some cases the symptoms aren’t as obvious and sometimes there aren’t any, however the root channel treatment is still necessary and a correct diagnosis can be obtained with a simple x-ray.

 

Does the endodontic treatment save the tooth?

The doctor removes the inflamed and infected pulp from the root channel he disinfects inside the tooth and then seals the hole with biocompatible material so that all bacteria does not re-attack the tooth.
Afterwards he will try to restore the part where the chewing takes place to prevent fractures.
At this point the tooth, adequately fixed , will be the same as all the others.

 

Is it painful?

Thanks to anesthetics and to modern technologies, most part of patients do not feel anything during therapies. It is normal, for a few days after, to have a little pain which can be treated with pain killers.

 

After After the treatment do I need to be careful? ?

It is important to remember not to chew on hard food with the devitalized tooth until it is completely healed. Until that moment, the tooth can be easily cracked. Once healed it is sufficient to maintain a good hygiene with regular check- ups so as to have a normal functioning of all teeth. In very rare cases, the infection can persist. Other times a tooth that has been already treated can be attacked by another infection after months or even years. In this case another root channel treatment must be performed and the tooth can function for many more years.

 

What causes a new root channel treatment on an already devitalized tooth:?

Most of the times, another infection:

  • Fractures
  • New cavities
  • Restorations that no longer seal

 

Can the endodontic treatment be successfully performed on all teeth?

Most teeth can be treated successfully and continue to function perfectly. However a tooth mustn’t be devitalized for the following reasons:

  • Serious fractures
  • Lack of bone support
  • Cannot reconstruct the tooth correctly
  • Not possible to reach the deepest parts of the roots

Technological progress in endodontics is enabling the recovery of elements that only a few years ago would have been extracted.


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