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Root canal treatment
Why perform root canal treatment at the HanzaDent clinic?
- All root canal treatments are done under microscope magnification.
- In addition, 3D diagnostics are used.
- HanzaDent Dentistry has a microscope in every office.
About Root canal treatment
A tooth consists of:
- dental crown, which is the visible part of the tooth in the mouth;
- tooth root, which holds the tooth inside the bone.
Inside the tooth is a cavity that contains the nerve and blood vessels that supply the tooth. The channels through which the nerve and blood vessels enter the tooth are located inside the tooth roots and are called root canals.
If there is a toothache lasting more than 5 minutes, the tooth hurts at night, reacts with pain to cold and heat or is painful when biting, it is usually inflammation. In this case, the tooth cavity already reaches the nerve (pulpitis). If the pulpitis is left untreated and the infection has spread to the root canals or under the tooth, it is called periodontitis.
70% of pulpitis are symptom free. If you do not go to the dentist for a check-up, they usually develop into chronic periodontitis, which can worsen and manifest as cheek swelling.
The purpose of root canal therapy is to treat infection and inflammation in the tooth and surrounding tissues. If left untreated, the inflammation spreads to the jaw and can even become life-threatening in certain cases. Therefore, inflamed teeth must be treated or removed immediately to prevent the spread of inflammation.
Root canal treatment is performed under local anaesthesia. The tooth is isolated from the oral cavity using a rubber cofferdam, and the canals of the tooth are cleaned of infection and necrotic tissue. Afterwards, they are rinsed with antibacterial agents, the root canals are shaped as needed, and medicine and a temporary filling are placed in the tooth. If root canal treatment is performed in one visit, the root canals are permanently filled and the tooth crown is restored.
After root canal treatment, tooth pain and sensitivity may occur. In this case, it is worth taking a painkiller, for example, ibuprofen. If the pain does not go away, you should contact your dentist.
Healed lesion (treatment was performed dr. Jaroslav Skrut)
Root canals are very small anatomical structures. For their better cleaning and processing, it is necessary to see them and visually control the operations. For this, a dental microscope is used, which allows the doctor to see the root canals up to 30 times larger than they actually are. Root canal treatment with a microscope is a painless procedure as the device is only used for observation.
Root canal treatment with a microscope allows a more extensive overview of the shape and cleanliness of the roots, and this in turn ensures a better treatment prognosis.
If the inflammation under the tooth is not amenable to conservative root canal treatment and the lesion under the root remains, then after the end of the root canal treatment, surgical removal is the treatment for the inflammation. This procedure is called a root tip resection.
During the procedure, the inflamed tissue under the root, a small part of the root tip is surgically removed and the root canal is filled retrograde, i.e. from the root tip.
The resection of the root tip is relatively painless for the patient, but the subsequent swelling and soreness are a bit unpleasant. During this period, it is recommended to take painkillers and follow the doctor’s advice.