f the caries is too deep or a big part of the tooth is missing, it can lead to a necrosis of the dental nerve. If that happens, it is necessary to perform endodontic therapy. That includes removal of all the soft tissues of the tooth (nerves), a thorough disinfection of infected canals, a filling of root canals and a hermetic closing of the tooth.
This treatment is necessary to save the tooth. An endodontic treatment enables to save the tooth without limiting its function.
To achieve a quality treatment, we use an electronic measuring device – an apex locator – to determine the length of the individual root canals without the necessity of x-ray radiation. A minimum of complications and a long-term effect are secured by our endodontic instruments; we use a most modern device called Reciproc.
A tooth that has undergone endodontic treatment is not nurtured as before, becoming brittle and prone to fracture in the course of time.
That is why it is not always possible to leave a regular filling in such a tooth. The future of the tooth, along with successfully treated canals, thus depends on post-endodontic treatment.
That often consists in stabilizing the tooth by a pivot and a following reconstruction by a prosthetic crown. A quality ceramic crown will increase the stability and lifetime of the tooth, possibly also solving an aesthetic problem.
Your attending physician will always explain and recommend a solution that is suitable for you.
What happens during the treatment?
Endodontic treatment is painless in most cases, it is performed in local anesthesia. The length of the treatment depends on the particular case. Disinfection and treatment of one canal can take up to 30 minutes. In less complicated cases and depending on time possibilities, the treatment can be finished by a definitive gutta-percha filling during a single visit. Sometimes it may be necessary to cure an inflammation, which requires several visits. In exceptional cases, the treatment is enhanced by complex antibiotics. The treatment may be time-consuming, however, a tooth treated in this way can function for many years without any problems.
Is it possible to save any tooth?
Although one can say that most teeth recommended for endodontic treatment can be cured with certainty, there are certain situations, such as advanced decay of the tooth, when root canal treatment may fail. Such a tooth must be extracted; after healing, the gap can be filled by an implant or bridge. We will explain everything to you in detail and suggest possible solutions among which you can choose the most suitable one.