Endodontic Treatment – Retreatment

 Endodontic Treatment

In some cases, the damage of a tooth may be so extensive that it is close to or in communication with the pulp (vessels and nerves) of the tooth. The pulp may then begin to degenerate and may even reach necrosis. In the early stages of pulpitis the pain may be sharp, reflexive, pulsating and last for an hour after contact with cold food. In contrast, a necrotic tooth gives no symptoms.

Over time, however, the microbes that accumulate in the pulp chamber expand outside the damaged tooth, into the bone around the edges of the tooth. Thus, a cyst can gradually be developed and destroy the bone causing pain, especially when chewing.  

In the above cases, but also in some others (e.g. trauma), endodontic treatment (or root canal treatment) is indicated.

During endodontic treatment : 

– The caries are completely removed and it is judged whether the tooth can be treated

– A communication path is created with the pulp cavity

– The pulp of the tooth is removed

– The tooth is completely disinfected and properly shaped

– Special materials are placed to prevent further microbial growth and the root canals are sealed

– The next step is to decide on the most suitable form of tooth restoration (filling, inlay/onlay, crown) Endodontic treatment is a very demanding treatment and high attention to detail is crucial. 

In our clinic, endodontic treatments are performed using a special microscope. An endodontic treatment usually requires 1 to 2 appointments.

Endodontic Re-Treatment: Sometimes, an endodontically  treated tooth can be re-infected. Endodontic Re-Treatment is a procedure similar to the first endodontic treatment except that instead of the pulp, the previous root canal sealing materials are removed from the inside of the tooth