Treating the inside of the tooth

A sick tooth needs proper treatment to be saved. A treatment of its root to relieve it of problems, pain, cavities, and also to prolong its life. Endodontics deals exactly with this – saving teeth from premature extractions.

We’ll always look for ways to save teeth that can be saved, to give them the chance to continue to be part of the denture. Root canal treatments are meant to treat teeth which have their pulp affected by cavities or trauma and to get rid of the pain. An endodontic treatment done wrong or a very long time ago makes it more difficult to treat the canal. Equally complicated is when the root and canals are very thin, curved, calcified or impossible to find and treat with the naked eye. This is where the dental microscope and a dentist’s experience come into play.

Endodontic treatments

Root canal treatment performed unde the microscope

For premium quality work, you need a lot of skill, high-quality materials and dental equipment.

The dental microscope is one of those devices without which we could not do exceptional work. With its help we save teeth that would otherwise have been on the extraction platoon, and sculpt fillings to perfection. The microscope allows accurate diagnosis, identification of all root canals, and fine-tune treatment.

Strong and safe treatments

A successful endodontic treatment starts with a good treatment plan. With local anaesthesia with or without a needle, depending on patient preferences.

We continue with the isolation of the problematic tooth by using a dental dam, a medical device that isolates the problematic tooth from the rest of your mouth. With its help, the work area is kept clean and dry and we can apply strong treatments to the inside of the tooth without the risk of affecting the tongue or other teeth. This way the patient is protected from ingestion of substances used in the treatment and dental fragments.

Root canal retreatment

We are often confronted with patients who have poorly made root canal treatments. Situations such as parts of infected tissue remaining in the root canals, the root canals have not been treated to the very end, canal obturation is not compact, the root has been perforated or a needle tip has remained inside the canal.

All of these lead to further problems, which are observed by the patient when they are in a serious stage because the tooth without pulp doesn't cause pain. If you have any of the symptoms below, even after years from the intervention, you will most likely need a canal retreatment.

Symptoms of improperly done root canal treatment:
  • A dental abscess (pus pouch) indicates an acute inflammation that must send you to your doctor.
  • Dental cyst, dental granuloma which unfortunately evolves painlessly and is only visible from a radiography.
For years, a tooth that has undergone a canal treatment can cause problems, so it is best to keep your teeth supervised. Go to a dental check-up twice a year, because your dentist is the only one able to evaluate the condition of the teeth that have suffered from canal treatments.

FAQ about endodontics

Perhaps the most important benefit is that you will have the functional, natural-looking tooth again. After endodontic treatment, the tooth crown can be restored with either composite material or dental crowns. Having the whole tooth again, you will have a normal bite and you will protect other teeth from excessive wear or effort.

There are some symptoms that indicate a pulp infection:

  • spontaneous, pulsating or deafening pain
  • a high sensitivity to cold and hot, but also when chewing
  • pain in a tooth that has been treated in the past
  • gum retraction
  • the appearance of a swelling in the tooth area

Do not allow the infection to evolve and make the tooth unsavable. Come today to a dental check-up.

Before endodontic treatment, we see what we’re up against from an x-ray. We treat the tooth and make our patient happy about saving his tooth. Yet things don’t stop here for that particular tooth. Post-intervention follow-up and radiographs are required after dental treatment to see if everything is healing normally. Patients who have had root dental infections should be radiographically monitored at 6 months, one year, two years to track bone regeneration destroyed by the infection.

Many patients still have a reluctance when it comes to “removing the nerve” of a tooth because years ago this surgery was done without anaesthesia so that the doctor could have made sure that he pulled out all the nerve when it didn’t hurt. Things have evolved during this time.

Now the dental pulp is extracted under anaesthesia without pain. We use the microscope to ensure that the root canals are well cleaned and then to apply appropriate treatment.

It is possible that after this procedure you’ll have a dental sensibility and a slight pain for a few days, but they can be easily controlled with common analgesics.

There are cases in which the tooth has a colour change following canal treatment due to the hemosiderin pigment deposited in the dentinal canals. The good part is that there are solutions for this and you do not have to live with an unesthetic tooth. A solution in this regard is endodontic whitening, which can be made if the tooth is quite stable. The most common solution is the dental crown when the tooth has only a partial part of its own crown. Another solution is the dental veneer if the tooth condition allows it.

Many patients believe that once the canal treatment is done, the tooth is free of cavities. Unfortunately, this is just a myth. The reality is that the tooth cavities can develop as easily as before. It all relates to dental hygiene because the bacterial plaque also affects a natural tooth. In addition, a tooth without pulp has the disadvantage that because it does not hurt, cavities can evolve tacitly until observed by the patient or dentist.


Stopping cavities and restoring dental health