Endodontics

Endodontics, teeth root and canal treatment

This treatment is known as ‘killing the nerve’. It consists of removing the blood vessels and nerves inside the tooth that are causing toothache.

What does an endodontic procedure involve?

Using special instruments we clean the inside of the tooth leaving it free from infection.

Inside each tooth is a network of vessels that are distributed all around the tooth forming a system of root canals. Treatment is normally performed in a single session.

What we aim to achieve with endodontics is clean each canal and leave the tooth in a fit state to then be repaired.

With this treatment we can save teeth and avoid them being extracted, so they can continue to fulfil their biting function and preserve their normal appearance. Plus, it’s the only way of saving a tooth.

What makes a tooth become diseased?

In the vast majority of cases, endodontic treatment is performed because of extensive tooth decay that reaches the nerve and causes severe pain.

In other cases, the treatment is applied to teeth with a chronic pulp condition, that is, teeth in which the nerve has already been lost due to infection (necrosis) but where there is no pain. In these cases, a fistula is sometimes produced, a small lump that can occasionally appear at about 10 mm above the crown of the affected tooth. Blows and gum infections can also lead to the need for endodontic treatment.

This treatment may also be performed if there is a phlegmon, in fact, it’s the ideal treatment for sorting out this problem, as phlegmons are produced by an infectious process in the tissues surrounding the tooth. This can sometimes be caused by a diseased pulp and this treatment eliminates the affected pulp and removes infection from the tooth canals.

Endodontic treatment is the best option as the top priority is to try to save the natural teeth, although if this isn’t possible, the tooth will have to be removed and replaced with a suitable prosthetic.

How are teeth strengthened following this treatment?

A tooth that has received endodontic treatment will be weakened and in the medium to long term this may lead to it becoming fractured. This is in addition to the loss of dental structure that occurred when the decay was cleaned out. This is why it’s advisable to fit a porcelain crown to strengthen these teeth and preserve their integrity in the long term.

This procedure is done under local anaesthetic so it’s not painful. It’s also possible that when the anaesthetic wears off the patient may feel some pain that lasts a few days, but we’ll prescribe painkillers for you so you can go straight back to your normal life.

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