Endodontic treatment is one of the most important and complex aspects of dental medicine. This treatment is of great importance in order to keep our natural teeth.
Endodontic treatment is the process of removal of the substance located inside the tooth – the tooth's pulp. The tooth pulp is a tissue that consists of nerves, blood vessels, etc. We make an access to the endodontium of the tooth and extirpate the nerves. Then the root canals are widened, washed with various disinfectant solutions and the canals are filled. As we all know, the treatment itself is really important in order to keep our natural teeth for our entire life. If not performed, we will feel pain and eventually will lose our tooth. If the damaged tooth pulp (internal tissue of the tooth) is not treated, the result will be exactly the above. If we do not react on time, we take a great risk. The most common complications, related to endodontic treatment not on time are damages of the tissues around the tooth – bone, gingiva. Necrotized pulp and bacteria can lead to infections of the bone and the soft tissues (mucosa, skin), i.e. can be formed an abscess (the patient is swelling), granuloma and finally the tooth can be lost.
The capabilities of operational microscope in endodontics. The modern tendencies in endodontic treatment are related to cleaning, disinfection and airtight closure of the root-canal system of the tooth (the internal part of the tooth). Nowadays it is possible to perform this procedures very accurately with the assistance of microscope equipment – operation under magnification – which allows dentists to reach inaccessible parts of the root canal (hooked and narrow canals) and to remove broken canal instruments. Cleaning of root canals is performed by modern rotary canal instruments and endodontic motor. The rotary instruments shape the canal as a cone and prepare it for filling. Filling of canals is performed, using warm condensation (with material, melted at high temperature – gutta-percha), which provides airtightness of the root canal filling. Disinfection of canals is performed by chemical substances (agents, activated by ultrasound). Tooth completion within only one visit if diagnosis is pulpitis.
There are some peculiarities, related to the periodontitis. Most of the people relate the cleaning of the root canals and the entire treatment with pain. They are also scared by the fact that in most cases, the treatment leads to complications, because the required measures were not taken on time. The patient must be sure that the dentist will take care for painless treatment. In order to eliminate the pain, a local anesthesia is used. When the patient is too stressed, the local anesthesia can be preceded by some preliminary preparation – sedation, where through the intra venous administration of medicals, the patient gets sleepy, which allows him to relax. If required, the process can be attended by anesthesiologist. During the treatment itself, there may be some pain, but the pain is the main reason for the treatment. When anesthesia is applied, no pain related concerns should be present. It is important for every patient to be able to identify the symptoms showing that endodontic treatment is required. One of the major symptoms is pain. The patient can feel pain during feeding – when the food is chewed, continuous pain or pain provoked by hot and cold, or by pressure. The tooth is felt higher and sometimes you cannot touch it even with your tongue. You can feel the pain during night and the pain can spread towards neighboring areas of the head (temples, eyes, nose, ears). Sometimes the tooth pulp is so heavily damaged that it does not radiate any pain – the bone can be damaged by a cyst, granuloma. The patient does not feel pain but can feel, with his tongue, the presence of big hole in the tooth.
By RVG (sector imaging) and 3D diagnostics, changes in the periodontal space can be observed and then treatment is prescribed. A lot of people prefer a dental implant to be placed rather than fight and keep their tooth healthy. The implant is the best solution in cases when there is no chance for the tooth to be saved. The leading task of dental medicine is to keep the natural teeth of the patient as long as possible and in first place everything required needs to be done in order to achieve that. The modern endodontic treatment facilitates this task but the patient needs to take care of his/her teeth and must visit his/her dentist at least twice per year for control check-ups.