ENDODONTICS

ENDODONTICS

Within the scope of Endodontics treatment;

  • Root canal treatment,
  • Treatment of acute / chronic abscess,
  • Root canal treatment in a tooth with periapical lesions (lost its vitality),
  • Re-treatment for unsuccessful root canal treatment,
  • Vital pulp (preservation of tooth pulp) treatments are applied.

Infections and residues due to the causes like carries, trauma, cracks, etc. in the canals are cleaned in damaged or inflamed teeth. The root canal is shaped. The formation of caries is prevented, and then the canal is filled with filling materials, and deformities are removed by our doctors with the "Root Canal Treatment" method.

Root canal treatment is a preferred treatment method to eliminate the bacteria in the root of the decaying or infected tooth canal in order to prevent the bacteria from re-contaminating the tooth and to repair the natural tooth.
Due to the progress of the tooth decay, if the decay reaches the area we call "pulp", which is alive, the tooth should be treated with canal treatment. Root canal treatment is applied to the patient under local anesthesia. The aim is to remove the tooth pulp affected by caries that cause pain and to keep the tooth in the mouth. As can be done in one session, it can be completed in several sessions on highly damaged teeth. At the end of the procedure, it can be treated with dental filling materials and prosthetic crowns depending on the amount of material loss in the teeth. Inflammation of the teeth, cysts at the ends of the root, swelling of the face, and severe pain can occur in the teeth that are not treated with a root canal. Teeth that are not treated for a long time need an extraction process.

 

What is root canal treatment?

Root canal treatment is a preferred treatment method to eliminate the bacteria in the root of the decaying or infected tooth canal, to prevent the bacteria from re-infecting the tooth and to repair the natural tooth. During the procedure, the infected pulp (pulp) in the root canal is removed and the inside of the tooth is carefully cleaned. Then it is disinfected and filled and closed.

In what cases is root canal treatment applied?

  • Severe toothache when chewing or applying pressure,
  • Sensitivity to hot or cold (pain),
  • Tooth discoloration,
  • Swelling and tenderness in nearby gums,
  • Persistent or recurrent acne-like white blisters on the gums.

Root canal treatment is not performed on every tooth that hurts or decays. In order to be able to be treated, these bruises, which are caused by bacteria and signal with mild pain or do not cause pain at all, can only be treated with filling. If the tooth is not treated at this stage, the bacteria progresses to the core of the tooth and causes inflammation, and in this case, root canal treatment is required.

How is root canal treatment applied?

Root canal treatment is usually completed within an hour, and the treatment process takes place as follows;

  • In the first step, anesthesia is applied to the tooth to prevent pain.
  • In the second step, the decaying tooth is cleaned and the inflamed nerve, that is, the pulp, is removed, the remaining nerve residues are cleaned.
  • In the third step, the channels are expanded and the canal is washed with solutions.
  • In the fourth step, if there is a treatment process that cannot be done at once, drugs and temporary filling are put into the canals to accelerate the healing.
  • The canals are filled up to the root tip with special fillers compatible with the tissue in the last step.

Is root canal treatment a painful procedure?

Root canal treatment performed with modern methods is nothing to be afraid of. Although it is worried that pain will be felt during the application, root canal treatment is not more painful than an easily performed filling procedure. The treatment is usually completed in one or two sessions, depending on the condition of the inflammation in the tooth.

How long does a single tooth root canal treatment take?

Although root canal treatment varies according to the condition of the tooth, it usually takes 30-60 minutes in a single session. In some cases, 2 sessions may be required. While performing root canal treatment, pain is not usually felt because of the local anesthesia applied before the procedure. In the absence of root canal treatment, progressive caries cause greater damage to the dental pulp and surrounding tissues, as a result of this, tooth fractures and infections in the surrounding tissues may occur, and if there is further progress, the tooth may be lost.

In what cases is root canal treatment applied?

  • Permanent and prolonged toothache that occurs on its own
  • Toothache at night that does not go away even when painkillers are taken 
  • Long-lasting pain that begins after external factors such as hot or cold contact
  • Swelling observed in the gum, around the tooth, or in the related lymph nodes
  • Fistula caused by infection of the tooth or tooth discoloration

What should be considered during root canal treatment?

Nothing should be eaten or drunk until the anesthesia wears off. During the treatment, in the area of ​​the treated tooth, nuts and similar hard foods and sticky foods such as chewing gum should be avoided. Most tooth fractures are noticed between sessions. Between treatment sessions, special care should be given not to drop the temporary filling.

How many sessions are required for root canal treatment?

Unless there are advanced problems, it is completed in one session and the success rate of the treatment is around 90-95%. For this reason, after root canal treatment, there is no need to perform a re-procedure on the same tooth.

Will there be pain after root canal treatment?

After root canal treatment, there may be slight pain and tenderness in the tooth, especially during chewing. After treatment, there is no harm in taking a mild anti-inflammatory medicine for a few days.

Are teeth brittle after root canal treatment?

After root canal treatment, the stem cell that feeds your teeth will become more fragile, so crown teeth may be preferred after root canal treatment.

What is the difference between canal filling and dental filling?

Canal filling is the filling process after cleaning the root nerve and is treated in the endodontics department. In contrast, the regular filling process is the restoration of the tooth according to the damage in the visible part of the mouth and is examined by the restorative dental treatment department.