Endodontic Treatment

What is and How is it Done?

Endodontic treatment, also known as root canal therapy, is a dental procedure aimed at saving and restoring a tooth affected by infection or inflammation inside it. This treatment is necessary when the tooth pulp, which contains nerves and blood vessels, is damaged due to decay, trauma, or other factors.

What is Tooth Pulp?

The pulp is the inner, soft part of the tooth that contains nerves, blood vessels, and connective tissue. It is located in the center of the tooth and extends down through the roots. The pulp is vital for the tooth’s development and health, but when it becomes infected or inflamed, it can cause severe pain and lead to tooth loss if not treated.

How is Endodontic Treatment Done

Diagnosis and Treatment Planning

Initially, our endodontist evaluates the tooth’s condition through clinical examination and imaging methods, such as X-rays.

Removal of Infected Pulp

Using a specialized dental microscope, the infected or dead pulp is removed from the root canals. The microscope ensures precise removal of all infected parts, ensuring maximum treatment effectiveness.

Filling and Sealing

After cleaning, the root canals are filled with a special material to prevent re-infection and sealed.

Tooth Restoration

Finally, our endodontist and a restoration specialist will decide on the appropriate restoration solution, either a filling or a crown, to achieve the best functional and aesthetic result.

State-of-the-Art Technology in Our Clinic

At our clinic, we use the state-of-the-art Zeiss dental microscope to ensure the best possible treatment for our patients. This microscope provides a comprehensive view of the tooth’s root canals, allowing our endodontist to identify complex root canal anatomies, cracks, and other details that are not visible to the naked eye.
The magnification provided by the Zeiss microscope helps achieve exceptionally high success rates in the endodontic treatments we perform. This ensures that our patients receive precise and effective care for their teeth.

Questions and Answers

Can any dentist perform endodontic treatment?
Yes, if they have the appropriate training. However, endodontists specialize in this area, handling complex cases successfully. Your dentist will determine if your case requires a specialist.
Monitoring is often necessary for 6 months or more, especially if there’s bone resorption. Bone regeneration takes time, which is visible in X-rays.
The root canal often eliminates the infection causing the cyst, negating the need for extraction. If the issue persists, surgical removal of the cyst may be necessary.
Depending on the failure’s cause, retreatment or an apicoectomy may be needed. In rare cases, extraction might be required.
As long as a healthy tooth. Its support from the jawbone is not affected by endodontic treatment.
The success rate is high, about 90-95%. However, in complex cases, it may be slightly lower (75-80%).
Yes, the tooth will function like a healthy tooth without any symptoms.
After the root canal, the tooth is temporarily filled. A permanent restoration with a filling or crown should follow immediately.
No, local anesthesia is used at every stage. If there are discomforts between appointments, your dentist will provide instructions and medication.
Yes, anyone wanting to save a tooth with permanent pulp damage can undergo treatment, usually without age or general health restrictions. Major restrictions occur if the tooth crown is too damaged for restoration or if the root is not adequately supported by the gums and bone.
The number of visits depends on the problem’s severity and the tooth’s complexity. Usually, one to three visits are sufficient.
Initially, the area is examined and an X-ray is taken to determine the problem’s type and severity. Anesthesia is administered to prevent discomfort. A rubber dam isolates the tooth, keeping it clean during treatment. An opening is made in the crown to access the tooth’s interior, which is cleaned with specialized tools. The tooth may be temporarily filled to prevent reinfection until the next appointment, or the root canals are filled directly. If temporarily filled, it is removed in the next session, and the interior is permanently sealed with a biocompatible material called gutta-percha.
Endodontic treatment preserves the natural tooth, whereas extraction results in a lost tooth that must be replaced with a bridge or implant, involving more inconvenience and cost. No prosthetic can fully replace a natural tooth.
No, antibiotics cannot reach the pulp due to the lack of blood circulation in the root canal. Antibiotics are prescribed only to manage acute inflammation (abscess) until the root canal can be completed.
The tooth cannot heal itself. Without treatment, the infection will spread to the bone, causing destruction and worsening pain, ultimately requiring extraction.
There is usually discomfort, ranging from severe pain, sensitivity to heat or cold, pain when biting or touching the tooth, or swelling of the gums around the tooth. Sometimes, there may be no symptoms at all.