Root Canal Treatment
Cases of Root Canal Treatment
What is Root Canal Treatment?
Root canal treatment is a treatment method that removes nerves and blood vessels affected by caries, cleans, and disinfects the inside and fills the drug with a lid. In the past, when tooth decay progressed, and bacteria reached the nerves, it was common practice to extract the tooth. However, in such cases, the possibility of leaving teeth by selecting “Root canal treatment” has become much higher.
Once you have any of these symptoms, dental caries may have reached your nerves. It may be necessary to consider root canal treatment, so please contact us as soon as possible.
- My teeth are throbbing even if I’m not doing anything
- Try to eat cold or sweet food
- It hurts when you press your gums
- It hurts just by clenching your teeth
To Address The Success Rate of Root Canal Treatment
Unfortunately, the success rate of root canal treatment cannot be said to be 100%. At GYA Dental Center, we select the appropriate equipment and method and take the treatment over time to increase the success rate.
Accurate Diagnosis by Dental CT
The nerves and blood vessels at the roots of teeth have a very complex shape, and an accurate diagnosis is necessary before an accurate treatment can be performed. In our clinic, we have introduced dental CT that can analyze the shape of teeth and bones with precise 3D images, and we also use it for diagnosis of root canal treatment. Since the area affected by dental caries can be accurately identified, the success rate of treatment can be significantly improved without unnecessary cutting of teeth.
Precise Treatment With a Microscope, Magnifying Glass, etc.
It is very difficult to visually confirm and remove complicated, intricate nerves and blood vessels. For this reason, our clinic incorporates a microscope and magnifying glass into the treatment to check the details of the affected area. By using it in combination with dental CT, the information inside the root canal can be obtained accurately, so more reliable root canal treatment can be performed.
Safe Treatment With a Rubber Dam
Saliva, which contains water and bacteria, can interfere with root canal treatment. In order to prevent this and perform treatment smoothly, we are conducting “rubber dam moisture prevention” at our clinic. Rubber dam moisture prevention is a procedure to put a thin rubber sheet around the teeth during treatment to prevent saliva from entering the root canal. The teeth to be treated are effectively “isolated” and treated in a cleaner and safer condition.
Nickel-Titanium File That Reliably Removes Contaminated Tissue
Nerve and blood vessels in the root canal are removed using a device called “nickel-titanium file.” Compared to the stainless steel file that is often used in the past, it has higher elasticity and is very flexible. It also precisely penetrates into the complicatedly shaped nerve canal to remove bacteria and prevent disease progression.
Reliable Root Canal Filling with MTA Cement
MTA cement is a dental cement developed in the United States in 1993 and is characterized by excellent bactericidal action and hardness. Since 1998, it has been used overseas when there is a hole in the dentin of the root due to dental caries or dental treatment, re treatment is repeated, or when the root canal has become thick due to severe progress of tooth decay. Also, repeated treatment may thin the teeth and leave holes. Bacteria may enter through the punctured area, causing swelling of the gums or pus. By filling the holes with MTA cement, you can prevent bacteria from entering and extend the life of your teeth.
Create a Partition
It is an important step that affects the success of Endodontic treatment. When removing fillings, coverings, and tooth decay, if there is a part without tooth substance, saliva will enter even if you use a rubber dam. In such a case, surround it with a resin-like wall to prevent saliva from entering. By doing so, you can prevent infection by saliva during treatment and provide more accurate treatment.
Our Root Canal Treatment
Initial Root Canal Treatment
This is a root canal treatment when the nerves in the root canal are infected, or the nerves die due to the progress of caries. The dentin that is affected by caries is removed, and contaminated nerves are removed (myelination) and washed. With the nerve canal completely clean, the drug is filled without any gaps to prevent bacterial invasion and disease spread. Root canal treatment has the highest success rate at the first treatment, so receiving appropriate treatment at this stage will prolong the life of the tooth.
Re-Root Canal Treatment
This is a second or subsequent root canal treatment when the initial treatment has some reason, and the disease cannot be stopped. Remove the cover and the base, and remove the medicine filled in the first treatment. After that, disinfect and remove the bait bacteria left in the roots to reduce the number of bait bacteria in the tube. It can take a long time, several hours, to remove the base without damaging your teeth or to remove the medicine filled in the root canal. In addition, the success rate of the treatment is about 2/3, which is lower than that of the first root canal treatment.
Surgical Root Canal Treatment (Toot Excision)
If pus accumulates at the tip of the tooth root, normal root canal treatment alone may not cure it. At this time, the treatment to remove the tissue containing the lesion and part of the tip of the root is called “root ablation.” Some cases that require root ablation include:
- If the dental caries are not completely cured even after root canal treatment
- When the root shape is complicated
Our clinic proposes appropriate treatments according to the patient’s mouth condition. If you have any concerns about your mouth, please feel free to contact us.
4 min Read | Originally published April 20, 2018 , Updated September 19, 2020
Written by Dr. Gabriella Aftene
Dr. Gabreilla started her career at the University of N. Testimiteanu Medicine and Pharmacy, she went on to continue her studies at the University of Carol Davila Medicine and Pharmacy. She continued her education in Germany Frankfurt, Italy Genoa, Spain Seville, Portugal Lisbon and France Lyon.
Topics: Root Canal Treatment
Our aim of this article is to spread awareness about general oral health, We do not consider all the information and the advice presented a substitute for consulting your dentist. Therefore, We would like to invite you to visit GYA Dental Center to know more about dental treatments, we will be happy to provide the best consultation regarding your case.