WHAT IS ENDODONTICS?
Endodontics is a part of dentistry dedicated to the morphology, physiology and pathology of the dental pulp (nerve and blood vessels inside the tooth) and periradicular tissues, and in turn, is used primarily for the study and treatment of the dental nerve that is “sick.”
The success rate of dental root canals is 95,5%.
FOR WHAT IT IS USED FOR?
The “endodontics or root canal” serves to keep the tooth in the mouth (and avoid if possible the extraction), so it may continue to perform its functions of mastication and aesthetic.
WHEN DO YOU NEED A ROOT CANAL?
When the pulp is irreversibly affected by deep decay, traumatisms, endoperiodontal injuries, etc.
In that cases the tooth becomes sensitive to cold, heat, chewing. The pain may be intermittent or constant; we can even see how the tooth can change of color or get an abscess.
There are cases where a root canal is recommended for any specific dental treatment, such as teeth that need to be carved from a comprehensive way for the subsequent placement of crowns and bridges also require a orthodontic extrusion and that we have to cut them for a proper occlusion.
HOW IT IS DONE?
Almost always it is required local anesthesia and you should alert the dentist if you have allergies or contraindications for administration. During the treatment it would be necessary to make several radiographies:
1) First try to access with a turbine to the pulp chamber (where the nerve is located).
2) The art and science are focused on removing the nerve and the infected tissue, cleansing and preparing the lines with specific instruments.
3) Finally, the material is injected to seal these holes and prevents new bacteria input. The sealing quality of this material and its ability to prevent the passage of bacteria prevents the onset of new infections.
After the reconstruction treatment by placing a pin (if necessary), rebuilding the part treated with a reconstruction of composite and if the situation requires it, finish it with a crown.
HOW MANY SESSIONS ARE NEEDED?
Most root canal treatments can be performed in one session, although there are some cases that will be needed two or more sessions, whenever the opinion of the professional.
IS THE TREATMENT PAINFUL?
Endodontic treatment is performed under local anesthesia. You may feel in some cases a slight discomfort when chewing for a few days due to irritation of the periodontal tissue surrounding the root. In these cases it would be required medication to diminish these symptoms.
ARE MORE FRAGILE ENDODONTICALLY TREATED TEETH?
The teeth that hasn’t been restored are amenable to a higher rate of fractures, so you should visit a dentist as soon as possible after a root canal treatment. However, devitalized teeth have a higher incidence of fractures than those endodontically treated and in the course of time may eventually get fractured because of if they are more devitalized and more fragile, or when it losses the restoration or caries, or other factors such as bruxism.
NEED ANY SPECIAL CARE ENDODONTICALLY TREATED TEETH?
After proper and adequate endodontic treatment and final dental restoration, the tooth will behave like the others, requiring the same care of hygiene, prevention and regular checkups, just like any other tooth.
The presence of fractures and bacterial filtration, are the cause of 10% of failed root canals, so it is recommended to reinforce endodontically treated molars with a crown to reduce the likelihood of fracture.
ARE THERE ANY ALTERNATIVES TO ENDODONTICS?
The alternative to endodontics is extraction, as when performing endodontics, is an irreversible process. Even so, your dentist will take care to advise whether or not the conduct at its discretion, keeping in mind that there is nothing better than our own tooth.
ARE THERE SPECIALISTS IN ENDONDONTICS?
Root canal treatment is now very sophisticated. It requires a specific preparation by the dentist and the use of advanced technology instruments. Therefore, in dentistry today are professionals who dedicate their practice exclusively to this science, “endodontists”.
WHAT IS A REENDODONTICS?
It is the endodontic retreatment of a root canal that has failed so it offers a second chance to preserve the tooth in the mouth. The success of reendodontics is inferior to the success of endodontia: 83% and requires the a high-trained specialist considering the difficulty it represents.