Endodontics – Root Canal Treatment

Endodontics – Root Canal Treatment

Endodontics is the branch of dentistry that deals with the treatment of root canals in the teeth. Under the enamel and dentin layers of the tooth, there is a section called “pulp” where the vessels and nerves that provide the vitality of the tooth are located. This part, which is called the “pulp chamber” in the crown of the tooth, extends to the end of the tooth roots. In case of inflammation of the pulp for any reason, the nerve of the tooth should be removed, the canals should be sterilized and then filled. Root canal treatment is applied in a single session in live teeth and in two sessions in teeth that have lost vitality.

Every person has bacteria in their oral cavity. Bacteria combine with many of the foods we eat and cause acids to form in our mouths. If we do not pay attention to our oral hygiene, these formed acids damage the tooth enamel and cause decay in the enamel layer. If the bruises in the enamel are not treated, they pass into the dentin layer under the enamel layer. Although the dentin layer warns us through pain, if the caries formed is not treated again, this time the microorganisms move towards the pulp. Meanwhile, the pulp warns us through pain to protect itself. However, if we do not treat our teeth again, after a while, microorganisms destroy the vessels and nerves in the pulp and cause inflammation.

Another way in which inflammation can occur in the pulp is trauma. A blow to the tooth causes the veins and nerves entering the root of the tooth from the root tip to rupture, thus losing the vitality of the tooth. In this case, the addition of microorganisms by any means causes inflammation of the pulp. Another way the pulp can become infected is the presence of long-term periodontal (gum and surrounding) disease around the tooth.

Pain and sensitivity to cold and hot food and drinks in the tooth, pain during eating is a harbinger of inflammation and the onset of inflammation. Again, excessive color changes in the teeth can also be perceived as a sign of inflammation. Apart from these, in untreated teeth where the decay reaches the pulp, the infection rises from the root tip to the jawbone and may cause small or large swellings on the face. In this case, in the fight against infection, the use of antibiotics is appropriate, as well as the procedures performed by the dentist. The general opinion is that the tooth that causes swelling on the face should be removed after the swelling goes down. According to the new technology, even teeth that cause such big infections can be kept in the mouth by root canal treatment and serve you for years like a healthy tooth.

Treatment Methods

  • Identification of the problematic tooth by taking radiography.
  • If the tooth is alive, local anesthesia is used to destroy the sensitivity of the tooth and surrounding tissues.
  • Cleaning the caries in the enamel and dentin layers of the tooth and creating the space to reach the pulp.
  • Isolation of the tooth by attaching a rubber dam.
  • Determination of working length using electronic instruments and confirmation by radiography.
  • Destruction and removal of infected dentin layers, microorganisms in the root canal using rotary instrument systems.
  • Destruction of microorganisms with various root canal disinfectants when using rotary instrument systems in root canals.
  • If the tooth is not alive when starting the root canal treatment, waiting for a certain time with a canal antiseptic to be placed in the root canal and filling the root blood at the next meeting

After the root canal treatment, it is aimed to cut the relationship of the tooth with the surrounding tissues, so that the infection does not occur again and if there is any damage to the surrounding tissues of the tooth, it is aimed to be repaired. Root canal treatment is performed under local anesthesia and pain is not felt.

After the root canal treatment, especially after the treatment of live teeth, a pain that can be folded in the tooth for a few days or pain when pressing on the tooth may occur. This is a normal pain that occurs after root canal treatment. With a little protection of the root canal treatment, it disappears in a short time. Success rate in root canal treatments with the right treatment method today 90%It arrives.

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