Tooth Treatment and Nerve Extraction: Endodontic Therapy
What is endodontic therapy?
Treatment of teeth with endodontic therapy is a key procedure when there is an infection in the inner part of the tooth – the pulp, also known as the nerve . The pulp chamber consists of two parts: crown and root. The first part is easier to remove, while cleaning and processing of root canals requires more time and accuracy. Therapy includes thorough mechanical treatment of the canal, chemical disinfection with an antiseptic and subsequent filling of the canal, which prepares the tooth for long-term protection.
When is it necessary to treat the tooth and extract the nerve?
Nerve extraction is necessary when caries or infection progresses to the pulp of the tooth, causing pain and other inconveniences. Patients often come with spontaneous pain, which indicates a serious problem in the tooth. Through an X-ray and testing of the vitality of the tooth, the dentist assesses whether the tooth is vital and whether treatment of the tooth through endodontic therapy is necessary. In cases where the previously performed treatment of the tooth root did not give results, a revision of the therapy and the placement of a new filling is initiated.
Does the placement of the filling hurt?
In our office, the placement of the filling is completely painless because each procedure is performed under local anesthesia. In this way, you will feel completely relaxed, and the healing process will be quick and pleasant.
How is the treatment of the tooth and the extraction of the nerve performed?
In order for dental treatment to be successful and without complications, it is essential to maintain a dry working area . This is achieved through the use of rubber dams , special tires that prevent contamination with saliva. Therapy consists of the following stages:
- Nerve extraction and removal of infected tissues.
- Mechanical and chemical expansion of the canal with the use of antiseptics.
- Filling the canal with a special material that has the task of replacing the nerve and ensuring long-term preservation of the tooth.
The use of manual and machine expanders, along with antiseptics, as well as an apex locator for precise tracking, enables safe and effective cleaning of teeth. In cases of infection, a special drug based on calcium hydroxide is prescribed, which cleans the duct and prevents the spread of bacteria. Finally, the canal closes with a material that provides long-term protection of the teeth.
Is tooth treatment and nerve extraction painful?
Nerve extraction and tooth treatment can be completely painless with the appropriate use of local anesthesia. Our clinic uses state-of-the-art anesthesia techniques, making every dental procedure as comfortable as possible for patients.
How to know if the treatment of the teeth was successful?
The success of tooth treatment is measured by the absence of symptoms – pain and swelling, as well as control X-rays that are done immediately after filling the canal and later, after 6 and 12 months. These scans allow the dentist to monitor the condition of the teeth and surrounding tissues, as well as the effectiveness of the therapy.
When is surgical intervention needed to treat a nerve?
In our practice, thanks to our high standards and efficient methods, the need for surgical nerve treatment (apicoectomy) is kept to a minimum. Surgical treatment is used as a last resort when standard endodontic therapy is not sufficient to save the tooth. An apicoectomy may be necessary if there is a serious problem at the root of the tooth that cannot be resolved with conventional therapy.
Is it necessary to have an examination before the extraction of the nerve?
Before proceeding with the extraction of the nerve , it is necessary to make a retroalveolar scan . This image provides a detailed insight into the anatomy of the tooth and allows the dentist to accurately plan treatment. Follow-up X-rays are also done after the end of root treatment and after 6 and 12 months to monitor the success and healing of surrounding tissues.
What is the difference between dental treatment in our office?
In our office, we believe that the basic prerequisite for successful dental treatment is the use of rubber dams . This special device provides a dry working field and prevents the entry of bacteria, which is crucial for the implementation of high-quality disinfection of the canal during endodontic treatment .
By using rubber dams , we isolate the tooth from external bacteria, thus ensuring safe and effective treatment of the root canal. This procedure allows the use of highly concentrated antiseptic solutions that ensure the complete removal of bacteria and microorganisms from the canal, which contributes to the success of tooth treatment and long-term protection of the teeth.
If necessary, in patients with serious infections, we proceed to the extraction of the nerve , thus ensuring that the tooth is completely healthy and functional. Our use of advanced techniques ensures that every endodontic treatment is accurate, safe and painless.
