Microscopic root canal treatment in IMPLANTIS
Root canal treatment ( RCT ) under microscope
Root canal treatment of teeth, otherwise referred to as endodontic treatment, is performed most often by choice, when the tooth pulp (nerve of the tooth) has been irreversibly inflamed and the treatment is the only salvation for the tooth. The application of advanced treatment methods and modern anesthesia allows the root canal treatment to be carried out painlessly, efficiently and comfortably. Root canal treatment may require CBCT imaging of the structure of the tooth roots. Our dentists who specialize in root canal treatment routinely use for this purpose three latest generation endodontic microscopes.
In most cases, the tooth root canal treatment begins and ends during the same visit. When the tooth is particularly difficult to treat, two or more sessions may be required.
Is it better to cure a tooth root canal or remove it?
Many patients ask the dentist whether it is better to opt for root canal treatment, which sometimes involves even two hours of procedure, or for the removal of the aching tooth. In some cases, patients decide to use ad hoc painkillers or anti-inflammatory drugs, which does not solve the problem. In most cases, the toothache return and the dilemma about what to do with the tooth is raised again. In the past, teeth causing extensive inflammation were removed. Today, in most cases, the tooth can be saved through root canal treatment under a microscope and the patient definitely should decide for this procedure because this option is much safer and more economical than having a tooth extracted and filling the gap with a bridge, denture or implant. Endodontic treatment of the tooth is always worthwhile.
What happens after the root canal treatment? – We must strengthen the weakened tooth
Professionally conducted endodontic treatment of the tooth under a microscope relieves the pain and effectively eliminates infections and the risk of their spreading.
The tooth that underwent root canal treatment usually requires additional reinforcement. The protection and reinforcement of the tooth consists, in the first place, in inserting appropriately fitted glass fiber cartridges into the tooth. This procedure, which must be carried out as accurately as a root canal treatment, can be conducted under dental microscope during one visit. The tooth with glued inserts is then prepared to be covered with a porcelain crown, which is the most effective solution for its protection. By inserting the porcelain crown, the lost shape, color and function of the tooth.
If the root canal treatment was carried out very accurately and that the patient complies with the rules of hygiene, the treated tooth may still be used for a long time. A tooth that has undergone effective root canal treatment under the microscope, while maintaining excellent oral hygiene, and subject to regular dental checkups every six months, can serve the patient for many years to come.
Removal of broken instruments
Endodontic treatment often saves the tooth.
Thanks to the dental microscope it is possible to remove broken instruments from the roots of the teeth. Endodontic tooth treatment combined with the removal of a broken canal tool most frequently enables cleaning of the root canal and its filling.
Often, when performing in IMPLANTIS a secondary tooth root canal treatment under a microscope, an endodontist finds broken tools that can be removed, and the tooth saved.
Risk associated with tooth root canal treatment
RCT – possible complications.
As any medical procedure, the root canal treatment is also subject to certain risks, about which each patient should be informed. The risk is understood here to mean the possibility of failure in endodontic treatment of the tooth, but also the risk of feeling uncomfortable for some time after the completion of root canal treatment. Sometimes a bruise may form temporarily after tooth root canal treatment and some discomfort may be felt for a few days.
To reduce this discomfort, you can ask your dentist to indicate appropriate medication that will relieve the pain. In some, very sporadic, cases your dentist may prescribe an antibiotic to speed up the disappearance of any residual infection.
After RCT, patients should try chewing on the other side of the mouth until total restoration of the tooth (its reinforcement with inserts of fiberglass and cementation of the crown). The longer the patient delays the completion of the total reconstruction of the tooth, protecting it with a crown, the greater the risk of its dehydration and weakening, leading to a new infection by bacteria and consequently the necessity to carry out another root canal treatment, or have the tooth extracted.
Root canal treatment, just like any other treatment, is not free from uncertainties and complications. There is a possibility that during the root canal treatment a tool piece may get stuck in the root canal or the root of a tooth be broken or perforated. Sometimes the tooth root canal treatment is not possible due to the complex anatomy of the root. This happens especially when the dentist is trying to treat the tooth root canal without using a microscope and does not notice a hidden or additional canal, which also should be treated.
If the tooth root canal treatment is ineffective, the dentist discusses with the patient alternatives options, including a second root canal treatment, a tooth root resection or extraction of the infected tooth.
Endodontic treatment of the tooth
Although doctors and patients have long adopted root canal treatments, for some time a different notion has been used to describe this treatment. Treatments relating to procedures inside the root canal are described as endodontic treatments.
The term RCT is a traditional name, which refers to the act of treating of the tooth in its channels. As the name of the root canal treatment is becoming a thing of the past, the term endodontic treatment is being increasingly used.
During the dental treatment, an endodontist may have to deal with the root canal treatment of a single, double, or triple canal tooth. Some teeth have up to four or even five root canals. Even such a complicated structure of the tooth does not preclude a chance for a correct performance of the root canal treatment of the tooth.
Root canal therapy, also known as endodontic treatment, is usually performed when the tooth pulp infection cannot be reversed. At that point, RCT is the only procedure that may save the tooth. It is painless. Our dentists perform it using the state-of-the-art LABO MED dental microscope which increases the treatment precision. It helps to discover all canals and improves the success of the procedure. In many cases, RCT involves only one visit.
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