Dental Root Canal Treatment

Endodontics is the area of dentistry dealing with the prevention, diagnosis, and treatment of disorders of the dental pulp.

dental root canal treatmentIf an infection enters from decay cavity, or a tooth crack to the pulp located in the root canal, the canal must be treated. The only alternative to such treatment is extraction of the tooth.

Our specialists employ a variety of different techniques in our Vilnius dental surgery for treating root canals.

The canal treatment involves a range of procedures:

1. The affected tooth is identified, anaesthetised and a tooth X-ray is taken;

2. The pulp chamber is opened;

3. The infected pulp/nerve is removed;

4. With a help of apex locator, the length of the canal is determined;

5. The canal is cleaned and widened up to the dental root apex by dental files;

6. Medication may be introduced into the canal (calcium hydroxide paste or other);

7. The entire canal is sealed with filling material (gutta-percha posts and sealer);

8. The tooth defect is filled.

With successful root canal treatment, the tooth will no longer cause pain. However, because it does not contain an internal nerve, it no longer has sensitivity to hot, cold, or sweetness. These are signs of dental decay, so the patient must receive regular dental check-ups with periodic x-rays to avoid further disease in the tooth. The restored tooth could last a lifetime; however, with routine wear, the filling or crown may eventually need to be replaced.

Prevention rather than cure is the Body Bureau motto. Our dental clinic in Vilnius will provide tips on excellent oral hygiene after your root canal can help ensure success and prevent reinfection. Keeping your original teeth should always be your main objective. An untreated infection inside a tooth will only worsen over time; the pulp cannot heal itself. Without treatment, you may eventually lose the tooth, and require a bridge or other costly restoration.

Sometimes, if the root canal is untreatable, in this case a root resection might be done.

Root resection

Root resection is an endodontic surgical procedure which includes the removal of infected or inflamed tissue in the bone and cleaning and sealing the tip of the root canal which due to some type of obstruction was not possible during conventional endodontic treatment.

In the root resection procedure, the gum and tooth are anaesthetized. An incision is made in the gums and the untreatable, infected tissue is removed at the tip of the root. A small filling is then placed in the root tip and the gums are stitched back to their original position. Post-surgery discomfort is usually managed easily with over-the-counter medications. If discomfort is severe, stronger analgesics may be prescribed. Some patients experience sensitivity to hot or cold temperatures from exposed roots; these problems can be managed with topical fluoride treatments or, in severe cases, with dental restoration.