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RomânăWhat is endodontics?
Endodontics is the field of dentistry that deals with the inside of the tooth or, more precisely, with the root canal system and the dental nerve (pulp) inside it. During root canal treatment, the inflamed or dead tissue is removed from the canal system, and the space is cleaned, disinfected and then tightly sealed. The aim: to keep the tooth as a functioning part of the jaw.
Our approach
We carry out endodontic treatment according to current scientific standards: with mechanical preparation, precise length measurement, intensive disinfection and a tight root filling. This creates the best possible conditions for keeping the tooth in the long term.
When is root canal treatment needed?
Endodontic treatment is considered when the dental nerve is diseased. Typical causes:
- Deep decay that has reached the inside of the tooth
- Repeated treatment of the same tooth (cumulative strain)
- Injuries caused by accidents (trauma)
- Cracks or fractures that reach the nerve
- Previously treated teeth in which inflammation has developed again
Typical signs that point to the need for treatment:
- Persistent, often throbbing toothache
- Pain in response to heat or cold that lasts long after the stimulus
- Tenderness when biting
- Swelling of the gum near the affected tooth
How we treat
Modern technology in use
At our practice, we use proven technical aids that make the treatment more precise and more predictable:
- Mechanical preparation with flexible nickel-titanium files. They gently follow even curved root canals and are more efficient than purely manual preparation
- Electronic length measurement (apex locator): determines the exact canal length without X-rays
- Digital X-rays: low radiation, available immediately, high image quality
- Intensive irrigation protocols with modern disinfecting solutions as a decisive factor for the success of the treatment
The treatment in 5 steps
Diagnostics
Clinical examination, vitality test and an X-ray to assess the affected tooth and the tip of its root.
Access & opening
After a local anaesthetic, the tooth is opened from above. A rubber dam keeps the treatment area germ-free and isolated from saliva.
Preparation & disinfection
The diseased tissue is removed with mechanical files, and the canal is cleaned along its entire length and thoroughly rinsed with antibacterial solutions.
Root filling
The prepared canal space is sealed tightly and permanently with biocompatible materials (gutta-percha and sealer).
Restoring the crown
A treated back tooth is usually stabilised with a crown to minimise the risk of fracture. For smaller teeth, a high-quality filling is often sufficient.
Chances of success
When carried out correctly, modern root canal treatments today achieve high success rates. Depending on the initial situation, the scientific literature cites figures between 80 and 95 per cent. Individual success depends on the anatomy of the root canal system, the degree of inflammation at the time of treatment and the subsequent prosthetic restoration.
Good to know
Endodontic treatment is a medical procedure with an individual course. Even when it is carried out flawlessly from a technical point of view, no individual result can be guaranteed. Should a first treatment not lead to the desired success, we will discuss the options with you, for example a re-treatment (revision) or an apicoectomy.