ENDODONTICS
Avoid unnecessary tooth extractions.
DENTAL ENDODONTICS
Endodontics is a treatment that is carried out to preserve the tooth when it has been affected at the level of the dental pulp (“the nerve”), either due to caries or trauma. Endodontics consists of cleaning the canals where the dental pulp is located and then filling them with a thermoplastic material to obtain a permanent and lasting seal.
Endodontics is not always indicated for teeth with necrotic pulp or irreversible lesions. It is possible to opt for the extraction of the tooth when it is impossible to restore it, when there has been significant dental resorption, when there are perforations of the dental roots, vertical fractures or serious periodontal disease. Also in teeth with no aesthetic or functional value, for example in wisdom teeth without an antagonist with which it can occlude for chewing or in other circumstances.
TECHNIQUE
Endodontics, removal of the infected dental pulp.
- Cleaning the root canal system: bacteria, pulp calcific needles, necrotic tissue, etc. in order to leave the canal as aseptic as possible. It will never be completely sterile if only the main canal of each root is treated and not the numerous accessory canals inaccessible to biomechanical instrumentation but accessible to root canal irrigating substances in a medicated form.
- The three-dimensional root canal filling with appropriate shape and size: the conical shape of the dental crown is given to the apex of the tooth. An occlusal stop is created to fit the working length, i.e. the filling is adjusted to the length of the root and finally, the original morphology of the canal must be respected.
- Achieve sealing of the apical third and the rest of the canal. The cementoblasts will produce cement that closes the apex, achieving histological success of the root canal therapy.
