12 Oct 2016by Office Estedent

Endodontics modern treatment

Endodontics modern treatment

Endodontic treatment consists in removing all content inside the tooth and at the same time, microbial flora created by the caries process and sealing, three-dimensional canals to prevent microbial repopulation of the tooth in question. If the success rate of a tooth after a classic root canal is 50-60%, new rotating methods, techniques and materials, increase the cure rate up to 90%.

Also of great importance are the investigations that the patient must complete in order to obtain helpful information, such as initial radiography, sometimes computed tomography and control radiography at the end of treatment.

Root canal preparation is performed using an endomotor with very flexible rotating needles which enable instrumentation and canal cleaning from pulp residues, even for teeth with very curved canals. These needles overcome curves, enabling a correct root canal.

Inside the tooth, following a caries, germs develop gradually over time, ultimately migrating through the pulp canal and deeper, afecting tissues and bone around the tooth.

Treatment of these infections can be done by the classical method of endodontics in many situations, but not all. This requires multiple visits and it is conducted over a longer period of time (even a few months in some cases). Modern treatments are completed in a single session, and only in exceptional cases two sessions are necessary.

The major drawback of the classic treatment for the dentist is that he is unable to see exactly what is inside the teeth canals. Therefore classical treatment is based on medical expertise and knowledge of each doctor, which cannot always compensate for the difficulty and complexity of some cases.

Modern endodontic treatment offers patients maximum chances to avoid extracting teeth, as it is indicated both in hard cases, and in mild cases with a success rate of over 91%. To achieve a success rate so high, the dental clinic must also have modern equipment such as endodontic motor (to prepare more precise canals), apex locator that provides accurate measurement of canal length, and a hot plugging canal system, creating a 3D canal sealing. All these ensure the patient of a high standard treatment.

Another major indication of the need for modern treatment is the difficult anatomy of dental canals. While most teeth grow and form after a given pattern, the individual anatomy of each patient may complicate classic treatment. This individual anatomy can be represented by additional canals, curved or blocked. These cases are almost impossible to treat following classical techniques and often conduct to false paths, perforations or unsealed canals. All these cases of failure can lead over time to reinfection or extractions.

Thanks to the over 91% success rate of modern endodontic treatment, it is recommended especially for patients with high expectations for dental treatments. At the same time, modern endodontic treatment is the solution in complex or complicated cases, avoiding the need for tooth extraction.

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