In our clinic, we think that a natural tooth is better than an implant. That is why we invest in knowledge and the latest technology in endodontic treatment. To keep natural teeth as long as possible, we use a dental operating microscope, ultrasound and laser canal disinfection techniques, and the Ni-Ti machine needles.
Endodontic or granuloma treatment is performed when the tooth pulp is inflammated or dead (avital). Tooth pulp is the space inside the tooth where the nerves and veins are. The cause of the inflammation or death of the pulp is usually deep dental caries, tooth trauma or prosthetic preparation of the tooth. The tooth can die completely "silently" without characteristic symptoms such as pain, sensitivity of the tooth to cold or warm, pain to bite, swelling or fertilization in the apex of the root.
Learn more about granuloma treatment or endodontic treatment.
- How many times does it take to visit a dentist for successful endodontic treatment of one tooth?
Most often teeth are treated endodontically in three sessions, with the last session being endodontic filling. If it is assessed and the tooth is asymptomatic, endodontic treatment can also be performed in two sessions. After the endodontic treatment, the tooth must be finally conservatively (with filling or onlay) or prosthetically cared.
- If a tooth has multiple roots, is one root treated per visit or all at once?
We always treat all the roots or. root canals at the same time, as they are interconnected in the root system.
- Is it better to extract »sick« tooth and replace it with an implant or try to treat it?
We believe that our own tooth is the best "implant", as it is the most biocompatible with human tissues. The tooth is initially examined and the success of endodontic treatment of this tooth is assessed with an X-ray image. If the tooth has a very poor or even hopeless prognosis, it is extracted and then replaced with an implant or prosthetic bridge.
- Is endodontic treatment also performed in case of a broken tooth root?
Depending on the course or location of the crack. If these are "favorable", the tooth can be treated endodontically with the help of an additional procedure. If the tooth has multiple roots, the cracked one can be removed and undamaged ones endodontically treated. If a tooth has a vertical crack of the root, it cannot be treated, but needs extraction.
- Is the endodontic treatment procedure painful?
In the case of incomplete death necrosis of dental pulp, endodontic treatment could be painful, but in such cases, local anesthesia is used to avoid pain.
- When is it wise to decide for endodontic tooth treatment?
Whenever a tooth is unvital or in the »dying« phase and we expect that endodontic treatment can be performed without major complications and with relatively high success.
- In what percentage is endodontic treatment successful?
Epidemiological studies have shown that the success rate of primary endodontic treatment is more than 90%, and when the inflammation has progressed to the surrounding bone, it is more than 80%. Endodontic retreatment has about 10 percent lower success rates than primary endodontic treatment.
- How many years can I expect to keep a tooth in my mouth after successful endodontic treatment?
Depending on the condition of the tooth, the progression of the inflammation of the tooth we are treating, and possible obstacles or complications that did not allow us in the past or do not allow us now to complete endodontic treatment perfectly. Under some normal conditions, however, the patient can expect to keep treated tooth in the mouth for even decades.