Endodontics
What is endodontics?
Endodontics is the part of dentistry that deals with the diagnosis and treatment of dental pulp infection. They can occur because of a large or long-lasting carious process (bacterial cause), but also because of occlusal trauma (functional cause). Once with irreversible illness of the dental pulp occurs the necessity of a root canal treatment. The goal of endodontic treatment is to sterilize the endocanalar system to prevent the spread of infection in bone or treat it if already exists.
Clinical diagnosis and imaging (3D)
In modern endodontics there are no accurate diagnostic methods. Radiant or diffuse character of pain can aggravate identifying the causative tooth. To make a correct diagnosis are made a series of clinical tests but also radiological. Standard retroalveolar radiography, gives us an overview of the tooth and surrounding tissues, into a single plan. For a certain diagnosis but also an accurate prognosis we have the possibility to make a 3D investigation namely cone beam computed tomography (CBCT), which allows us to visualize the entire endocanalar system, the dimensions of apical reactions in all three planes and the involvement or not of the adjacent structures.
Complex endodontic treatment
Endodontic treatment is not only treating an infected tooth pulp, tooth often shows large apical lesions, or the need for retreatment. Retreatment often begins by removing an old covering crown, a metal or fiberglass pivot, foreign bodies from canals (broken needles) and old filling material. After making an appropriate treatment through a sealed, three-dimensional root canal obstruction is frequently required the insertion of fiberglass pivots. The treatment is considered complete and correct if the tooth receives in the shortest time a covering crown, to reduce the fracture risk and re-infiltration and to obtain a functional tooth.
Microscopic Endodontics
The endocanalar system has many variations. Although a tooth has, according to the professional literature, between 1 and 3 main channels, there are many secondary and side channels that cannot be seen with the naked eye. Dental microscope larger the operator image, helping him to identify secondary channels, seeing the foreign bodies in the channels and perforations from the pulp chamber floor or from channels. In this way the working time become shorter and increase the chances of success of endodontic treatment.
Endodontic microsurgery
Not always infections that occur due to an infected channel can be completely eliminated by root canal treatment. For those persistent infections can be done minimally invasive surgery using dental microscope. This means that through a minimal incision in the apex of the tooth in question the infected tissues are removed.
Internal whitening
The causes are multiple dental stain. One is the dental necrosis (death aseptic pulp). Teeth that have previously undergone a root canal treatment also shows discoloration. These teeth cannot be whitened all the time outside, they require an internal bleaching from the canal interior. In order to not affect root canal treatment, root canal orifices properly treated are protected with an insulating material. After applying the whitening agent and temporarily obstruction the results can be observed in 2 weeks or more. Often, the process must be repeated for optimal results.