Root canal treatment

After the completion of the endodontic treatment (tooth denervation) a permanent restoration should be placed on the tooth as soon as possible, in order to ensure the long-term preservation of its integrity and functionality. The restoration of the tooth can be performed with a simple filling, a resin or porcelain inlay, or a porcelain crown and an intramural shaft.

The type of permanent restoration depends on how damaged the tooth was before the endodontic treatment, but also on the position of the tooth in the mouth. In the back teeth (molars), restoration with porcelain crowns and shafts is usually recommended, always with the aim of maintaining the integrity and functionality of the teeth in the long term.

In cases of failure, alternative treatments include conservative repeat endodontic treatment, surgical endodontics (acrorrhizectomy) or extraction of the offending tooth.

Many factors influence the progress of endodontic treatment. Of decisive importance is the initial condition for which the endodontic treatment was performed, the perfection of the endodontic treatment and the subsequent molar restoration, as well as the general and oral health of the patient.

The tooth is often weak and it is necessary for its protection to be restored soon by your dentist. It is often preferred to make a bezel (case). Until the restoration it is better not to bite hard on this tooth, but after it you can use it normally.

Endodontic treatment has a high probability of success. the success rates for endodontic treatments carried out by an Endodontist reach 85-95% in the literature. However, it should be noted that it is impossible to absolutely guarantee the success of any medical or dental treatment.

Even after performing the best possible treatment, healing may not occur due to circumstances beyond the dentist’s control and responsibility. If this happens further treatment may be needed to remove the infection.

Each case is unique. Most endodontic treatments are completed in two or three visits, which take place over a period of one or two weeks. Some cases can be successfully completed in one session. The number of sessions required to complete an endodontic treatment depends on the microbial load of the root canals, the clinical symptoms of the patient and the degree of difficulty of the case.

After the completion of each session, the dentist seals the access cavity with a temporary occlusive material, which ensures the tightness of the p.s. and enables the patient to use it normally.

Endodontic treatment during its stages is not painful. It is usually done under anesthesia. Sometimes after the end of each stage there is discomfort that worsens with chewing. This discomfort lasts from 1-3 days and is controlled with painkillers and less often with anti-inflammatory drugs.

When your denervation is complete, a temporary filling is placed. The tooth continues to draw nutrients from the surrounding tissues, but must be permanently restored. You need to restore your tooth permanently. The type of restoration chosen depends on the location and condition of the tooth.

It is also important to get your tooth restored as soon as possible because the temporary filling will wear off over time and the tooth may break or even become infected.

When endodontic treatment (denervation) is done in the correct scientific way your treated tooth can last for your entire life. It, like your other teeth, needs proper care, which includes brushing, flossing and, most importantly, a six-month visit to the dentist for a cleaning and check-up.

This is very important because the control can prevent problems that if left to develop, e.g. a small cavity needs a simple filling, a large cavity after endodontic treatment may also mean extraction if the cavity has progressed too deep under the gums.