Root canal treatment

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About the disease

Trauma or caries destroys the tooth, and an inflammatory process develops inside. As a result, the pulp - the soft tissue with nerves and blood vessels in the dental chamber - is damaged, as well as its root canals.

The condition is accompanied by acute or increasing throbbing pain and is dangerous due to the appearance of an abscess and destruction of the bone tissue of the jaw. Timely treatment of tooth canals helps to avoid their removal and the development of complications.

About the disease

General information

Each tooth in the jaw has a certain number of roots, inside of which there are thin tubes - channels with nerve endings and vessels responsible for feeding the tissues. The front incisors have one root, the chewing premolars and molars have 2 or 3 roots and, accordingly, the same number of canals.

Chewing lateral teeth have a more complex system of canals. They can follow a tortuous path and have several small branches. Endodontic treatment involves the complete removal of diseased neurovascular tissue inside the teeth from the crown cavity to the root tips.

After thorough cleaning, disinfection and hermetic sealing are carried out. If the contents of the canals are not completely removed, repeated inflammation with complications develops under the new filling, after which the tooth can rarely be saved.

Diseases for which dental canal treatment is performed

When a tooth decays, an inflammatory process occurs, which is accompanied by pain and swelling of the gums. The presence of these symptoms indicates damage to the pulp, in which removal of the nerve and cleaning of the canals is indicated. Treatment is carried out strictly according to indications after x-ray diagnosis, if there is a risk of inflammation and infection of surrounding tissues.

Diseases that require endodontic therapy:

  • Pulpitis - inflammation of the neurovascular tissue inside the tooth (pulp)
  • Periodontitis - inflammation of the gums and tooth root (periodontal)

Both diseases are accompanied by acute or aching pain, which intensifies at night. At later stages, suppuration forms in the gums, and fistulas may appear - breakthroughs with leakage of purulent contents. Pulp necrosis is not always accompanied by pain, but only in cases where the lesion has reached the nerve endings. At the first stage of caries or with a crack in the enamel, a process of destruction may begin, which does not yet cause pain.

Treatment of tooth canals can be cheap at the initial stage, if there is no extensive inflammation and destruction. In this case, the price of the dentist’s work will include partial removal of the affected tissue and filling.

Removal of neurovascular tissue during endodontic dental treatment is an extreme measure, since after this the tooth “dies,” which makes it more fragile under subsequent chewing loads. To save a tooth, it is important to promptly contact a dentist at the first signs of caries or damage to the tooth surface as a result of injury.

General information about root canal treatment

Modern methods of tooth canal treatment

Endodontic therapy using arsenic or resorcinol-formalin, which leads to nerve death, is no longer relevant. These methods are toxic and have a negative effect on the body.

Modern techniques involve two methods:

  • Therapeutic - with pulp preservation. Used at the initial stage of the disease with minor inflammation. The doctor separates the healthy tissue from the diseased one and applies the medicine, fixing it with a temporary filling. After the inflammation is relieved and part of the pulp is removed, the tooth is sealed permanently. In some cases, the medicinal composition is applied directly to the dentin
  • Surgical - complete extirpation of the pulp. The entire soft part of the dental cavity is removed, followed by disinfection and sealing of the canals. It is carried out in cases of damage to nerve endings. The doctor uses standard filling material or hot gutta-percha to seal cavities

When treating a tooth canal, opening can occur through the crown or from the gum side. This removes the top of the root. If the patient is diagnosed with a granuloma, cyst or gum perforation, resection is performed near the root.

Stages of treatment

Sequence of endodontic therapy:

  1. Diagnostics. It includes a visual examination of the patient’s oral cavity, taking X-rays or CT scans to assess the internal condition and identify the source of inflammation. Based on the examination results, the doctor selects a treatment method
  2. Pulpectomy. An anesthetic is injected into the gum, then the doctor opens the surface with an instrument. The tooth canals are cleaned and the pulp is removed. After this, the cavity is washed with an antiseptic
  3. Canal filling. Open and cleaned dental canals are filled with filling material. The doctor can use gutta-percha or paste to seal the roots, a hardening polymer, and also combine a pin structure with a filling. Hermetically filling the canals with hot gutta-percha is considered an innovative and effective method
  4. Crown restoration. After filling the coronal part with a filling, the tooth is given the required shape. In case of extensive destruction, an inlay or an artificial crown is installed. May require implantation of a pin for strengthening

In most cases, the doctor performs endodontic therapy in one visit. With the surgical method, temporary fillings are not used. The duration of the session depends on the complexity of the work and the number of dental canals, ranging from 25 minutes to 2 hours.

Treatment of root canals using a microscope

In modern dentistry a dental microscope is often used. The device allows you to enlarge the work area up to 30 times and perform a high-quality pulpectomy. During the manipulation, the endodontist looks at the working field through a monitor, where the desired area is illuminated and magnified many times using powerful optics.

Using a microscope improves the quality and accuracy of a doctor’s work. When cleaning or retreating tooth canals it is possible to remove only damaged tissues without affecting healthy ones, leaving no areas for re-inflammation. The microscope allows you to extremely accurately coordinate the dentist’s actions and control the depth of immersion of the instruments in order to avoid perforation or insufficient treatment of thin canals. This is especially important with a complex structure of root passages and many branches.

Our doctors
Shcherbakova
Valentina Frantsevna
Head of the Department of Dentistry, dentist
Egorova
Natalya Vasilevna
Head of the Department of Dentistry, dentist-therapist
Elfimova
Natalya Vladimirovna
Head of the dental department, dentist-surgeon, implantologist
Cherkasov
Alexei Andreevich
Dentist-surgeon, implantologist, therapist
Samoilova
Nana Nugzarovna
Dentist-therapist, microscope
Ivashkevich
Sergei Georgievich
Dentist-surgeon, implantologist
Samartseva
Natalya Victorovna
Dentist-surgeon, implantologist, therapist
Korneeva
Evgeniya Sergeevna
Dentist-surgeon, periodontist
Bagaev
Omar Makhachevich
Dentist-therapist, pediatric
Grigoryeva
Regina Bogdanovna
Dentist-therapist, endodontist
Najaryan
Liana Artyomovna
Dentist-surgeon, implantologist
Kholina
Evgenia Nikolaevna
Dentist-therapist, pediatric
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Price

Reception
Price
Appointment of a dentist-therapist primary
from 4 600 ₽
Reception of a dentist-therapist
from 4 100 ₽

Answers to popular questions

Cost of root canal treatment in Moscow

Dental clinic "K+31" offers a wide range of services in therapy, prosthetics, bite correction, whitening and endodontic surgery. We provide root canal treatment at an affordable price. Traditional methods of therapy and surgery are used, as well as innovative technologies carried out using optics.

How much treatment costs depends on the number of tooth canals, the complexity of the work, the need to use a microscope, reinforcing structures, implantation of pins and restoration method.

To make an appointment with a dentist, you must call the phone number provided or leave a request on the website. The administrator will contact you and advise on price, recording time and other issues.

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