In our joint dental practice in Munich, patients are treated extensively according to the guidelines of the German Society for Endodontics (DGET). A root canal treatment (endodontics) is the only way to return to everyday life in cases of severe toothache, which can often occur suddenly. The pain of a disease of the tooth root plagues patients very much – a quick visit to the dentist and a quick treatment of the disease is the top priority.
You’re plagued with pulsating toothache? Have your teeth been extremely sensitive to heat or cold for a long time? The Nymphenburg dentists will help you. An examination in our dental practice in Munich provides information as to whether root canal treatment is necessary. In our practice you will also be quickly treated in an emergency and receive a detailed diagnosis as well as prompt and predictable appointments for root canal treatment / root canal treatment. Dentist Vesna Jambrovic, certified expert for endodontics, is at your disposal to quickly carry out root canal treatment for patients in the Munich area.
Finally painless: Endodontics / tooth root treatment
Due to illnesses or accidents a tooth root treatment may become necessary. It is always an attempt to preserve a tooth and therefore not to have to remove it. The long-term success of such a treatment depends to a large extent on the quality and the effort with which it is carried out. In many cases, long-term tooth preservation can be achieved with the help of special materials and equipment.
Causes of inflammation of the dental nerve
Possible causes for inflammation of the dental nerve (pulpitis) can be advanced caries, leaky or defective fillings, physical or chemical irritations. The symptoms of inflammation can be either acute or chronic. In the case of chronic pulpitis, the patient often does not notice for a long time that the tooth nerve is dying or has already died. Only when the dead pulp is inflamed does the patient experience pain. With acute inflammations, on the other hand, the patient has (severe!) pain at the moment.
If a tooth causes problems to the patient due to irreversible damage to the nerve, it is necessary to remove the nerve as leaving the inflamed pulp can cause pain and damage the surrounding bone.
Optimal treatment results
In order to guarantee optimal treatment results, we use an operating microscope and special highly flexible, machine-operated root canal instruments in our practice for the preparation of root canals to identify and prepare additional root canals and branched root canal structures. We also use special disinfectant rinses, rubber dams (absolute drainage) and modern, high-quality materials for root canal filling.
The final stabilizing treatment of the treated tooth also contributes to the success of the treatment.
Procedure of a root canal treatment
A root canal treatment takes place in several steps and over several sessions.
- The first step is a precise clinical and radiological diagnosis. Then, if necessary, the patient is given an anaesthetic injection and a rubber dam is usually applied together with a bracket suitable for the tooth. If necessary, caries is removed and, if necessary, a build-up filling is placed.
- In the next step, an access cavity is placed in order to have direct access to the root canal system. It is now possible to check whether the canals found are continuous and thus whether preparation of the root canals can take place.
- The length of the root canal or root canals in multi-rooted teeth is now determined very precisely with the aid of an endometry device. This means that in most cases an X-ray can be dispensed with. Subsequently, the canal is mechanically prepared to the desired length using the system used in our practice in order to ensure removal of the infected tissue. The files are made of a nickel-titanium alloy and are characterized by their high flexibility and stability. In this way, root canals can be safely and efficiently freed from the diseased tissue and the canal can be shaped for later root canal filling.
- In addition, special rinsing solutions are used during the treatment, which have a strong germicidal effect and are even effective against certain problem germs.
- After completion of the preparation, the canal(s) are dried and a medicinal insert is inserted into the tooth to kill off any remaining germs. As a last step, the tooth is provisionally closed.
Depending on the severity of the previously existing inflammation, the change of medication is repeated several times until the root canal is then free of inflammation and germs.
If you have any questions, please do not hesitate to contact us in our practice as a dentist in Munich!