Wurzelbehandlung Berlin – And your tooth can be saved
When must a root canal treatment be made??
Teeth have living tissue inside them, the so-called pulp, which contains a tooth nerve and blood vessels. When this delicate tissue is inflamed, only a root canal treatment, colloquially often called short root canal treatment, helps.
In the healthy tooth, the sensitive interior is protected from bacteria by the dentin and overlying enamel. However, this protective sheath can be destroyed. For example, by tooth decay. The bacteria can then freely penetrate to the pulp and cause an inflammation there. This usually causes severe pain for the patient. In some cases, however, the inflammation goes unnoticed. In any case, that is very dangerous. For once the entire tooth pulp is destroyed, the pathogens penetrate into the jawbone. Then there arises a chronic inflammation. The can be detected as a cyst or granuloma on the radiograph.
The purpose of root canal treatment is to remove the bacteria from the root canal to prevent their penetration into the jawbone. If there is already existing inflammation of the jawbone at the apex of the root, then the root canal treatment must also heal it. If previous root canal treatment was unsuccessful, it may occasionally be necessary to renew old, poor, or insufficient root canal filling. Such teeth are often symptom-free and are discovered by chance during routine X-rays.
How is a root canal treatment performed??
Root canal treatment requires a high degree of sensitivity from the practitioner. The therapy may also extend over several dates. Especially when it comes to strongly curved or narrow root canals.
- First, an X-ray of the particular tooth must be made to determine if root canal treatment is feasible at all.
- After the tooth has been “drilled out”, the inflamed or dead nerve is removed from the interior of the tooth. As a rule, the tooth is anesthetized before. Root canal treatment is therefore usually not painful, except perhaps for extreme inflammation.
- The root canals are now cleaned to the root tip with delicate flexible instruments and extended and determined by X-ray their position and location in the canal and the total length of the tooth.
- Because despite thorough cleansing in the channels still living bacteria can remain, an antibacterial drug can be introduced into the root canals. This remedy remains closed with a provisional filling until the next appointment in the root canal.
- At the final session, the dilated and cleaned root canals are filled with cementitious material and gutta-percha pins. A new X-ray image now controls the tightness and length of the completed root canal filling.
A major problem with root canal treatment is that it is very difficult to remove the inflammation-causing bacteria in the highly branched root canal system with the previous methods. The unfortunate result in the worst case: Despite all efforts, the tooth must be pulled.
In order to increase the probability of success of this measure, it is recommended to additionally use photodynamic therapy for the disinfection of the root canal – an innovative therapy method for combating bacteria with state-of-the-art laser technology.
Main advantages over standard methods:
- significantly higher probability of success of the root canal treatment and thus the tooth preservation
- significantly shorter treatment times
- significant pain reduction
How the therapy works:
In addition to removing the nerve tissue and dilating the root canals, a blue dye solution is applied to the root canals. This solution is a so-called photo-sensitizer, a dye that reacts to laser light of a certain wavelength. The dye molecules attach to the bacterial membrane, causing the bacteria to stain. Finally, the exposure is done with a gentle therapy laser. The laser light causes the formation of active oxygen, which damages the bacterial membrane and destroys the bacteria. Following this, the root canals are filled and the tooth is supplied.
Overall, root canal treatment is a special form of therapy that we use to obtain one of your teeth whose tooth root is already dead or inflamed.
Indication for a root canal treatment
The factors that require root canal treatment vary. Mostly, however, there is an inflammation of the pulp, which has often been caused by a carious defect in the tooth. As a result of these processes, the tooth nerve is now irreversibly inflamed or already dead, which can lead to pain or inflammation of the entire periodontium apparatus. The disease can be present in both acute and chronic form. In both cases, however, root canal treatment is required to maintain your tooth.
Objectives of root canal treatment
Above all, the medical goals of your root canal treatment are to remove an inflamed or dead pulp from your tooth and jawbone – and all of your germs with it. This also causes the pain to abate immediately and then disappear completely. In addition, inflammatory processes are stopped by the removal of the pulp, so that spreading the inflammation on the holding apparatus of your tooth avoided and thus the tooth can be obtained. Due to the local anesthetic, your root canal treatment is completely painless. By filling a germ-free and bacteria-proof closure of your root canals is achieved. The tooth is preserved and can be used completely normal again. The filling of the root canals and the cementum can be removed if necessary.
Course of root canal treatment
The root canal treatment in our practice is as follows: If your tooth is still vital and only the nerve, the pulp, irreversibly damaged, the dentist first stuns the tooth. The pulp destroyed by inflammatory processes is removed with a needle. Subsequently, the bony walls of your root canals are cleaned with tooth files of varying thickness and thus mechanically prepared and prepared for subsequent treatment. This process is painless for you. Once the canal walls have been cleaned, your root canals are flushed with sodium hypochlorite solution. The root canal treatment is over and your tooth can be closed again. However, it may be necessary to clean all root canals in multiple sessions. After cleaning the root canals they are now filled with a kind of sealant, the so-called gutta-percha. The gutta-percha is an absolutely biocompatible and very stable mass. On the gutta-percha, a kind of sealing cement is given to close your tooth. However, it is also possible to close the root canals with pins of gutta-percha. Now the inflamed material and the inflamed pulp are removed from your jawbone, the root canals are cleansed and the tooth is closed again with dental cement. If the tooth is no longer vital and the pulp is already dead, the treatment is analogous.
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