Endodontics Ankara, Endodontist Ankara – Endodontics Specialist Kızılay It can be said that root canal treatment is most commonly applied within the scope of endodontics. Endodontic treatment or root canal treatment is the process of removing the living tissue consisting of nerves and vessels called pulp inside the tooth, cleaning and shaping the inside of the canal and then filling the canal.
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Root canal treatment may be necessary when there is an infection in the living pulp tissue inside the tooth, when necrosis occurs in the pulp for any reason, when the pulp tissue is exposed, or when it is foreseen that the pulp will be exposed or affected by the procedure for prosthetic purposes. These are indications to be determined by the physician. Patients can predict the need for root canal treatment in their own teeth by purplish discoloration of a single tooth, prolonged toothache that starts with heat or cold, and pain that wakes them up at night.
Endodontic treatments can help to keep the tooth in the mouth instead of extracting it. With a successful root canal treatment, you can use your teeth for a long time. Apical lesions at the root tip of teeth caused by chronic infection can be treated with root canal treatments. Not every tooth with an apical lesion should be extracted.
When endodontic treatment, i.e. root canal treatment is performed, the entrance cavity to the pulp, i.e. the connective tissue of the tooth, is prepared first. During this procedure, the tooth is anesthetized and the patient feels as if he/she is having a filling and does not feel any additional pain. If the tooth is decayed, it is cleaned and the cavity is organized. The canal lengths are then determined by apex locater and X-rays. The inside of the channels are cleaned mechanically and chemically at the determined lengths.
Depending on the condition of the tooth, sometimes in a single session, sometimes in several sessions by making dressings, root cleaning is completed and canal filling is started. The purpose of filling the canal after it has been cleaned is both to completely isolate the canal from the root tip and the intraoral part to ensure complete sealing and to support it mechanically. After the root canal filling, the treatment of the visible part of the tooth in the mouth is completed with a method suitable for the remaining tissue of the tooth, such as filling, crown or inlay/onlay applications. Thus, the canal of the tooth is cleaned and filled in a way that does not allow microbial re-entry.
After treatment, pre-existing lesions and pain at the root tip are expected to gradually diminish and heal. Sensitivity may occur at the root tip of the tooth for a while after root canal treatment.
Endodontics specialist, i.e. endodontist, are physicians who specialize in the field of endodontics by training and practicing in the relevant department of universities on dentistry education. Endodontics specialists perform procedures in the treatment of painful teeth, canal treatment of teeth before prosthesis. Thanks to endodontic treatments, many teeth that would have been considered for extraction can be saved and the patient can continue to use their own teeth without the need for relatively larger treatments such as dental implants or bridges. As with any treatment, the fact that endodontic treatment is performed by specialized doctors is one of the factors that affect the success and duration of the treatment.
For example, root canal treatment of molars can take between 45 minutes and 2 hours. In addition, incomplete or overflowing filling of the canal during root canal treatment may be a reason for failure after root canal treatment. In addition, as a result of some complications such as perforation in certain parts of the teeth, it may be necessary to extract the teeth that have started root canal treatment. For these reasons, it is of great importance that endodontic specialists perform root canal treatments. In addition to the above, patients can use their teeth for a long time with successfully performed root canal treatments.
Before you make an appointment for your endodontic treatment, your dentist should examine you and decide what treatment should be done to your tooth. Root canal treatment is not performed for every tooth that hurts, and sometimes even teeth that do not hurt may require root canal treatment. Your appointment time is affected by many factors such as the location of your tooth, its accessibility, your compliance with the treatment, the number of canals in your tooth, the slope of the canals, whether there is a blockage or whether it has undergone canal treatment before.
In some cases, endodontic treatment applications are preferred for patients in a single session, while in some cases, more than one session is planned and some intra-canal medication applications are made in the intermediate sessions. Which one is suitable for your tooth should be decided by the endodontist performing the treatment. Patients are usually given a separate appointment for restorative procedures after endodontic treatment, so that both the healing of the tooth can be observed and the patient is not tired by applying treatment in the same session in a row. However, when time is limited in patients coming from abroad or from out of town, the procedures can be completed in a single session as much as possible.
In the endodontics clinic, treatments such as root canal treatments, renewal of previous root canal treatments, apexification guidance are performed. For these procedures, in addition to classical dentistry tools and devices, there should be devices and instruments used in root canal treatment such as apex locators, X-ray devices, endomotors and files.
In particular, the use of imaging methods is crucial for successful endodontic treatment. Although the root canal length is determined using the apex locator, various checks are made during the procedure with radiographs. During the procedure, controls are performed with radiographic imaging at stages such as determining the length of the canal and controlling the length of the canal filling. Continuing the treatment at the correct canal length and filling the canal is critical for the success of the treatment. In teeth with incomplete or overfilled canals, apical (root tip) lesions may be observed in the future with biting or spontaneous pain.
Poorly made canal fillings in the mouth can be removed and canal treatment can be applied to the teeth again. In cases of retreatment, lesions at the root end of teeth can heal. In some cases, it may be necessary to perform an apical resection procedure, in which the root tip of the tooth is surgically removed after the root canal treatment has been redone. In cases where treatment cannot be carried out with the above alternatives for various reasons, tooth extraction may be considered as a last resort.
Frequently Asked Questions
Endodontic treatment or root canal treatment is the process of removing the living tissue consisting of nerves and vessels called pulp inside the tooth, cleaning and shaping the inside of the canal and then filling the canal.
When endodontic treatment, i.e. root canal treatment is performed, the entrance cavity to the pulp, i.e. the connective tissue of the tooth, is prepared first. During this procedure, the tooth is anesthetized and the patient feels as if he/she is having a filling and does not feel any additional pain.