The purpose of the root canal treatment is to remove the pulp, expand the root canal and prepare a filling that is impenetrable to bacteria, thereby terminating the nearly unbearable pain without the need to remove the tooth.
Root canal treatment is recommended:
In case of the inflammation of the pulp; deformations around the root tip; deep decay affecting the pulp chamber; pulp chamber opened during cavity formation; stud tooth replacement; tooth dying in injury; tooth dying in periodontal disease.
Symptoms of pulp deformation:
Spontaneous, pulsating pain; sensitivity to heat; increased mobility of the tooth; sensitivity at biting.
Root canal treatment
After the dentist has made sure with a radiograph that the root canal treatment needle reaches the end of the canal, the canal is cleaned mechanically (with root treatment needles) and chemically (Hyperol, sodium hypochlorite). The cleaned canal is dried with sterile paper threads, and a gutta-percha thread (point) confirming with the root canal length as determined in the X-ray is placed in the canal. The space between the gutta-percha point and the canal wall is filled up with a root filling paste.
The ideal root filling reaches the tip and fully fills up the entire root canal up to its walls.
Complications in root canal treatment:
Nerves and veins enter the root canal from the direction of the root tip. As a result of decay, bacteria may fill the root canal. These will quickly find their way to the neighbouring tissues: the root membrane and neighbouring bones where they can cause inflammation. This causes an acute inflammation (with such pain that the patient requires immediate treatment) or chronic inflammation, which may proceed without noticeable symptoms or with “bearable” symptoms. It is important to note that a bacterial source of infection without any symptoms can cause various dangerous, so-called focal illnesses; diseases of the eyes, skin, bones or even of the endocardium. Consequently, root treatments are just as important as that of a current inflammation. Removal of bacteria and dead tissues from the root canal is usually solved. However, any swelling in the surrounding tissues will be slow to cure. As a first step, the cause of the inflammation, that is the root canal must be cleaned and treated with a proper root filling. Then an antibiotics treatment may be necessary to help the body recover.
Root canal treatment
Infections that do not respond even to this treatment are more complicated to eliminate: treatment involves medical therapy of the root and surgical intervention (root tip removal). Electric root canal detection equipment is calibrated by the manufacturer and shows the position of the root treatment needle within the root canal. It gives out a signal along with a diagram when the appropriate position is reached (the root tip), so it is easy and simple to check the length of the root canal, which is one of the prerequisites of a successful root filling.
Of course, a radiograph is necessary before any root canal treatment. The electronic root canal measurement tool nicely complements the estimated or measured work length (root canal length) on the radiograph, providing assistance for an even more reliable and precise root filling to our dentists. Its use is contraindicated in patients with pacemakers.