Endodontics

Endodontics

Endodontics is a specific branch of dentistry that is concerned with the roots and soft matter below the tooth, it mostly involves the treatment of the internal part of the tooth referred to as dental pulp.

Endodontics most common procedure is root canal treatment. The root of the tooth is hidden beneath the gum line, the part that is visible to the eye is referred to as the crown. The inside of the the tooth root is known as the inside channel or "root canal" and holds a pulp of soft tissue, blood vessels and nerves. Tooth decay, periodontal disease, tooth fracture and other problems can mean that bacteria gets into the pulp and when this happens endodontic treatment needs to be undergone to remove the diseased pulp. If this diseased pulp isn't removed the tooth may fall out or further infection and inflammation may occur. If the endodontic treatment is successful, the tooth will carry on healthily. Alternative endodontic treatment would be to remove the entire tooth.

The majority of Endodontic treatments in the United Kingdom are carried out by General Dental Practioners, however in some cases the regular dentist will not feel confident in carrying out the treatment themselves. They may feel this way after treatment that has not been successful, narrow and curved root canals and possibly the complex anatomy of molar teeth. An endodontic specialist is a qualified dentist who has received broader training in the treatment of such difficult problems.

There may be some risks to endodontic treatment.

Sometimes the tooth has four root canals, when the dentist may have only spotted three; if the fourth root canal is not treated infection may spread on into the bone. The more experienced the dentist is, the less likely this is to occur. It can also depend on the equipment that the dentist is using, the better it is, the less likely they are to miss the fourth canal. It is also essential for the dentist to make sure that the filling they give goes right down into the canal, to fill it up.

Sometimes, it is possible that the root of the tooth cracks during the procedure; this makes it hard to fill the tooth effectively. The specialist can resolve almost all the instances right away. Patients may experience bruising at the anaesthetic injection site and there may also be some temporary swelling.

Sometimes there may be breakages of files or other instruments inside of the tooth. In some cases these instruments are not recoverable from the tooth, if this happens; the diagnosis of the treatment is limited. Another risk of endodontic treatment could be if the tooth fractures after endodontic treatment has taken place but before the final restoration is done (e.g. crown or onlay). Sometimes a fracture leaves the tooth un-restorable because of how expensive and time consuming the root canal treatment has been, though not highly common, this is certainly still a risk. If there is a breakage of an instrument during treatment, while cleaning out the pulp inside the root canal, it can only be removed later by a specialist endodontic dentist.

There have always been the two options of extraction or root canal therapy, but in this day and age it is possible to extract the tooth and provide an implant in its place, though this will to be more costly.

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Endodontics

Endodontics is a specific branch of dentistry that is concerned with the roots and soft matter below the tooth, it mostly involves the treatment of the internal part of the tooth referred to as dental pulp. Endodontics most common procedure is root canal treatment. The root of the tooth is hidden .... read more


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