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Endodontics

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Endodontics

What is the microscopic endodontics?

Endodontics is the branch of dentistry that deals with the prevention, diagnosis and treatment of diseases affecting the pulp (commonly known as “nerve”) of the tooth and surrounding tissues to the tooth.

The surgical microscope is fundamental to carry out root canal treatment as we will bring an abysmal leap that allows the operator to put at the service of the patient their full potential and knowledge to get a unique and predictable treatment regardless of the tool complexity of the case that may arise.

What is a root canal?
Endodontics is a procedure that is inside the tooth and keeps your natural teeth, bone and gum surrounding and functionality. Helping to conserve a natural smile, eat comfortably and with proper care can last as the rest of your teeth.

When you need a root canal?
When the pulp is irreversibly affected by deep decay, trauma or injury endoperiodontales. In these cases the tooth can become sensitive to cold, heat or chewing. The pain may be intermittent or constant. Even the tooth can change color or an abscess or fistula may appear. There could also be advised tooth endodontics requiring large carved for the subsequent placement of crowns or bridges.

How many sessions are needed?
In most cases the root canal treatment can be done in one session, although sometimes the patient’s condition, the technical difficulty of the case, professional experience or other parameters, two or more sessions can make necessary, again according to the professional who performs it.

Is it painful root canal treatment?
Root canal treatment is often virtually painless, since today anesthetics very effective and long-term local is used. Finishing last treatment and the effect of anesthesia, some discomfort may occur for a few days, especially with chewing, because postoperative inflammation of the tissues surrounding the tooth. In these cases it requires an adequate medication.

You can perform a root canal on an abscess?
You can not only but in most cases is the ideal treatment to solve this problem. Phlegmon occurs by the existence of an infection in the tissues surrounding the tooth, often due to a disease of the pulp (nerve). With endodontics remove the diseased pulp and got disinfecting ducts tooth.

An endodontic tooth need any special care?
After successful endodontic treatment and final restoration of the tooth by your dentist or dentist, the tooth will behave like other both in function and in duration, requiring the same health care, prevention and periodic reviews any other tooth. In some cases where any past injury in the tissue surrounding the tooth, the cure thereof is required.

Are they more fragile teeth after a root canal?
The endodontic teeth do not have to be more fragile than others, provided they are properly restored. In cases of posterior teeth, it may be appropriate to protect the cusps through appropriate reconstructions or crowns, for durability thereof.
It is important to see a dentist regularly (at least an annual review) to prevent tooth decay or other factors that may influence the prognosis of endodontic tooth. It is essential not to delay too much the restoration of endodontic teeth to avoid any complications or fracture thereof.

Is there any alternative to root canal?
Our first priority must be to try to keep the natural dentition. When this is not possible, the alternative is the removal and replacement of the tooth; but keep in mind that any form of substitution, including the implant, can compete with a natural tooth in terms of aesthetics or proprioception refers.
The only three contraindications to maintain a tooth in the mouth by a root canal are: the presence of a vertical fracture, an unfavorable ratio between the crown and root or insufficient periodontal support. Are the only cases in which alternative should be assessed
to endodontics.
Scientific studies show a similar success rate between the endodontic tooth and implant. However, while studies endodontic determine the success or failure based on clear and well defined parameters; studies analyzing the prognosis of the implants usually survival studies, ie, only observed if a certain time the implant is or is not in the mouth, but not usually consider whether there are associated complications or other important quality parameters .

What is an endodontist?
It is a dentist or dentist who has the knowledge and the technical means for carrying out any kind of treatment in the field of endodontics, from simple cases to complex, retreats and endodontic surgery.

Source: Spanish Association of Endodontics (Aede).