Medical and dental clinic | Treatment of dental canals

Treatment of dental canals

Root canal (endodontic) treatment. “Endo” is Greek for “inside” and “odont” means tooth. Endodontics is the study of the “inside” of the tooth, the treatment of root canals. Endodontic treatment is a complex and meticulous procedure that contributes significantly to the preservation of natural teeth. If there is even the slightest possibility, our clinic’s specialists will do everything possible to preserve your teeth for as long as possible.

What is root canal (endodontic) treatment?

The main goal of endodontic treatment is to destroy micro-organisms in the root canal system and protect the tooth and surrounding tissues from infection.

In the tooth, there is a soft tissue under the hard layer of enamel and dentin – the pulp. It is made up of nerves, blood vessels, loose connective tissue and various cells. If the pulp is damaged, the tooth loses its blood supply and innervation and becomes unviable. The most common cause of bacteria entering the root canal system is dental caries (tooth decay). The pulp can also become infected as a result of trauma or damage to the tooth (fractures, cracks, wedge defects, etc). In all such cases, root canal (endodontic) treatment is already required.

Untreated root canals are a hotbed of infection, increasing the risk of heart disease by several times.

Do you have further questions? Call +370 692 38498 or email info@vingioklinika.lt

Success rate of root canal treatment

Endodontic root canal treatment is a particularly meticulous and knowledgeable procedure. In our clinic, the endodontic dental treatment service is provided using the latest technologies that are used in endodontic treatment today. Only working with proven materials.

After mechanical and chemical cleaning of the root canals, the root canals are filled with a special filling material – gutta-percha. The prognosis of endodontic treatment is very high (often 96-100%), but it is important to remember that this success is only achieved when a high-quality root canal treatment is followed by a timely restoration of the crown of the tooth (by filling with a permanent composite filling, a prosthesis with a cap or a crown) (2-3 weeks after the treatment at most). It is also important to know that it is the back teeth that often need a crown after endodontic treatment to prolong the prognosis of this tooth.

Endodontic treatment is needed when, in the case of untreated caries or trauma, micro-organisms enter the tooth pulp through dentin tubules. This is followed by inflammation of the pulp – pulpitis (commonly known as “nerve” inflammation). It usually manifests itself as pain or sensitivity to cold/hot stimuli. If left untreated, pulp inflammation spreads beyond the root of the tooth to the surrounding bone. This is followed by apical periodontitis – inflammation of the tissues around the root. The patient feels pain when chewing or touching the tooth, and the tooth feels “lifted”. An abscess can be grasped next to the tooth, and an “abscess” (fistula) can be seen through which the pus is separated. If left untreated, such a tooth may have to be removed due to inflammation in the bone.

If the inflammation of the pulp is chronic and the patient does not feel pain, the lesion can be diagnosed during the examination and radiological examination. A discoloured tooth can be a warning of a “dead” tooth. In all these cases, endodontic treatment is required after the necessary tests have been carried out and a diagnosis has been made.

To avoid endodontic treatment, it is important to:
– timely diagnosis and treatment of tooth decay;
– regular oral hygiene and oral health assessment;
– X-rays on request.

Root canal treatment, like all other medical procedures, is not guaranteed. To a very large extent, the life of an endodontically treated tooth will depend on:

– the proper restoration of the crown (whether the tooth was properly restored with restorative material, or whether it was prostheticised in time if necessary);
– the position of the treated tooth in the dental arch (participation in the denture design);
– the resulting chewing load;
– the periodontal condition, i.e. the condition of the tissues surrounding the tooth;
– general oral health.

In cases where root canal treatment under microscopy is required, e.g. complex root canal anatomy, “calcified” root canals, etc., we refer the patient to our collaborating colleagues who treat root canals under microscopy.

Recommended:

– an X-ray of the problem tooth (which provides a more accurate view and assessment of the condition of the roots of the specific tooth than a panoramic X-ray);
– Timely professional oral hygiene is always preferred;
– proper personal oral hygiene to work in a “clean environment”.

Prices

    Name

    • Sealing of a permanent tooth (S) 60-70€
    • Sealing of a permanent tooth (M) 80-90€
    • Sealing of a permanent tooth (L) 100-120€
    • Anaesthesia/local anaesthesia 9-19€
    • Anatomical restoration of a worn tooth with a composite (filling) 79-99€
    • Tooth preparation, polishing 29€
    • Emergency dental / endodontic care 89€
    • Cleaning of old fillings and tooth revision 69€
    • Temporary seal 29-49€
    • Preparation of one root canal for filling (initial treatment) 49-89€
    • Preparation of one root canal for filling (retreatment) 59-99€
    • Single root canal filling 69-89€
    • Ultrasonic removal of denticles (pulp stones) 49-79€
    • Placement of calcium hydroxide paste in the root canal 29€
    • Removal of a fracture, foreign body, plaque from a root canal 39-59€
    • Root canal filling/perforation closure with MTA 49-69€
    • Restoration of the tooth cultus with a glass fibre pin/pins 99-149€
    • Disposable measures 15€
    • Microscope work up to 15 min. 15€
    • Microscope work up to 30 min. 30€