Endodontics is the branch of dentistry that is dedicated to the pathology of dental pulp, composed of blood vessels and nerves, which is found inside the tooth (root canal).
The objective of an endodontic treatment or “devitalization”, as it is commonly known, is the eradication of bacteria and conservation of the tooth, bone and gum that surrounds it, as well as the preservation of its functionality.
In what situations is this type of treatment necessary?
Dental fracture or trauma are some of the situations indicated for endodontic treatment, but the main reason is due to dental caries. When the caries injury reaches a deeper area of the tooth, the dental pulp becomes inflamed, losing its ability to defend itself and recover. This state, irreversible, is usually accompanied by cold and hot pain, acute pain when chewing or even spontaneous pain.
What is an endodontic treatment?
The endodontic procedure consists of an access cavity to the inside of the tooth, allowing the cleaning and disinfection of the root canals, with resources to manual and/or mechanized instruments and irrigation solutions. The end of the treatment is done by filling the canals with an adequate material.
Is endodontic treatment a painful procedure?
This treatment should not cause pain, since it is performed under local anesthesia. Sometimes, in some teeth, it can be slow to reach a deep level of anesthesia, but it is always possible.
However, there are severe underlying infections or inflammations that must be previously measured with adequate medication, and the endodontic treatment is carried out a posteriori.
After the treatment, when should the tooth restoration be done?
When the endodontic treatment is finished, and with the root canals definitively sealed, the tooth should be restored as soon as possible, either with a conventional restoration or with a fixed prosthesis work.
What is the duration of this treatment?
When a tooth is treated endodontically, it is with the aim of long-term durability. However, we must not forget that a tooth subjected to this treatment is not immune to new caries and, in addition, a “devitalized” tooth, by losing all its nervous content from inside, no longer signals dental aggression. Therefore, it is essential to have periodic check-ups in order to guarantee the longevity of these teeth.
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