ENDODONTIC TREATMENT

It is the treatment that is commonly known as “removal of tooth nerve” among public. Due to a disease that effects the pulp layer; using special systems vein and nerve packs inside crowns and root canals are cleaned. During this treatment files according to canal structures, canal length measuring devices, x-rays and disinfecting solutions are used. It can be completed in a single session. But the session count; infection amount, resistance, depends on variables such as whether the tooth has lost its liveliness completely. From tooth to tooth canal morphology and amount can vary.
From the sources the success rate of root canal treatment is determined as %90-95. Long term antibiotics usage and chronic traumas can lower the success. The purpose of treatment; prevention of tooth loss, for tooth to be able to function healthily inside the mouth.
Years ago in the cases where the pulp is infected it was thought teeth extraction was the only choice however today root canal treatment is proven to be successful.

Its applied in the cases where pulp tissue cannot heal itself and has lost its liveliness or is losing its liveliness. It’s a treatment that saves tooth from tooth extraction. Microorganisms that proceed through tooth enamel and dentin tissue effect pulp tissue of the teeth, and can make root canal treatment a must. Other factor is the nerve connection that was broken or damaged due to trauma.
It can be described as spontaneous pain, chewing and pressure caused pain, pain that causes a person to awaken during sleeping, pain that cannot be subdued with pain killer. The problem is infected pulp. Antibiotics usage only provides a temporary solution. Based on the severity of the infection source it can reoccur quickly but can also develop months later. Repressed infection will also gain resistance and getting a positive response become harder.
If resilient infections are not cured despite root canal treatment, there might be a need for a surgical operation done on the nerve ending. A window will be opened near the nerve ending and the tissue that couldn’t be healed is cleaned then window is closed. This operation is called apical resection (Root Tip Surgery). Indirect endodontie success, when paired with surgery on necessary conditions will increase more. Even though many root canal treated teeth can function like regular teeth inside mouth, on some occasions there can be negative results after months or years. In these cases, Retreatment which is repetition of the root canal treatment.

There is many bacteria and microorganisms inside inner mouth locations. Routinely these won’t cause problems but if bacteria were to reach the nerve tissue of the tooth pain will begin. These bacteria reach tooth pulp due to a deep crack or breaks inside tooth or if the rotten tissue passes tooth enamel and dentin. Upon reaching pulp infection symptoms will begin and in time the tooth will lose all its liveliness.
Another reason is trauma. A high impact related damage can disrupt blood flow of the tooth, vein nerve packs can be dismantled and the tooth will lose liveliness due to this. In severe gum diseases if not controlled the nerve ending is infected and again loss of liveliness process will begin.

After a single session treatment its normal for the first two days for patient to have increased paint. The sensitivity during biting will last for approximately for two weeks. There could be varience in this information from person to person.
Reoccurrence of abscess or swelling is not expected. In these cases detailed x-ray analyst can be made possibly resulting in planning of repetition of root canal treatment (Retreatment).

Even though it’s a treatment with very high success rate; There won’t be aching %100 or there won’t be infections after 3 years and alike statements cannot be made.
To prevent related problems, the patients are advised to make regular controls. Because there won’t be a need to wait for bigger problems for issues that can be solved with small interventions. If there is a small break or if there is a need for small filling that operation has to be done, if when the filling falls off or when the breaking occurs and it won’t be intervened bacterial leakage can cause an infection. After root canal treatment there seems to be no recovery in lesion and lesion occurrence is observed in the future; repetition of root canal treatment (retreatment) or apical resection can be applied.

Treatment starts with the application of anesthesia to the local area. The rotten area is cleaned and old fillings are removed and the crown part of the tooth named pulp which is the nerve tissue is reached. Using special file systems and solutions extensions of the pulp are removed.
If the infection flow or chronic problem doesn’t exist it can end in a single session or it can be done in multiple sessions. In two sessions teeth treatment medicine will be inserted inside the canal and a temporary filling is applied to the upper part. In the next session, the temporary filling is removed and the root canal treatment is continued. Treatment that is needed to be done on the upper part of the tooth; filling, crowning, endo crown process is completed to finish the treatment. Because the treatment operations are done under anesthesia root canal treatment does not cause teeth to ache. Only when the mouth is opened for extended periods of time there can be fatigue.

This process is applied when root canal treatment is unsuccessful and it couldn’t solve the problem.
During renewal treatment firstly the filling on the crown part of the teeth is removed and root canals are reached. Materials that were used during root canal treatment are removed using special medicine. The entire root area is cleaned and disinfection is done using solutions. If needed the process is completed in sessions. After healing is observed canal filling is done and treatment is over.

Infection forming again after completed canal treatment from failure to do upper filling thus causing leakage. Failure to do enough cleaning and canal filling in the root area. Failure to do proper superstructure restoration, it’s breaking, falling. Canal Anatomy. (Extreme narrowness in canals, slopes) existence of extra canals that were unnoticed in treatment. Failure to do a good washing during canal cleaning, file curvature that can be formed to narrowness.
Over pressured treated tooth due to overloading. Existence of lesion of a large size that cannot be healed. Teeth to undergo perforation from an unwanted direction. And alike reasons such as these examples cause root canal treatment which is very successful under ideal conditions to be unsuccessful.

In ideal conditions, there can be pain for 2 days following the treatment. The next day after root canal treatment painkillers can be used its normal unless there is intense pain.
When pressure is applied to that tooth and biting there will be a pain sensation that will fade in approximately two weeks. It can be thought of as the healing of a wound.
If “I have pain in my tooth that undergone root canal treatment some time ago” and alike problem exists, you should consult a dentist as soon as possible.

Today with new developments, the success of the sensitivity requiring root canal treatment is increasing. Root size measuring devices that weren’t discovered years ago, spinning file systems, uncommon x-ray viewing system serve the endodontie field. Treatments are done in ideal conditions where the patient gave enough care, there is a high rate of %90-95.

When the pain doesn’t go away after some time or appears afterwards you need to reach your doctor as soon as possible. With the x-rays, cause of the problem will be determined. It can be caused by teeth grinning as well as a recurring infection.
Reasons for root canal treatment to fail are evaluated. The source of the pain is determined and appropriate treatment is done to the cause.

If a successful root canal treatment can be done and by the patient; oral care, pressure balance done with regular control it can remain in the mouth for many years.
For a tooth that can be saved using root canal treatment, it’s not needed to be extracted and it’s not needed for a dental bridge or implant to be made in that area. It is more comfortable and economic for a person to use his natural teeth. Implant and dental bridge prices are more expensive than root canal treatment prices and are more challenging. Based on material loss reason and amount filling or veneer can be done to restore the tooth. Disadvantages of root canal treated tooth; increase of fragility due to removed vein and nerves which caused blood insufficiency. This situation can be solved by using the appropriate veneer. This is why superstructure restoration is important. Your doctor will tell you whether filling or veneer is necessary.