Endodontics is one of the most common dental procedures in cosmetic dentistry. For this reason, in this post, we are going to answer some of the most frequently asked questions about this type of treatment that we carry out in our dental clinic in Granollers.
What is endodontics and when is it necessary?
Endodontics of endo (interior) and odontoid (tooth) is characterized by being a conservative procedure through which the dental pulp or the nerve of the tooth is extracted, to later proceed to seal the pulp canal.
This treatment is normally carried out when there are untreated cavities for a long period that affect the internal pulp of the tooth. Dental trauma is another possible reason why a root canal may be necessary.
Although it is very rare, certain patients who suffer from bruxism can damage the dental pulp due to the continuous rubbing of the teeth. In these cases, the layers of the tooth gradually wear down until they reach the pulp.
Finally, there are also cases in which periodontal disease can lead to pulpal disease so that the pulp inside the tooth becomes inflamed and ends up dying.
What types of endodontics are there?
Endodontics has a double objective. On the one hand, to put an end to the pain suffered by the patient when the dental pulp becomes inflamed or infected and, on the other hand, to save the tooth to avoid having to extract it and replace it with a prosthesis.
Depending on the number of ducts to be treated, we can distinguish between:
- Single-root endodontics: they are performed on teeth that have a single root canal, such as the central incisors, the lateral incisors, and the canines.
- Biradicular endodontics: when treating pieces that have two canals, such as premolars and some molars.
- Multiradicular endodontics: it is performed on molars with three or more canals.
When can a root canal not be carried out?
We are not always going to be able to treat the tooth and save it, since endodontics may not be an effective treatment in those patients who present severely damaged teeth.
Nor can it be treated when there is a perforation of the dental roots or when the patient has periodontal disease in a very advanced state. The endodontist will assess each case individually and will be the person in charge of supervising the feasibility of carrying out a root canal.
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