ROOT CANAL TREATMENT - OBTURATION

The development of the disease

If the caries is so severe, that it extends or nears the pulp chamber, which contains vessels and nerves, pulpitis develops. Another reason for root canal treatment, is necrotized teeth due to an oversized restoration, or widespread caries. Since the blood circulation in the tooth ceases, the blood is no longer able to remove bacteria, which begin to multiply in the periodontium and the surrounding bones - this can lead to infection. Infected teeth can be responsible for inflammatory changes at other sites in the body (such as alopecia areata, skin rashes, ophthalmological, urological or joint inflammations). The pulp could also be infected if the tooth fractures, or in case of severe gingival recession, when the bone does not adequately cover the teeth. If we are preparing the tooth for crowns on incisors and premolars, root canal treatment is necessary in almost all cases, because we need to remove significant amounts of tooth structure to assure space for the future crown.

Symptoms that indicate the need for root canal treatment

In non-severe cases, sharp pain in reaction to sweets and cold, with immediate relief when the stimulus is eliminated. Dull pain during the day, which escalates or even becomes unbearable during the night, when in a horizontal position. Strong throbbing pain or tension around the teeth. Bite sensitivity. In severe cases, swelling of the face.

Preparation for surgery

A detailed dental examination and digital x-ray of the diseased tooth and its surrounding area precedes every treatment. The following consultation will explain in detail the treatment plan, type of anesthesia, type of materials used, possible complications, and postoperative care. Eating is recommended before any dental treatment, because the patient cannot eat for 3-4 hours after the administration of the anesthetic, as long as numbness persists.

The root canal treatment

Regardless of the reason for root canal treatment, the procedure is always similar. After the local anesthesia of the teeth (with a 2% Lidocaine injection), the excess carious parts are removed with a bur. By cleaning and shaping the canal with sterile files, we mechanically remove the vessels and nerves that are located there. Throughout the procedure we apply irrigation to the area, to chemically reduce the number of bacteria. We slowly push the file deeper into the canal, while continuously taking x-rays to determine when the file reaches the apex. After all the canals have been cleaned and shaped, they are irrigated and dried. Obturation of the canal is done with the newest materials; the goal is to hermetically seal the canal. In most cases, the entire procedure can be completed in one visit. If we are dealing with a necrotic tooth, we inject medication into the root canal for a week, then place a temporary filling into the tooth, in order to reduce the number of bacteria. The final obturation will be completed at another time. The price of root canal therapy depends on the number of canals in the tooth.

Post-obturation complications

Teeth which recently underwent root canal treatment, can be sensitive to bite for a couple of days. Since the circulation in root canal treated tooth stops, they become dry and brittle. In order to preserve the coronal structure, a crown is advisable on root canal treated teeth.

Fees

15.000 - 25.000 HUF > Euro
Charge for examination and consultation: 4.000 HUF > Euro

Appointments: Monday - Friday, 8 am - 8 pm.
Telephone: + (36 1) 266 7766