What is endodontics?

Endodontics is a branch of dentistry that deals with the treatment of the root canals of our teeth. by treating the soft tissues of the tooth. Our teeth are made up of hard tissues such as enamel, dentin and cement, and soft tissues such as dental pulp. The dental pulp is permeated with nerve fibers ie. it is a combination of nerves, blood vessels and other supporting tissue that nourishes the tooth, protects it from harmful effects and gives it a sensation (warm, cold, pain, bite, etc.). The pulp is located inside the teeth, beneath the enamel and dentin, in a complex and difficult to reach mix of crown and root spaces and canals.

Root canal therapy is the most common procedure used for endodontics. Treatment of dental inflammation involves removal of the dental nerve and thorough cleaning of the complete root canal. After the canal is disinfected, the canal is filled with permanent fillings to prevent the bacteria from penetrating the inside of the root.

Endodontics as part of dental medicine

Tooth extraction is in last place! The goal of endodontic therapy, as part of dental medicine, is to heal a tooth so that it can be preserved for a long time because every tooth that is preserved is very important and can be key to replenishing other lost teeth. If the treatment fails and there is a pathological process on the bone in which case the treatment can be repeated. There is an endodontic revision that involves removing the old filler from the canal, re-cleaning and filling it. If the revision does not show a satisfactory result, the tooth can be surgically treated with an apicotomy. An apicotomy is a surgical procedure that removes the tip of the root of the tooth to eliminate the inflammatory process.

Endodontics services

Procedure for endodontic treatment of teeth:

  • removal of the dental nerve
  • thorough cleaning of the complete root canal
  • filling the duct with permanent fillings to prevent the bacterial from entering the root inside

In endodontic treatment, we use special materials and electronic positioning of the root canal tip, special detectors of placement of the canal entrances, radiological determination of their number and position, as well as mechanical cleaning and treatment of the canal walls.

Pain that occurs immediately after filling the duct is normal and transient.

There are two options for performing endodontics

  • The first option is to open the pulp chamber and put in an agent that will kill the nerve after a few days.
  • Another option is to remove the pulp (with anesthesia) on the same day without the killer.

Some teeth are single-rooted while others are multi-rooted. Single-rooted teeth usually have one or two root canals, while multi-rooted teeth usually have three or four. It is important to find all the ducts, clean them well and disinfect them to prevent new inflammation.

After cleaning the canal with manual or mechanical techniques, the canals are filled with a replacement substance that prevents bacteria from penetrating the tooth and causing new infection. After the therapy, an X-ray is taken. If everything is in order, it can start making a new filler or crown, depending on the condition of the tooth.

Candidates for endodontic services are all who have one of the following symptoms:

  • pulsating pain (more pronounced at night, feeling pain as if it is “beating heart”)
  • bite pain
  • tooth sensitivity to temperature change
  • the appearance of the island
  • purulent fistula at the apex of the root of the tooth visible on x-ray

Pain is not always a necessary symptom of developing a pulp infection that can lead to inflammation within the bone in the area of the tooth root (granuloma).

Undetected and untreated granuloma can remain dormant or grow without major symptoms, while in some it manifests severe pain with swelling, suggesting an acute periapical process.

If you feel an increased sensitivity of your teeth, you will be able to clarify with our doctors whether there is a need for endodontic therapy.

When is dental treatment required?

Needle treatment (endodontics) is required in cases where caries also affect the pulp (nerve) of the tooth. Then it is necessary to remove the caries and pulp and begin the healing process. The healing process involves cleaning, expanding and filling the duct. After the treatment process is completed, a composite filler or prosthetic replacement is made, depending on the condition of the tooth.

What does the dental treatment procedure look like?

In order to complete the treatment, it is necessary to first open the tooth and remove the infected nerve (tooth pulp), clean the root canal (s) and fill the cleaned canal with artificial material that will prevent the bacterium from progressing.

Once the canals are filled with plastic, a filler is usually placed, but if most of the teeth are affected by caries, then it is possible to create a prosthetic replacement such as inlay, onlay or overlay, and in some cases a dental crown is required.
Treatment alone is a completely painless treatment and patients do not have to fear pain. The treatment is comfortable and non-invasive.

Does the tooth always hurt when the nerve is inflamed?

Pain as a symptom does not necessarily occur when inflammation of the dental pulp occurs. The dental pulp (nerve) can be infected without the appearance of pain as a symptom. In this case, the infection can cause a granule, ie. inflammation of the bone below the root of the tooth.

In this case, the granule can stand still or grow over time without the patient having any symptoms or the symptoms are so weak that the patient does not notice the problem. If the granuloma has a tendency to grow, it can develop into an acute periapical process that brings with it great pain and swelling and sometimes causes fistula (a white formation similar to purulent pimple that occurs at the root of the tooth).

Contact our team of experts

Detailed information and consultations on various endodontic treatments offered by Bičakčić Dental Polyclinic located at 7 Marsala Tita Street, 71000 Sarajevo, Bosnia and Herzegovina can be obtained by calling +387 33 208 288 and +387 33 550 550 or by direct inquiry to the email address info@bicakcic.com.


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