Endodontics is the branch of dentistry dealing with the treatment of infected dental tissue pulp (tooth nerve). If an infection started inside the tooth, it is necessary to perform dental nerve removal. The pulp next to the tooth nerve contains blood and lymph vessels that supply nutrients to the teeth. When the pulp is healthy it is well protected from external irritation with dentin and enamel, the hardest tissue in our body.
Broken tooth: in this case bacteria can enter the pulp and cause the inflammation. Inflammation takes over the tooth nerve, pain occurs and leads to a gradual decay of the pulp tissue.
If you feel that there is an inflammation going on, there are two types of therapy for this condition:
- ROOT CANAL TREATMENT
Root canal treatment
This is very useful therapeutic measure.
Treated root canal has a good prognosis: in most cases, with the use of modern techniques, infected tooth doesn’t have to be pulled out. It remains healed in the jaw.
Root canal treatment goals are:
- To completely remove infected tissue from the root canal system
- To eliminate bacteria from the root canal
- To rinse and dry the root canal system (bacteria free) and to fill it to the top so that bacteria cannot enter the tooth after the treatment
For this therapy we use the following instruments in our clinic:
COFFERDAM – we use it to isolate the tooth from its surrounding in the mouth and to prevent bacteria breach in the tooth as well as to avoid swallowing root canal rinses.
MAGNIFIERS - magnification lenses enables enlargement of the tooth interior in order to have better view of the root canal.
APEX LOCATOR - the measuring device that accurately determine the length of the root canal which decreases the number of X-rays to a minimum.
MECHANICAL ROTATING INSTRUMENTS - allows easy expansion and cleaning of the root canal.
THERMOPLASTIC OBTURATION FILLING (GUTTA-PERCHA) – refer to the full closure of the root canal with gutta-percha which reduces the possibility of subsequent penetration of bacteria in the tooth canal system after the end of treatment.
Further therapy after the root canal treatment involves aesthetic tooth restorations (fillings) with dental restorations or dental crowns, depending on how damaged the coronal part of the toot is.
DENTAL RESTORATION TREATMENT
Dental enamel is the hardest tissue in the body and if it’s not damaged by some external factors, while properly maintained, it can last a lifetime.
However, the enamel can be sensitive to acids, especially those produced by bacteria during sugar degradation wherein the enamel can become soft. As a result of this DENTAL CARIES (CAVITIES) emerge.
In the early stage of enamel decomposition if properly treated while cleaning and regularly treated with flouride it can lead to eventual tooth recovery. If the decomposition progressed enamel cannot be regenerated but it can be repaired with dental restoration treatment which means that the diseased tooth surface will be removed and replaced with suitable filling material – DENTAL FILLINGS. Caries has to be carefully removed to avoid appearance of the space between tooth and fillings or to prevent tooth illness underneath the filling. Treated teeth have to also be properly cleaned to prevent eventually caries formation around filling.
The modern materials, which serve as a filler to the tooth decay are very suitable in aesthetic and functional terms.
There are two different types of composite materials:
• Liquid composites are suitable for minor restoration and rehabilitation of primary teeth
• Solid composites are used for both front and side teeth.
Both of these materials are applied to the tooth immediately after the treatment of dental caries and enlighten with UV lamp in order to achieve toughness and retention in the cavity of the treated tooth. Composite fillings can fully mimic the color and shape of the natural tooth, which is achieved by the skilled dentists during tooth modeling so that the difference between the filling and the tooth cannot be easily seen. If there is a greater defect on the teeth, therapy of choice is the use of gold or ceramic inlays.
Gold and ceramic inlays
Inlays are actually fillings that are obtained by casting in a dental laboratory. They are cemented on the tooth cavity after the caries removal treatment. Choices for inlays materials are gold or ceramic (including metal ceramics). Both materials have excellent characteristics:
• Precise adjustment in the space inside the teeth to avoid the difference between material and the natural tooth
• Extremely durable
• Both materials can withstand extreme pressure and can be used as a larger filling on posterior teeth
• Very resistant.
They can even be used for front teeth as well. For aesthetic reasons inlays are often made of ceramic, having the effect of natural color and shape of the teeth. For posterior teeth, in agreement with you, we will decide which of these two materials to use.
Not every patient has the same risk factor of developing tooth decay. At your request we can do a caries risk test.
Dentures and other dental prosthetics are made in our dental laboratory.