Conservative Dentistry and
Endodontics
Consultations and diagnostics Fast results Modern materials Top hygiene standardsEndodontic treatment –
tooth therapy
Endodontic treatment, commonly known as “nerve removal,” involves treating the inner part of the tooth. Today, this procedure is performed under anesthesia without pain or discomfort, and thanks to it, the tooth can remain in the jaw. If the treatment is done properly, the function of the tooth is preserved; otherwise, the tooth may need to be extracted.
Each tooth consists of hard outer structures and soft tissue inside. The hard structures are enamel, cementum, and dentin, while the inside of the tooth contains the pulp. The dental pulp includes nerves, tissue, and blood and lymph vessels. Each nerve enters the tooth through the tip of the root, extends through the root canal, and reaches the pulp chamber inside the crown.
The tooth nerve has a role during tooth growth and development, and once the tooth has fully formed, it serves a sensory function. This function allows the tooth to respond to different stimuli, such as hot and cold.
The root canal is treated by mechanically cleaning and flushing out bacteria, bacterial toxins, and decomposed organic material caused by the decay of the tooth nerve. These bacteria and toxins can cause inflammation of the surrounding tissue, pain, and swelling. Therefore, the root canal is first cleaned and irrigated, and then filled with special pastes and points, hermetically sealing the inner space of the tooth. This prevents the re-entry of bacteria and toxins.
However, if there is a process at the tip of the root (periapical lesion), two types of treatment are possible:
- Conservative – the root canal is treated using various medications and requires several visits to the dentist;
- Surgical – root resection (apicoectomy), which involves lifting the gum and removing the lesion or cyst from the bone.
Should old fillings be replaced?
Amalgam fillings have long been discontinued in the European Union. The toxic effect of mercury found in amalgam alloys led to a ban on their use in pregnant women and children under 13. In less developed countries, these fillings are still used because they are more affordable.
To create a stronger bond between the tooth and the filling, composite systems chemically bond to the tooth, unlike amalgam. This reduces the risk of secondary caries, which was more common with amalgam fillings.
The mechanical properties of composite fillings are compatible with the natural tooth structure used to reconstruct cavities. Aesthetically, they are far superior to old amalgam fillings. When properly polished, white fillings maintain their color for many years. If they become discolored, consult your dentist for polishing or whitening.