Endodontics is a branch of dentistry that deals with the treatment of diseases of the dental nerves and tissues surrounding the tooth root. Treatment of toothache, cold-hot sensitivity, tooth abscesses, colored teeth, accidentally damaged teeth are included in endodontic treatment. It includes canal treatment and surgical interventions around the root.
The use of drugs such as antibiotics, painkillers and vitamins taken for tooth pain without the knowledge of the physician is not suitable for treatment.
Treatment is possible by determining the source of the disease and eliminating it. If the tooth is in pain due to caries and has advanced to the carious nerves, root canal treatment should be applied to the tooth. A tooth that doesn’t hurt isn’t always a healthy tooth. In chronic infections, teeth do not usually ache
Cause of Dental Pain:
The use of drugs such as antibiotics, painkillers and vitamins taken for tooth pain without the knowledge of the physician is not suitable for treatment. Treatment is possible by determining the source of the disease and eliminating it. If the tooth is in pain due to caries and has advanced to the carious nerves, root canal treatment should be applied to the tooth.
A tooth that doesn’t hurt isn’t always a healthy tooth. In chronic infections, teeth usually don’t hurt.
Night Pain is the result of a severely decayed tooth. Generally, throbbing pain that starts spontaneously at night is seen.
In such cases, root canal treatment is the name given to all treatment procedures performed to treat the diseases of the vascular-nerve community (dental pulp) in the tooth. Canal treatment is the process of removing the inflamed or dead tooth pulp (nerve), which causes pain, abscess and cyst formation in the teeth, from the root canals in which it is located and filling this cavity completely with a substance that is not harmful to health.
Root canal treatment can be performed by endodontists and dentists.
The vein and nerve package, which provides the vitality of the tooth, cannot repair itself and dies when it is damaged or injured (Necrosis). Canal treatment can be applied for painful inflammatory teeth that may be lost due to caries or trauma.
As a result of deep caries, the pulp (vascular nerve package) cannot heal itself and the infection can spread to the root tip. If an infected tooth is not treated, it causes cyst formation and may damage the jawbone. Surgical intervention or tooth extraction may be required.
The nerves in the tooth (dental pulp) do not have the ability to regenerate and repair themselves like other tissues in the body. In cases where the dental pulp is inflamed or cannot survive, root canal treatment is applied. The aim here is to protect the tissues surrounding the tooth in a healthy way, although the pulp is damaged.
The tooth, which remains after the canal treatment in the mouth, has lost its vitality, but at least it will continue to help chew as your own tooth, thus preventing the melting of the jaw bones as well as the bone in that area remains active.
Since the pulp (nerves) of the tooth is removed, it is not affected by hot-cold-like and other stimuli. However, there may be a slight pain and tenderness during chewing for the first few weeks. As a result of the procedures, it is normal to see these reactions during the healing of the dental tissues.
If the pain persists after a long time, it may be an indicator of a failed treatment. The tooth should be checked by clinical and radiographic examination. As a result, the physician performs the process of removing, cleaning and refilling the root canal filling called “retreatment”. If it is not sufficient, a surgical treatment called “root end resection” can also be applied.
Since the teeth undergoing root canal treatment lose their vitality, their flexibility is reduced and the risk of fracture is high. Therefore, depending on the loss of substance in the tooth, treatment is continued either by filling or by crown restoration.
If there is no excessive material loss on the tooth treated with canal treatment, it is okay to make a normal filling, if there is excessive material loss, it is necessary to make a porcelain filling (inlay) that will support your dental walls and prevent them from breaking.
If the tooth has no side walls, casting or fiber post can be made from your root canal and crown coating can be applied.
Root canal treatment is a treatment associated with the tissues in the root part of the tooth in order to prevent tooth loss. Despite high success rates (over 90%), it is not possible to guarantee the results of canal treatment, as in other medical practices. The tools used in the treatment can be broken in the tooth. Canal treatment does not prevent future tooth decay, tooth fractures or gum disease. In some cases, repetition of canal treatment, surgical intervention or extraction may be required to the treated tooth.