Root Canal Treatment

Root canal treatment, also known as obturation, is a dental procedure aimed at sealing the dental root with special materials during endodontic therapy. The filling is necessary to protect the deep internal tissues of the tooth from external infection, preventing the development of inflammatory processes and eliminating the recurrence of the underlying disease.

The obturation procedure is performed using a dental microscope, which magnifies the operating area by 40-50 times and displays the image on a screen. This allows the dentist to see all areas deep inside the branched canals, which may be numerous and complex, in order to effectively fill them with special obturation materials, tightly sealing the openings.

Root canal treatment requires great attention and skill, so at the ORTHO clinic, obturation is carried out exclusively by highly specialized narrow-profile specialists.

Purposes of Root Canal Treatment

Inside the tooth, there is a special cavity (pulp) penetrated by a neurovascular bundle, which nourishes it with useful substances and is responsible for innervation. Penetration of pathology into this area causes pronounced pathological sensations accompanied by swelling and intoxication.

Such a condition requires urgent medical intervention to save the tooth, otherwise there is a risk of losing the tooth unit and worsening the patient’s overall condition, up to a lethal outcome. Root canal treatment leads to sealing the cavity from the penetration of harmful organisms, the decay of which creates ideal conditions for the development of pulpitis and other dental diseases.

Stages of Canal Filling

1. Examination, collecting medical history, referral for additional examinations, consultations with related specialists, development of an optimal treatment plan.
2. Anesthesia of the operative field.
3. Creating free access to the canal.
4. Cleaning the root canal affected by inflammatory processes from pathological content.
5. Canal enlargement and antiseptic treatment.
6. Placement of medicinal preparations to relieve inflammation and saturate the internal tooth tissues with useful substances for restoration.
7. Removal of the medicinal paste (after a certain period sufficient for restoration).
8. Additional cleaning and preparation of the canal.
9. Canal filling with special materials.

Canal Filling Techniques

Depending on the specific clinical picture and peculiarities of the pathology, dental specialists choose an individual method of root canal filling for the patient:

1. Gutta-percha filling

Heated gutta-percha is used, which penetrates even into microscopic branched canals, replicating their shape and reliably sealing after solidification.

2. Vertical condensation of heated gutta-percha

Heated gutta-percha is introduced into the canal space using special plugs and spreaders, which compact the filling material, filling all the branches and curvatures.

3. Central post or single-cone method

Applied in the presence of a wide and straight root canal, which the dentist shapes in advance to fill with heated gutta-percha.

4. Lateral (buccal) condensation

Special gutta-percha pins are introduced into the root canals, which are then cut at the ends and reliably sealed.

5. Sectional method

Used for severely curved root canals with small pieces of gutta-percha, 2-3 mm long.

Requirements for Materials Used for Root Canal Filling

Consequences of Poor Root Canal Filling

Mistakes in root canal filling lead to disease recurrence and financial losses for the patient, as well as other adverse effects and diseases:

Discomfort and unpleasant sensations in the oral cavity.
Development of inflammatory processes.
Perforation of the walls of the root canal.
Fractures of endodontic instruments.
Fistulas, fluxes, granulomas, and cysts.
Allergic reactions.
Change in enamel shade.
Dislodgment of the filling.

To avoid the listed unpleasant moments, the professionalism of the dentist is crucial. At the ORTHO clinic, a specialized specialist always carries out quality diagnosis of the oral cavity, thoroughly cleans the root canals, selects the filling material and sealing method competently, and pays special attention to hygiene processing.

Features of Root Canal Filling at the ORTHO Clinic

Comfort and painlessness of all procedures.
Safety and sterilization of surgical instruments.
Use of only certified drugs and equipment.
High-precision dental microscope.
Years of experience and high skills of the personnel.
Individual approach.

Recommendations After Canal Treatment

The result of root canal filling can be preserved only by strictly following the dentist’s recommendations:

1. Refrain from eating for several hours to avoid biting the cheek or tongue due to residual effects of anesthesia.
2. Avoid eating overly spicy, peppery, salty, hot, cold, or hard foods for several days.
3. To prevent the gag reflex from appearing, refrain from consuming excessive amounts of food for a while.
4. Perform daily oral hygiene properly and skillfully.
5. Undergo regular preventive check-ups with a dentist.

Remember that after root canal filling, teeth may be particularly sensitive to external stimuli for several days. However, these sensations will soon disappear, and the irritating effect will diminish.