ROOT CANAL THERAPY
The need to treat the root canals of the tooth is often perceived as an unpleasant surprise that shows itself during the treatment of neglected caries.
Endodontic treatment consists of several stages:
The first stage is diagnostics. For all patients who address to us for the treatment of root canals, in addition to mandatory clinical methods, the following methods are carried out:
- checking the vitality (vitality) of the tooth
- computed tomography (if a patient already has a tomogram on his hands, a new tomography may be in case of poor source)
- probing of marginal periodontium (for the purpose of revealing a vertical fracture of the tooth).
The second stage is the evaluation of the prognosis of the tooth and the decision to perform endodontic treatment. To do this, the data obtained in the diagnosis is used, and in some cases (with a crown and / or pin structure), a "diagnostic treatment" is required, which involves the removal of previous designs, followed by evaluation of the remaining healthy tissues and the possibility of tooth functioning.
The third stage is endodontic treatment. It is carried out with the obligatory use of the cofferdam (insulation of the working field) and the operating microscope. In most cases, one visit is sufficient for the treatment of one tooth, lasting for 2 hours. In some situations (if there is leakage from the canal, or a fistulous course), treatment will be conducted in 2 visits. At the end, the root canal obturation control is performed, using a sighting snapshot.
The fourth stage is the restoration of the crown part. This stage should be completed no later than 2 weeks after endodontic treatment.
The fifth stage is dynamic observation. Since the result of treatment cannot be determined immediately (as in the restoration procedures), the first control of treatment is carried out after 6 months, using a computer tomography. Further - 1 year, 2 years and 4 years.
The sixth stage is performed only with an increase in the apical pathology - apical surgery, which includes surgical revision, followed by dynamic observation.