Endodontics is a common procedure in dentistry used to treat and save teeth that are severely affected by decay, fractures, or infections. Despite being a relatively common process, many people still have questions and concerns about what endodontics involves and how it is performed.
What is endodontics?
Endodontics is a dental procedure that is carried out when the inside of the tooth is infected or damaged. This part of the tooth, called dental pulp, contains nerves and blood vessels that are responsible for sensation and nutrition of the tooth. If there is an infection or damage to the dental pulp, it may be necessary to remove it to prevent the infection from spreading and the tooth from being lost.
During the endodontic procedure:
- A small opening is made in the tooth to access the dental pulp.
- The infected or damaged pulp is removed and the area is cleaned.
- The cavity is filled with a special material and the opening is sealed.
Endodontics may require one or two visits to the dentist, depending on the severity of the problem.
When do you need endodontics?
There are certain signs and symptoms that may indicate the need for endodontics.
- Pain
- Extended sensitivity to heat or cold
- Sensitivity when chewing and to touch
- Gum swelling and discoloration.
Types of endodontics
The more complex cases may require more rigorous procedures. Here are the types of endodontics that we can apply according to needs.
Uniradicular
Uniradicular endodontics are those endodontic treatments carried out on teeth that contain a single root canal. Typically, teeth that have a single root, such as the central and lateral incisors, the first and second lower premolars, and the upper and lower canines, are often treated through uniradicular endodontics due to the limited amount of root canals in these teeth.
Biradicular
In the field of endodontics, biradicular procedures are those carried out on teeth that contain two root canals. Although some teeth have a single root, such as the case of upper second premolars, these can contain two root canals that require endodontic treatment. Therefore, biradicular endodontics are performed to address and treat each of the root canals present in these teeth.
Multiradicular
Multiradicular endodontics are those performed on teeth that have three or more root canals. Typically, upper and lower molars have four root canals, as they may have two canals in the mesial root. Although most teeth have the “regulatory” number of root canals, it is important to note that all teeth can present anatomical variations. Therefore, it is crucial that the dentist finds and treats all the root canals to ensure that the endodontic treatment is effective.
Diagnosis
The first step in endodontic treatment is the diagnosis. If a patient presents with pain, sensitivity, swelling in the jaw area, or any other concerning symptom, they should see the dentist.
During the session, we may recommend an x-ray to evaluate the health of the tooth’s root. If the x-ray shows signs of infection or damage to the root, endodontics may be necessary.
Procedure
Once the diagnosis has been made, the endodontic procedure can be performed in one or two visits to the dentist.
- On the first visit: An opening is made in the crown of the tooth to access the dental pulp and the root. Then, the infected or damaged dental pulp will be removed and the area is disinfected. A temporary medication may be placed in the cavity to prevent infection while waiting for the next visit.
- On the second visit: The cavity is sealed with a special filling material and the opening in the tooth’s crown is sealed. Sometimes, a dental crown may also be placed to protect the tooth and restore its functionality.
Recovery
After an endodontic procedure, it is normal to feel some pain or sensitivity for a few days. We can prescribe pain and inflammation medications if necessary, although chewing hard or sticky foods should also be avoided for a while after treatment.
It is important to maintain good dental hygiene after an endodontic procedure to prevent future infections or damage to the tooth. This includes brushing your teeth twice a day, flossing once a day, and visiting the dentist regularly for check-ups and cleanings.
Benefits of endodontics
Endodontics is an important procedure that can save a tooth that would otherwise have to be extracted:
- It allows preserving the tooth that has suffered damage
- It alleviates the pain and inflammation caused by infections or damage to the root
- It prevents the spread of the infection to other areas of the mouth.
Endodontics is a common and safe procedure that can save damaged or infected teeth. If you experience pain or sensitivity in a tooth, see the dentist as soon as possible for diagnosis and treatment. With good dental hygiene and care after endodontics, you can enjoy a healthy and functional tooth for many years.
For more information, contact us. At Prodent Mx we are your biggest allies.