Gesunder Zahn (links) und kariöser Zahn (rechts) mit teilweise abgestorbenem Gewebe und teilweisem Knochenabbau aufgrund von Bakterien im Kanalsystem
During the initial medical examination, your tooth will be examined thoroughly. With the aid of a dental microscope, we will be able to visually check the finest structures of the tooth using a magnification of up to 24 times.
Furthermore, the overall condition of the periodontal attachment will be examined by guiding a measuring probe around your tooth at 1 mm intervals.
The next step will involve an x-ray examination to record the current condition of your tooth at the moment of the initial examination. Older x-rays are a valuable source of information, but do not reflect the current status.
On the basis of all findings, we will establish both a diagnosis and a prognosis for your tooth and enable you to take an informed decision, based on all data available.
Zahn nach Entfernung der Karies und der Aufbereitung der Wurzelkanalsysteme (links) und Zahn nach Füllung der zuvor gereinigten Kanalsysteme mit Guttapercha (rechts)
The tooth to be treated will be checked for remaining caries and potentially badly sealed fillings. Prior to root canal treatment, it is often necessary to place a new bacteria-resistant and reliably stabilising filling into the tooth concerned.
A rubber dam subsequently placed over the tooth protects the rest of the mouth and throat from the instruments and solutions used to perform treatment. (In addition, the rubber dam keeps the treatment area free from saliva and other contaminants during the procedure.)
With the aid of a dental microscope the canal orifices are located under high magnification. After determination of the root canal length with the help of an electronic measuring device, the root canals are enlarged and cleaned with state-of-the-art nickel-titanium instruments. The canal system inside the tooth is biologically disinfected by using up to four different irrigation solutions in combination with ultrasound.
Radiographs will help to determine location and length of root canals as well as show the location of measuring points placed inside the tooth. Usually 3-5 radiographs will be necessary during a root canal treatment, occasionally more.
At the end of the first treatment session the root canal is disinfected and either an disinfecting and pain relieving medication is administered to the root canal followed by a temporary filling or it is possible to place a final root canal filling. Root canal filling material is made of a mix of natural rubber (gutta-percha) and liquid cement, to guarantee a perfectly dense filling.
Irrespective of whether the filling at the end of the first treatment is temporary or permanent, the filling will be perfectly sealed and reliably stable to chew on.
Aufbau eines Zahnes mit einem Wurzelstift und Komposit (linke Seite) und Vollständig restaurierter Zahn mit Wurzelfüllung, internem Aufbau und intakter Zahnkrone (rechte Seite)
If the procedure is unable to be completed within one visit, the canal system will be disinfected and medicament will be placed inside the tooth between appointments.
If the radiograph shows a detectable infection, we often recommend anti-inflammatory drugs for 2-3 days (such as Ibuprofen, 400 mg) straight after the initial procedure. Whether this will be the case for you depends on several factors.
Discomfort or pain after the treatment should not necessarily be cause for concern. Please contact us immediately so we can help as soon as possible.
After final root canal filling, a perfectly dense and stable filling will be placed inside your tooth and final restoration will be provided by your dentist.
To track the success of the treatment, we like to take free-of-charge follow-up radiographs of the treated tooth one year after endodontic procedure. This way, we can both make sure that healing has occurred and inspect the quality of our work.