Root canal treatment

Root canal treatment (endodontic treatment)

Root canal treatment belongs to preservative dentistry and is aimed at conserving (saving) a tooth. During the procedure the damaged and infected tissues and nerves are removed but the root canals are preserved, this way the outer structure (crown) of the tooth can be rebuilt by a filling or porcelain crown. The most common reason why someone needs a root canal treatment is pulpitis, caused by deep bacterial penetration originating from tooth decay. When this happens, the walls and canals in the root of the tooth are infected by harmful bacteria, causing inflammation.

Why is it highly recommended to treat infected or necrosed teeth?

  • it can be a source for infection (focal disease)
  • because our primary goal is conserving teeth (opposed to extractions)
  • a root canal therapy can help ease or avoid pain and can prevent bite sensitivity and further infections in the treated tooth

How is a root canal treatment done?

During root canal treatment, the pulp of the tooth (pulpa) is removed, the pulp chamber is cleaned and sterilized, then filled with a root filler material along the root canal that ensures a long-lasting solution. During treatment not only the infected content of the root canal is removed but also the root canal walls, which is done by using special root canal needles. First we check on x-rays if the root canal needle reaches the bottom of the root canal but not beyond that. After this is done we can continue with the mechanical (using root canal needles) and chemical (Sodium hypochlorite) cleaning. Following the cleaning, we dry the cleaned root canals with sterile paper fiber and apply a sealer into the root canals. This sealing material closes the gaps between the main filler and the root canal wall. As the next step, we insert so-called gutta percha fibers into the canals. (Gutta Percha is a natural, homogenic material.) Besides the master gutta percha fiber, we also insert auxiliary gutta percha fibers and after each one, we condense the root canal filling in order to reach the best closure. In ideal cases the root canal filling completely fills and closes the canals.

What can we predict following a root canal treatment?

  • in most cases, following a root canal treatment, the treated tooth becomes free of complaints
  • it is possible that after a root canal treatment the treated tooth still remains sensitive for a few days when biting on it
  • teeth that already had a large filling in them should be covered by a porcelain crown, as devitalized teeth can become fragile and hence can break with time.
  • it might be necessary to insert a post into the root, which also helps strenghten the tooth.

The durability of a root canal treatment

If all nerves and pulp has been successfully removed during a root canal treatment, the treated tooth can still remain in the mouth for long decades. The result of a root canal treatment is final and irreversible.

Root resection or root amputation (Apicoectomy)

This procedeure means that the tip of the root – while keeping the rest of the tooth – will be removed from the surrounding bone. It is always necessary to complete a root canal treatment prior a root resection.

When is root resection needed?

In case a periapical cyst is formed around the tip of the root in a devitalized tooth, it usually will not clear up by itself. In cases like this it might be necessary to perform a root resection surgery following the root canal treatment. This procedure can also be used when the root canals are not permeable and cannot be filled in the whole length. Apicoectomy can be the solution for chronic conditions like granulomas, when there is no improvement over time, or in cases when the root filler has been pushed beyond the tip of the root, into the bone, or when the root canal cannot be dried out properly before the root canal filling is placed.

How is a root resection done?

Following the root canal treatment, we use a bone drill to gain access to the tip of the root and we remove at least 3mm from the root itself. After this is done, the wound is closed and we remove the statures after a week. It might also be necessary to apply a so-called retrograde root canal filling – this means that the filling material is not placed into the root from the direction of the crown but from the tip of the root. This procedure has to be done at the same time with the root resection.

Aesthetic filling

19 000 Ft

Aesthetic filling with layering technique

25 000 Ft

Temporary filling

2 000 Ft

Fissure Sealing

15 000 Ft

Root canal treatment + root canal filling (1 channel)

25 000 Ft

Root canal treatment + root canal filling (2 channel)

30 000 Ft

Root canal treatment + root canal filling (3 channel)

35 000 Ft

Root canal treatment + root canal filling (4 channel)

40 000 Ft

Temporary medicinal root canal filling

5 000 Ft

Press ceramic (E.max) inlay, onlay, overlay

46 000 Ft