Deep destruction, trauma, crack or partial fracture of the crown of the tooth are part of the causes that can lead to infection and painful inflammation of the "nerve" of the teeth. In these cases, it may be necessary to treat the root canals to eliminate the infection and to protect the teeth from future microbial diseases. The treatment removes the pulp (nerve) of the tooth, the root canals are expanded, treated and disinfected with special solutions, then filled with specific materials. It is very important that the tooth is then hermetically sealed by restoration or a crown, which would prevent it from re-entering the bacteria in the channels.
Another case is when it is necessary to have already treated teeth, to be treated again due to poorly filled canals or bone changes, around the roots of the tooth. This is so-called re-treatment, which as a manipulation is much more complicated and difficult than primary root treatment. If for some reason, during the treatment of the canals, there are bacteria in them and the tooth is closed from above, the infection that is developing finds an outlet in the bone around the tooth. Thus, granulomas and cysts are produced - when bacteria from the tooth channel pass through the top of the root into the bone and begin to melt it. Generally, granulomas develop asymptomaticly, grow slowly in the bone, and if they do not cause problems, they accidentally find themselves in radiography on another occasion. The good news is that modern science offers the treatment of granulomas. After eliminating the bacteria in the tooth's canal with adequate modern treatment, we rely on the body to cope with the already restricted bacterial outbreak in the bone.
Sometimes some of the subtle tools that handle the channels are broken and part of it stays in the canal. This, in most cases, prevents the correct processing and filling of the channel. Then comes the technology and professional skills of the treating physician. In order to remove the broken instrument, it is necessary to perform the treatment under a microscope.
Every good dental practice uses Kofferdam (dental dam) - elastic silicone lining in the root treatment to isolate the treated tooth from the rest of the mouth. Thus there is no danger the solutions with which the channels are treated and disinfected to accidentally fall into in the mouth of the patient. It is obligatory to make a sectoral X-ray picture both prior to the treatment of the tooth and after filling it to visualize the result. Last but not least is the use of an apex locator - a small device, which precisely determines the length of the channel by which the filling material is calibrated. And, of course, all procedures are done with a local anesthetic.
We use state-of-the-art digital imaging technology, a Zeiss microscope and ultrasound tools to treat root canals, which enables treatment to complete in one visit, in most cases. These sophisticated technologies, along with the team's outstanding skills and expertise, as well as adequate analgesia, give us a precise look at the tooth, which allows fast and painless treatment.