Endodontics is the part of preventive stomatology engaged in treatment of root canals as well as inflammations around the tooth roots. Most often, such inflammations develop because of the caries complications or previously poor quality treatment of root canals. Statistic of the results of X-ray studies shows that in 75% cases tooth loss is caused by incomplete, excessive, or in some cases without any canal filling.
The root of the tooth is a difficult object for treatment, as in the first place it is unavailable for visual control. The success of endodontic treatment depends on complete removing all the contents of the root canals and their correct processing, as well as later dense hermetic sealing. Difficulties in the processing and filling related to the fact that root canals may differ greatly in their structure (diverge, form pockets). Restoration of functions of the root, typical for health teeth is the main goal of canal treatment.
To provide access to the canal is the primary task facing the endodontist in the treatment process. At this stage, the doctor conducts preparation of carious cavities. Later the doctor removes all filling from the canal (pulp, damaged dentin, products of decay), then seals it with inert material. Except that, it is very important to determine correctly working length of the canal, because in the future it will help to avoid possible complications. To indicate the length doctor with extensive experience use roentgen and apekslokator. Without a doubt, treatment of root canals will be performed under local anesthesia. Please also note that endodontist interacts with specialists in other areas of stomatology what allows to achieve maximum quality of functional result.
Correct sealing of the canal is the most important and the most crucial step in the tooth treatment. The line between further preservation of the tooth or its excision depends on how reliable root filling will fill the canal, will not irritate periodontal, will have no properties to resolve or to decay.
There are two methods of canal filling in modern stomatology: cold lateral condensation of gutta-percha and vertical condensation of thermoplastic gutta-percha. For today, method of cold lateral condensation of gutta-percha is the most popular in majority stomatological clinics. Using this method gutta-percha has the ability to repeat well outline of the canal and not settle. However, this method has imperfection in case complicate canal anatomy, then gutta-percha cannot to fill all delta and lateral tubules. In such cases, to use method of sealing thermoplastic gutta-percha is a good solution. Its high fluidity can ensure effective penetration into the microscopic root canals and minimal shrinkage provides maximum impermeability of sealing of the canal. It is impossible to use any other method for three-dementional sealing of the root canal with complicate anatomy.
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