The root treatment

Root canal treatment (also known as endodontic surgery) is a proven measure to save an infected tooth. It becomes necessary when an inflammation of the tooth has spread deep through the root canal, i.e. the nerve tissue, and has perhaps even reached the jawbone. Diagnosis of such inflammation is made using an X-ray.

Tooth salvation comes first

Saving with root canal treatment is a much better alternative to pulling the affected tooth. Due to the complex anatomy of the many small canals and cavities, the treatment must be carried out with absolute conscientiousness and precision. A surgical microscope is often used.

Root canal treatment process

First, the exact position and length of the root canals is determined using X-ray images. After a local anesthetic, the tooth is opened and the pulp, i.e. the soft interior of the tooth, is removed.

The root canals are then drilled out with a very thin and highly flexible drill and then cleaned. This procedure inevitably destroys the nerve and blood vessels of the tooth, effectively killing the tooth. However, this does not affect its appearance or functionality. Even the sensitivity to pressure remains, as this is controlled by the nerves of the holding apparatus.

Avoid bacteria

The most important thing during the entire treatment is that contamination with bacteria must be avoided at all costs. A rubber dam is usually stretched around the tooth. This is a small, plastic sheet that protects the surgical site from saliva and bacteria. Once the drilling has reached the root tip, the drilled root canal is thoroughly disinfected, an antibacterial medication is applied and then sealed and filled.

Ultimately, the affected tooth must be closed again. We will explain to you in advance whether this is best to be crowned or given a plastic filling. As always, our recommendation depends on the condition of the affected tooth and the entire dentition.