Endodontics

What does it involve?

Endodontic treatment covers all the treatments that are aimed at maintaining good health in dental pulp or partial dental pulp.  Dental pulp is a connecting tissue that consists of nerve cells, which occupy part of the crown and the root or roots of the tooth. 

When the caries has developed to the point of affecting the nerve, it becomes infected and needs to be extracted.  In other words, an endodoncy.  This is popularly known as "killing the nerve".  Endodoncy is the only option there is to preserve the tooth and its function once the pulp (nerve) has been affected. 

During the endodoncy the whole of the infected nerve tissue is removed, the conducts are prepared and filled with material that guarantees they are sealed efficiently.  

In order to carry out endodontic treatment it is essential to have anatomical knowledge, both of the pulp chamber and the radicular conducts. 

Recommendations from our specialists after an endodoncy

  • After the conduct treatment there tends to be a slight or moderate irritation for approximately 72 hours.  This is due to the prolonged manipulation of the treated tooth.  We therefore recommend the use of anti-inflammatory medicine during those 72 hours.
  • There is also the opportunity to suffer from significant pain after treatment even after 72 hours. Although this is infrequent, it is normal.  The pain is not due to the non-existence of the remains of the "nerve", but instead to a significant inflammation in the bone around the tip of the root of the tooth.  If this happens you can take painkillers in additional to the anti-inflammatory medication that we recommend. Contact us also, but remember that the pain is normal and there is little else we can do other than prescribe medication and wait for 72 hours to see how it evolves. 
  • If the pain becomes acute when you are simply closing your mouth, please contact the clinic so that we can proceed to file down the tooth slightly and reduce any excessive contact.
  • If apart from the sharp pain you also notice significant inflammation in the area, you have a temperature or generally feel unwell then you will need to begin to take an antibiotic, after a doctor's appointment and the prescription they give you.
  • Treatment for the conducts has a success rate of above 90% but never reaches 100%.  After treatment the tooth should be back to normal.  If the pain or any other slight aches in the treated tooth persist after a period of more than 30 days, please contact us so we can evaluate the treatment.
  • After 6 months it is recommended that you do an x-ray to check up on the evolution of your case. 
  • The treated tooth will be more fragile.  Therefore, it is recommended that you put a dental guard on it or another type of protection, in order to reduce the risk of fracture.