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Archive for the ‘endodontology’ Category

Root treatment or implant?

Posted by Dental News Team On June - 30 - 2010

Which therapy is appropriate for me-root treatment or implant?

Over and over you hear horror storys about “dead” teeth, thus root treated teeth. But: There are no “dead” teeth existing. The tooth is a mineral and thus “lifeless”.
The tooth has a tissue-the pupla. If the pulpa is infected, e.g. caused by cavity, a root treatment should be performed. If a bad root treatment is performed-thus without a coffer dam, visual augment and sterile endo box- the root treated tooth is like poison for the body!
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A well root treated tooth can last a whole life!
The sealing of the tooth by the crown is also important-e.g. with a ceramic inlay or a crown. If the canals are well cleaned and filled as well as the ingresses are sealed by inlay or crown, the tooth is lasting, a bacteriainvasion from the oral is impossible!
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Usually this treatment is very expensive, which leads us to the headline. It can cost 700€-1500€-prognosis and thus durability should bear in relation to the effort.
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If there are more problems (bone loss, heavy convoluted canals, focus on the root tip, big fillings) an tooth removal-thus implantation is the best way in many cases.
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If you are a heavy smoker or you don´t like mouth hygiene that much, then a tooth implant is probably not the better choice, you try to save the tooth intensively.
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The anamnesis decides on the reasonableness of an implant or root treatment and has to varies from case to case. You are in good hands if your dentist takes time for you to talk about the different factors!

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endodontology implantology
endodontology, implantology

Quiz Score! – Congratulations, you are now a root canal expert!

Posted by Dental News Team On April - 6 - 2010

Our topic in the last weeks was root canal treatment and its risks! (10/10)

The last report showed three different pictures!

Pic 1

The molar has never received root treatment, just root tip resection and retrograde filling. After a bridge was inserted, the patient complained of pain, and some weeks later, the dentist skipped performing root treatment in favor of root tip resection, in order to avoid damaging the bridge. Two years later, the tooth can no longer be saved, because this faulty treatment could not prevent the spread of the inflammation – and this caused the bone to recede. The tooth is no longer surrounded by bone, but by inflamed tissue!

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Pic 2

The back root is evenly filled to the tip – unlike the front root!

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Pic 3

The front tooth (shown by the green arrow) is well-filled, while the back tooth (red arrow) has not been treated at all, and you can clearly see the inflammation progressing in the bone.

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More on x-rays and dental films and pictures here!

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endodontology
endodontology

Risks of a root canal – root tip resection?

Posted by Dental News Team On March - 29 - 2010

Our topic in the next weeks is root canal treatment and its risks! (8/10)

If bone is already too badly inflamed after faulty root treatment, then it is no longer enough to clean out the inside of the tooth. The inflammation is too extensive. One option is to perform a root tip resection.

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But root tip resection just means removing inflamed tissue, the cause of the inflammation, the contaminated canal, is left untreated. Either a revision is performed to redo root treatment as part of the operation – which is then referred to as root tip resection with orthograde filling, or the root canal is sealed up from behind – referred to as root tip resection with retrograde filling.
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Why from behind? Well, sometimes it is no longer possible to perform a revision starting from the crown e.g. in the case of pivot teeth, or if the structure of the root canal is too complicated, or part of an instrument has broken off during treatment, etc. Depending on the circumstances, this sealing method can also be used to kill off the bacteria still left in the root canal, because you cut the bacteria off from their source of food, and the tooth is saved!

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endodontology
endodontology

Can you renew or redo a root canal?

Posted by Dental News Team On March - 25 - 2010

Our topic in the next weeks is root canal treatment and its risks! (6/10)

Redoing poorly performed root treatment is known as „Revision“, and is definitely necessary!

Revision, as a rule, involves more work than standard root treatment. But most medical insurers do not even pay, because you could have gotten the work done properly the first time around. This is why not many dentists like to perform revisions and go right on to root tip resections and/or tooth extractions.
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Whether a revision will be successful or not depends on how heavily contaminated the tooth is by bacteria on the inside of the tooth! And also on how well the original root treatment was performed. Sometimes the bone is so badly inflamed that revision no longer helps, and you have to opt to perform a root tip resection.
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A root tip resection involves getting the inflamed tissue, resulting from faulty root treatment, out of the bone. But simply removing the tissue is not enough – you also have to clean out the inside of the tooth. If this is not done, then you may be all right for a while (a year or two), but then the problems start up again!
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Unfortunately, dentists usually don’t bother performing more than a root tip resection, and what the patient is not aware of is that this means simply removing the inflamed tissue, not treating the cause, which is the contaminated canal. And if the canal is not treated, then the problems return!

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endodontology
endodontology

What are the costs of a root canal?

Posted by Dental News Team On March - 24 - 2010

Our topic in the next weeks is root canal treatment and its risks! (5/10)

In the last report (4/10) you read that the majority of complications resulting from root treatment can be prevented by working carefully and allowing for adequate hygiene and planning in enough time.

Time is money – so good-quality root treatment of course costs more than any run-of-the-mill procedure.

However, taking the follow-up costs and problems into account (pain, sick leave, lying in bed sick) as a result of poorly performed root treatment, then calculating in another extra €1000 is still worth it! Depending on where you get the work done, dentists can charge from €100/root canal up to €1000/root canal. So the costs of treating a three-canal molar can range from €500-3000, about the cost of a dental implant!

So investing in good root treatment is definitely worth it, it ends up costing you less in the wrong run – and hurts less too!

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endodontology
endodontology