Endodontics

All root canal treatments (endodontics) in our clinic are performed in accordance with the guidelines of the German Society of Endodontic (DGEndo). 

All treatment procedures are carried out under the operating microscope with the highest level of precision. Diseased tooth nerve is completely removed in order to preserve the healthy tooth root.


How does root canal treatment at the dentist’s work?

When the nerve of the tooth becomes infected, severe pain may be the result. This is when root canal treatment will be necessary. Learn more about what to expect.

Procedure of root canal treatment

Revision

If a root canal treatment failed to completely remove bacteria or subsequently relocate, it may re-ignite. Then a revision is necessary for the patient.

Revision

Apicoectomy: the last resort for unhealthy teeth

Apicoectomy is a way of saving unhealthy teeth in cases where retreatment did not result in the desired success.

Apicoectomy

Internal Bleaching

If a root canal treatment, a trauma or dead tooth nerves have led to a discoloration of the teeth, this can be remedied by an internal bleaching - also called walking bleaching.

Internal Bleaching


How does root canal treatment at the dentist’s work?


In a root canal treatment living (vital) or dead (devital) dental nerve tissue is removed from the root canal. The root canal itself is mechanically and chemically cleaned. The aim of this treatment is to keep a tooth the dental nerve (pulp) of which has become irreversibly inflamed or that has died altogether. The infected tooth material around the root canal (root dentin) is also removed. The gaps resulting from this are then filled with a biologically very well compatible material (gutta-percha).

Not only does root canal treatment allow us in most cases to keep the tooth but this treatment also prevents the inflammation from spreading further throughout the body. If left untreated the latter can lead to severe internal conditions. The tooth treated will probably be sensitive for a few days following root treatment/root filling.

Endodontologists are specialists for root canal treatments. Endodontologists carefully and safely remove the inflamed nerve in patients suffering from tooth aches. This means that even after having suffered damage due to an accident (following dental trauma) the tooth can usually be kept. This way endodontologists make your tooth ache go away safely and fast. In 90 % of cases endodontologists can save a tooth even in very severe situations (extremely severe destruction of the tooth or extensive inflammation). State-of-the-art diagnosis and therapy, such as 3D X-ray and treatment using surgical microscopes are a vital part of this. Dr. Julia Basel’s key to success consists of having excellent technical equipment but her experience and diligence are no less part of this. So is having enough time. Our Munich-based Practice Clinic offers modern endodontology with the aim of keeping your teeth for a long time and permanently.

More often than not tooth ache points to damaged dental nerves. There are two different types:

  • Ringing, piercing and radiating pain
  • Dull, pulsating pain

What do these different types of pain mean?

1. Ringing piercing pain - The vital nerve has become inflamed

A vital dental nerve may become inflamed when the waste products of bacterial metabolism reach it (e.g. as a result of deep-reaching tooth decay). The body reacts to this by activating its defence mechanism. The dental nerve is then increasingly supplied with blood, and it starts swelling. Due to the fact that the tooth is surrounded by dentin and due to the fact that the tooth can only be nourished through a small opening at its bottom tip, the swelling cuts off oxygen supply. This means that, at that point, the cells in the dental nerve can no longer be nourished (self strangulation).

The patient will, in this case, experience piercing pain radiating into the back of their head. The patient will also be very sensitive to cold or hot food and drink in their mouth. If tooth ache occurs without any outside influence, and if it lasts for ten minutes or longer, chances are that the dental nerve has been inflamed. At this stage the patient might not be able to tell with certainty which tooth is aching. This is because neighbouring teeth tend to hurt as well. Another indication of an inflamed dental nerve is the feeling that the tooth affected appears to be “higher” than the teeth next to it.

2. Dull, pulsating pain - When a dead tooth is hurting

If an inflamed dental nerve is left untreated, it will fall apart eventually, and its interior will no longer have the strength to defend itself. Bacteria can now enter the defenceless root of the tooth, and they will slowly spread to the root apices. Coming from the root apices the bacteria are now up against the body's own immune defence. An inflammatory reaction will follow, and the bone material around the root apices will decompose. The endodontologist will be able to identify the bone inflammation from the X-ray. The inflammation will show as a dark, round shadow surrounding the root apices.

Sensitivity testing, which involves cold being applied to the tooth, can be used to determine this. This is because dead dental tissue will no longer be able to pass on temperature stimuli. Following the stage of acute root apice inflammation with strongly piercing pain, the next stage is marked by duller pressing pain in the area of the bone. This may lead to dental abscess and fistula formation. In this scenario there is a risk of bacteria spreading to the entire body.

In either scenario an endodontologist must perform root canal treatment in order for them to be able to preserve the tooth.


More Questions?

There are still open questions about root canal treatment that you would like to have answered? We have put together a questionnaire around the topic!

FAQs: Root Canal treatment

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