Root canal treatment

During root canal treatment, it is important to be extremely thorough and careful so that all bacteria that have invaded the tooth nerve and the inflamed tissue can be removed. Afterwards, the fine root canals are closed again cleanly and tightly. Using modern technology, even fine or highly curved root canals are carefully and gently prepared by machine. A permanent real-time length/position control of the file in the canal is also possible.

Thanks to the mechanical canal preparation, the treatment process is gentler and faster than with the manual technique and is generally more pleasant for the patient. This enables a more thorough cleaning and a more precise filling of the canals, so that you can keep your own tooth for a long time.

Electrometric length determination (endometry) refers to the measurement of the root canal length of a tooth using an electronic measuring device. The measurement is based on the fact that there is a constant electrical resistance between the root membrane and the mucosa, which drops abruptly when the root tip is reached. Alongside radiographic length determination, endometric measurement is currently the most accurate method for determining the exact length of the root canal.

After the root canals have been completely prepared up to the root tip and rinsed with disinfecting solutions, the length of the individual canals is again determined using endometry.

The next step is the definitive filling of the root canals. For this purpose, a post made of gutta-percha, which has been heated beforehand, is inserted into each canal in turn. The heating allows the post to expand in the root canal and fill the entire volume of the canal. In this way, we can prevent air pockets or areas without filling.

Once this step is complete, we take a control X-ray to assess whether all the root canals have been optimally filled. If this is the case, the crown of the tooth also receives a filling and is sealed tightly.

Once the root canal treatment is completed and the tooth is tightly sealed, it is a case of waiting. After about 3 months, we check the tooth again and assess whether the tooth in question is symptom-free and whether it has calmed down. In an X-ray of the tooth, we see whether the inflammation around the root tip has also subsided.

If this is the case and the root canal treatment was thus successful, it is time to plan a tooth replacement in the form of a single-tooth crown or, depending on the individual situation, another type of tooth replacement.

Since teeth after root canal treatment no longer have the nourishing blood vessels running through them together with the nerve, we have to give the tooth stability again by means of a crown. This crown is additionally anchored in the tooth with a glass fibre pin so that the bond between the tooth and the denture is optimal.