Endodontics deals with the internal part of the tooth, the endodontium. In practice, it deals with treating what is in the canal of the tooth itself – Root canal treatments.
When decay with its acid products reaches the point of inflaming the pulp of the tooth (pulpitis), there is a strong pain that affects the entire part of the face and cannot be identified. In this case, the decay and the pulp of the tooth must be removed as soon as possible and the pain goes away.
When a tooth dies, the “pulp” or “nerve” remains inside, which goes into putrefaction. The harmful products coming out of the apex of the root of the tooth create a reaction of the organism called “granuloma” that destroys the surrounding bone. Sometimes the lesion is discovered on an X-ray, sometimes there is pain when chewing on the tooth, sometimes there is strong pain and an abscess with swelling can develop. To treat these problems, the inside of the root must be cleaned. The techniques used in our office follow the most modern guidelines, preserving the tooth structure as much as possible, working with the most modern instruments in an aseptic environment, almost always managing to heal the “granulomas”, saving the tooth itself. In particular, Dr. Callegher uses the intraoperative microscope that allows treating even the most difficult cases.
Root canal treatment
When a tooth dies, the “pulp” or “nerve” remains inside, which rots. The harmful products coming out of the apex of the tooth root create a reaction of the organism called “granuloma” that destroys the surrounding bone. Sometimes the lesion is discovered on X-ray, sometimes there is pain when chewing on the tooth, sometimes there is severe pain and an abscess with swelling can develop. To treat these problems, it is necessary to clean the inside of the root. The techniques used in our office follow the most modern guidelines, preserving the structure of the tooth as much as possible, working with the most modern instruments in an aseptic environment, almost always managing to heal the “granulomas”, saving the tooth itself.
Discover the cases
A hole that suddenly opens up in a tooth could be due to a large cavity! Sometimes it digs a cavity that you can’t see until it starts to hurt. This is why regular visits to the dentist are important.
The cavity is shown on x-rays as a darker spot. In this case the cavity has undermined the upper part that has collapsed. The dark spot is near the pulp of the tooth – “nerve” – which transmits pain.
The x-ray shows a cavity that has reached the so-called “nerve” or pulp of the tooth and creates severe pain, called pulpitis. It is as if acid were touching the nerve. An emergency root canal treatment is necessary. After removing the cavity and the “nerve” the pain goes away immediately. The canals must be disinfected and then closed with a material called gutta-percha (in the second x-ray you can see white material filling the canals and this is a sign of root canal treatment). In this case there were 4 canals, while normally there are 3! It is very important that they are all cleaned!
Root canal treatment is done using a dam that is held in place by the hook that can be seen on the x-ray. The dam prevents the tooth from becoming infected with saliva and prevents the instruments from falling into the mouth.
If pulp remains, it becomes necrotic (a piece of “meat” that rots in the tooth) and granulomas form as a reaction. The tooth is rebuilt and will be monitored over time!
The patient had a ruined smile due to a central incisor with the wrong color and shape. The old crown on the left lateral incisor also had the wrong color and the underlying tooth was decayed. We decided to use the least invasive treatment possible, intervening only on the ruined teeth. We made a crown on the central incisor, giving the gum its proper morphology, and redid the corna on the lateral incisor. The old fillings on the left central incisor were redone.
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The patient had two old crowns that did not meet her aesthetic expectations and reported associated persistent gingival inflammation, which caused her discomfort. After a thorough clinical and diagnostic evaluation, two new prosthetic crowns were fabricated and placed, designed to improve both aesthetics and periodontal health.
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