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Your teeth are mainly made of solid tissues; however there are some soft parts as well. The solid tissues includes enamel, dentin and cement, while the soft tissues includes dental pulp, a group of nerves, blood vessels and connecting tissue within the pulp chamber. Endodontics is a part of dentistry dealing primarily with treatment of the soft dental tissues and cleaning of root canals where the soft tissue is located. Therapeutic treatment of root canals is the most frequent endodontic procedure.
The soft tissue plays an important part in the development and growth of teeth. When the growth process is over, the primary function of dental pulp is to react to stimuli such as hot and cold. The importance of this function lies in the fact that it's an indicator that something is wrong and that you should visit a dentist. If the pulp is present and healthy, it has to be kept in that state. But, if it was removed in a well-performed endodontic therapeutic procedure, you won't even notice it's gone and your tooth will keep performing its natural function as before. A badly performed endodontic procedure will not yield good results and you'll need to repeat the treatment, some type of surgical procedure or even remove the tooth altogether.
Regular check-ups, on time removal of caries, poor quality and used fillings are the best possible prevention of toothache. If caries is not removed, the bacteria formed in the oral cavity can enter the root canal and result in pulp (dental nerve) inflammation which will cause severe toothache.
The cases of deep caries or dental trauma can result in pulpitis, the inflammation of the dental nerve, which manifests itself in high intensity pain. The bacteria multiplication leads to the inflammation causing decay of the soft dental tissues in the root canal. A mild inflammation can result in granuloma (periapex changes), while higher intensity inflammations can lead to bone destruction accompanied by severe pain, and finally, to loss of one or several teeth.
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Pulp and root canals
Dental pulp is soft tissue located in the hollow spaces of healthy teeth. The pulp chamber is located in the central part of the tooth crown, while pulp, nerves and vessels pass through the root canal to the top of the root.
The root canal is an oblong space stretching from the lower part of the pulp chamber to the peak of the root. Its size and shape is proportional to the shape and size of the root itself. Every nerve enters the tooth via root and spreads through the root canal to the pulp chamber located in the crown of the tooth.
Root canal and dental pulp diseases
Appearance of red and rounded protrusions on the lingual or buccal side of the oral cavity in the region corresponding to the position of the root is a clear indicator of the dental pulp decay or of a fracture suffered by the tooth. Such a protrusion ends in a canal that runs through the bone (via a formed fistula) connecting the tip of the tooth and the surface of mucosa. Small or larger quantity of yellowish puss can come out of the fistula, usually without any pain. A failure to undergo a full endodontic treatment therapy can lead to complications that will require an appropriate endodontic surgery.
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Dr. Marko Vukic is an excellent expert in the filed of prosthetics, endodontics and conservative dentistry. His longtime experience in working with patients from all around Europe makes him the best counselor for your problem. Feel free to ask dr. Vukic all your questions concerning dentistry or arrival to Dental Studio Vukic!
Root canal and dental pulp treatments
If the dentist finds that the pulp is in the process of decay, there are two treatment options: endodontic dental treatment or complete removal of the affected tooth.
It is certainly better to try endodontic tooth treatment first and keep the affected tooth rather than have it removed, since none of the dental restorations could ever be as good as natural teeth. This is a significant fact which deserves careful attention and consideration on the part of the patient, since he has to show a lot of patience during the course of the endodontic treatment of an affected tooth.
The treatment of the tooth inflammation involves removal of the dental nerve and thorough cleaning of the entire root canal. After the canal has been fully disinfected, it is filled with permanent fillings in order to prevent possible future penetration of bacteria into the root. Special materials are applied during endodontic treatment, together with electronic positioning of the top of the root canal, application of special detectors to determine the exact canal entrance radiological determination of their quantity and position, as well as mechanical cleaning and processing of the canal wall. Thanks to cutting-edge equipment and application of high-quality procedures adapted to each tooth, we can achieve the maximum efficiency in the treatment of teeth.
Endodontic treatment is sometimes performed when the teeth do not show any symptoms that would require treatment. We are mostly talking about making of prosthetic restorations which could eventually lead to pulp irritation or damage. In such cases a preventive endodontic treatment is performed, in order to avoid a situation of subsequent removal of the new tooth replacement due to a possible disease of the pulp.
The removal of the diseased tooth is the last option which is applied only in cases when all possible therapeutic options have been utilized without results in the symptoms receding.
Frequently asked questions
1. What is endodontics?
Endodontics is a part of dentistry dealing with treatment of the soft dental tissues and cleaning of the root canals where the soft tissues are found.
2. How does toothache start in the first place?
Toothache is caused by the inflammation of the soft dental tissues within the tooth or by a tooth fracture. The culprit for the painful toothache is the inflammation of a set of nerves and blood vessels.
3. How to get rid of a toothache?
The only possible solution is to visit a dentist and start endodontic treatment.
4. Is it better to treat the affected tooth or to have it removed?
Tooth removal has to be considered only as a last resort. No tooth replacement could ever be as a real one, so natural teeth are only to be removed in case no therapeutic method gave a wanted effect.
5. My tooth is swollen but I feel no pain. Why?
The appearance of a rounded protuberance on the lingual or buccal side of the mouth indicates a fistula. Fistula is a canal passing through the bone and connecting the tip of the tooth root and the mucosa surface. Smaller or larger amount of yellow puss can sometimes come out of the fistula, usually without feeling any pain.