Dental: Endodontics – 2022


Dental: Endodontics

Endodontic treatment – denervation is absolutely necessary when the caries progresses to a degree that affects the nucleus of the tooth, ie the pulp.

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Dental surgery

Dental surgery is about the prevention and treatment of dental diseases related to enamel and dentin. Such diseases are caries, erosion, micro-fractures of the teeth, etc. With dental surgery the doctor intends to maintain the hygiene of the patient’s natural dentition, in combination with the best functional and aesthetic result.

1. Composite resin fillings

By composite resin occlusions we mean the well-known white seals.

The composite resin gives a satisfactory result and high aesthetics in the shade of the tooth. The process is simple and completed in one appointment.

2. Amalgam occlusions

By amalgam occlusions we mean the gray metal seals. Their use has begun to be limited in recent years. Resin sealing is usually preferred and the old “gray-silver” seals are often removed and replaced with resin.

3. Placement of axes in an endodontically treated tooth

Often after endodontic treatment (denervation) there is a significant lack of dental substance, so it is necessary to place an endodontic shaft that helps to better support the restorative material. Thus the sealing (sealing) that is placed is much more compact and durable, while the installation of a rim becomes easier.


Endodontic treatment – denervation is absolutely necessary when the caries progresses to a degree that affects the nucleus of the tooth, ie the pulp. The pulp consists of blood vessels and nerve fibers, ie it is a mass of living tissue that when damaged and begins to die causes severe pain to the patient due to inflammation and abscesses in the extremity. For the immediate treatment of the symptoms but mainly for the salvation of the tooth, it is necessary to carry out the endodontic treatment.

1. Endodontic treatment

Depending on the case, an opening of the affected tooth can be made initially, in order to immediately relieve the patient from the pain. The damaged pulp should then be removed from the inside of the tooth, the root canal or root canals (depending on the tooth) should be carefully cleaned and hermetically sealed to prevent germs from entering. Usually endodontic treatment is completed in one visit, only if the inflammation has spread beyond the tooth is a temporary filling and taking antibiotics until it subsides. At the next visit there will be occlusion (filling) and with the appropriate conditions the denervated tooth to be maintained for many years.

2. Acrosectomy-Reverse occlusion

There is a case where the bladder is located in a tooth that can not be denervated. The doctor then proceeds to a “haircut” of the tip of the root of the responsible tooth (acrorectomy) along with removal of the pathological tissue (cyst). This removes the part of the tooth root that is causing the problem.

When needed, a “seal” can be placed on the edge of the root called the reverse occlusion, which ensures a more effective occlusion of the tooth root.


It is the branch of dentistry that deals with the health of the gums and periodontium. Treatment can be conservative without incisions and surgery, or surgery with radical scrapings and gingival flap.

1. Treatment of gingivitis

Periodontal disease in its original form is known as gingivitis, ie an inflammation of the gums that is expressed by swelling, redness and often bleeding gums. The treatment consists in the removal of the tartar and dental plaque both with ultrasound and with hand tools where required as well as the most important learning of oral hygiene brush-floss-interdental brushes.

2. Treatment of periodontitis

Periodontitis, unlike gingivitis, is not limited to the gums, but there is also destruction of the supporting bones, which when it progresses, causes the teeth to shake first and eventually fall out. The cause of periodontal disease is the dental plaque, ie the germs, which are either not removed properly by brushing, or are not removed even if we brush properly, because they are trapped in the mass of tartar that only the Dentist-Periodontist can to remove. Aggravating factors are heredity, smoking, diabetes, etc.

The process of periodontal treatment begins with a good cleansing of the plaque and stone and oral hygiene instructions. Following is a periodontogram where the dental cavities are measured and their mobility and special periodontal characteristics are evaluated. Then the basic stage of periodontal treatment is performed, which is the submandibular root abrasions on each tooth separately with the use of local anesthesia.

These are performed either in two sessions where each jaw is worked separately, or in four in more severe cases where the mouth is divided into quarters. Finally, about a month later, the re-examination and evaluation of the therapeutic result takes place.

Periodontal treatment can be either conservative or surgical where a gingival flap and suturing is performed.


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