Dental: What is denervation?

Endodontic treatment, better known as denervation, is a completely painless dental procedure that becomes necessary for the treatment of…

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What is denervation?

Endodontic treatment, better known as denervation, is a completely painless dental procedure that becomes necessary for the treatment of infections or fractures of the teeth when they affect the pulp (nerves) of the tooth causing inflammation and infection.

During endodontic treatment, the pulp is completely removed, the pulp chamber and the root canals are cleaned and disinfected, and finally they are occluded with special occlusive materials.

If endodontic treatment is not performed on an infected or damaged pulp, then pus accumulates at the tip of the root, in the alveolar bone and an abscess forms which causes pain.

Why do I need a denervation?

If the inflammation is not treated, the lack of perfusion of the pulp leads to tissue necrosis and spread of the infection through the root canals to the tissues around the root of the tooth causing an abscess. The infection gradually destroys the bone around the abscess making it impossible to hold the tooth in place leading to its loss. In addition it can spread to other organs of the body affecting their function. The only alternative is usually the extraction which, although it seems like a cheap option, filling the gap in the future will require an expensive bridge or a not at all cheap implant.

In which teeth do we do endodontic treatment?

It is performed on both single-rooted (front) and multi-rooted (rear) teeth.

What are the stages of treatment?

Initially, the masticatory cavity is opened and accessed through the masticatory cavity and into the root canals to their narrowest extremity point. Then we do chemical-mechanical treatment of each pipe separately in order to properly shape it with hand tools, motorized tools and vents with local antiseptic solutions. During the sessions we use antimicrobial agents to displace and eliminate the infection. In the last stage of the treatment, the root canals are occluded with a modern hot gutta-percha system and following a specific protocol.

What happens after treatment?

A slight discomfort in the area may occur in the first days after completion, which is treated with simple analgesics. An x-ray a few days after treatment is considered necessary to confirm success. In the final phase, the tooth is reconstructed (filling) and in case it is damaged, it is considered necessary to place a shaft and a porcelain crown (case) in order to prevent it from future fracture and extraction.

What is the success rate of an endodontic treatment?

A proper endodontic treatment has a success rate of up to 92%, an amount which depends on various parameters such as the morphology of the root canals, if it has a radical lesion, if a specific protocol is followed, if there is a fracture or crack and if the final restoration is correct and prevents microbial penetration. If the pain persists after two or three weeks then the treatment may not have been successful. It should be noted that prevention can prevent the need for endodontic treatment.

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