Endodontics

Dental treatment in the operating room

We get to the root of the problem - and save your tooth.

Our modern root canal treatment in Berlin Mitte combines precision, calm and the latest technology - for lasting tooth preservation without any fear.

Dental treatment in the operating room

Here you will find the most important answers to your questions about root canal treatment.

No - with modern anesthesia and the finest technology, you usually feel nothing during the treatment. We take our time and make sure that you feel completely safe. Thanks to local anesthesia and gentle methods, most patients are surprised after the treatment at how pleasant the procedure was.

As much as we sometimes wish it would: An inflamed tooth root does not heal by itself. Home remedies can briefly alleviate symptoms, but the cause - the infection inside the tooth - remains. Timely root canal treatment prevents worse and preserves the tooth permanently.

In most cases, the tooth can be saved. Root canal treatment is often the best chance of preserving the tooth in the long term before things get complicated.

OLZE Performance Endodontics Symptoms

How does root inflammation manifest itself?

Root canal treatment (endodontic treatment) is always indicated if the tooth nerve is already severely damaged or dead due to deep caries, an accident or inflammation. Bacteria penetrate the inside of the tooth and can ultimately also affect the jawbone, which can lead to serious damage to general health. Severe pain is usually the result of the inflammation. It is also possible for the disease to be completely painless, which is why root inflammation, which often follows inflammation of the dental nerve, can ultimately only be detected with an X-ray.

What happens during root canal treatment?

The root canals can vary greatly in number and course, especially in multi-rooted teeth. For this reason, the canal system is first clarified using a three-dimensional DVT. During root canal treatment, the dentist removes the inflamed or dead tissue from the root of the tooth, any pain is eliminated and the root canals are rinsed and prepared with antibacterial agents. The root canals are then completely filled to seal the edges. Where possible, root canal treatments are carried out under a rubber dam at the dental practice in Berlin Mitte. This is a rubber-like sleeve that is tightened around the tooth with a metal clamp and isolates it from the bacteria-rich saliva. The rubber dam creates a sterile, saliva-free environment.

Root canal treatment of multi-rooted teeth in particular places high demands on the visualization of the canal entrances and the respective root canal course. For this reason, we use a dental microscope from Zeiss in our practice, especially in these cases.

First, the tooth is opened to create access to the inflamed root. The root canals are then prepared mechanically with the aid of delicate disposable files and rinsing solutions, and the inside of the tooth is freed from damaged tissue and disinfected.

The modern method of using high-frequency ultrasound serves to improve the distribution of disinfectants in the root canal, resulting in more even cleaning. Ultrasound can also be used to remove inflamed tissue.

Finally, the treated tooth receives a thermoplastic root filling and, as it is now at increased risk of fracture, is restored with a so-called glass fibre post, a stabilizing dentin-adhesive build-up filling and a high-strength and aesthetic all-ceramic dental crown. The final restoration of the tooth is often carried out at a later date in order to allow the inflammation of the tissue surrounding the tooth root, which is usually present, to heal completely.

What is an apicoectomy?

Root canal treatment is not always successful straight away and the inflammation of the tooth root does not subside. If it is already very advanced and has attacked the root tip, it must be surgically removed. This is referred to as a "root tip resection" (RTR). Upon request, we can perform this procedure completely painlessly under general anesthesia, so that you are fast asleep and unaware of the surgery.

laser treatment

The highly concentrated beam of light from the laser gently separates the inflamed root tip and vaporizes the tissue at the same time, so that there is no further bleeding, as would be expected when using a scalpel. The laser therefore causes fewer post-operative complaints and the tooth can be treated quickly.

Would you like to learn more about endodontics?
Visit us at our dental practice in Berlin Mitte. We have the right appointment for you.

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