Canal Cleaning

We will try to save the tooth even with advanced caries, pulpitis, or periodontitis

At the "Kiadent" clinic, known for its custom prosthetics, we provide endodontic treatment (cleaning and filling of tooth canals) at prices below the average in Odessa.

What is Root Canal Cleaning?

Endodontic treatment is a set of procedures that involve cleaning root canals from infection, antiseptic treatment, removal of pulp, and filling (obturation). Timely endodontics can save a tooth and extend its lifespan.

Why Does the Pulp Become Inflamed?

Root Canal Cleaning and Endodontic Treatment — Schematic illustration of endodontic treatment of a tooth canal

Indications for endodontic therapy include:

Deep caries that has infected the vascular-nerve bundle (pulpitis);
Presence of a cyst/granuloma with pus at the root tip;
Nerve inflammation due to trauma (partial or complete root fracture);
Dead or decayed nerve with inflammation in the tissues around the root (periodontitis);
Dental errors (overheating of the pulp during tooth preparation for a crown, perforation of the pulp chamber during removal of carious tissues, poor canal obturation, etc.);
Preparation of a tooth for crown placement.

Prices

Данные о прайс-листе не найдены.

Targeted X-ray
Placement of temporary light-cured filling
Simple removal of intracanal post/inlay
Unsealing of a previously treated canal
Filling of one root canal
Complex removal of intracanal post or inlay
Instrumental and antiseptic treatment of one canal
Restoration of the crown with a filling

Methods of Endodontic Treatment

Therapeutic

Used only for early-stage pulpitis when the patient seeks endodontic help at the first signs of pulp inflammation.

The biological method involves preserving part or all of the nerve. After preparing the carious cavity and accessing the infected pulp, medication is applied. A temporary filling is placed for 3-5 days. This procedure is repeated several times until the nerve is fully restored, as verified by an X-ray. Once the inflammation is eliminated, a permanent filling is placed.

Surgical

Used when the nerve cannot be saved. After removing carious tissues, the pulp is completely extracted. All root canals are mechanically and antiseptically treated. The dentist then seals the canals tightly with gutta-percha points in combination with a sealer (a paste used to fill the gaps and ensure adhesion of the gutta-percha to the canal walls).

Patients rarely visit the clinic at the first signs of tooth nerve inflammation. As a result, therapeutic endodontics is often not possible, and surgical pulp extraction is required.

Schedule a consultation with a dental therapist if you experience the following symptoms of nerve inflammation:

Occasional aching or sharp pain in response to hot/cold, sweet, or sour;
Pain when chewing or biting;
Gray, yellow, or brown spots (dentin destruction);
Swollen gums.

Do not delay cavity treatment, as bacteria can reach the nerve!

Stages of Root Canal Cleaning

1. Step. Diagnosis
Endodontic treatment always begins with a thorough examination to obtain an accurate clinical picture. After a visual inspection, X-ray diagnostics are performed: targeted X-ray, OPTG (panoramic X-ray), or CT (computed tomography).
To assess the condition of the nerve, the dentist performs electro-dental diagnostics by applying a small electrical current to the affected tooth and observing the pulp's reaction to determine whether the nerve can be saved.
In most cases, when dental help is sought late, nerve removal is necessary.
2. Step. Removal of Carious Tissues
After administering local anesthesia (to ensure the patient feels no pain), the dentist isolates the tooth from saliva using a rubber dam. Carious tissues and granulations are removed to provide access to the dentin canals.
3. Step. Pulp Removal
Using special instruments, the dentist removes the pulp (tooth nerve) from the crown and canals of the affected tooth.
4. Step. Measuring Canal Length
With flexible nickel-titanium files (NiTi), the dentist measures the depth of each canal. Accurate measurement of their length is crucial for proper obturation and minimizing the risk of complications.
5. Step. Canal Widening
The dentist uses an endodontic handpiece with Pro-Files to reach the apex of each canal. They remove anatomical narrowings and irregularities, then widen the canals in diameter.
6. Step. Antiseptic Treatment
After mechanical cleaning and widening, the canals are thoroughly rinsed with an antiseptic solution.
In cases of periodontitis, the dentist places medication and a temporary filling (the procedure may be repeated 2-4 times depending on the clinical situation).
7. Step. Canal Filling
The dentist fills the canals with gutta-percha all the way to the apex. A post-procedure X-ray is taken to assess the result.
8. Step. Crown Restoration
Depending on the extent of crown damage, the dentist may place a restorative inlay or reinforce the tooth with a post and place a crown.

Features of Quality Treatment

The success of endodontic treatment depends on the precise execution of the following steps by the dentist.

Identifying Canal Branches

Without high-precision diagnostics and experience, the dentist may miss additional small canals branching off the main one. If these are not treated and sealed, infection is inevitable.

Determining Canal Length

The dentist must seal the canals all the way to the apex of the roots (no shorter or longer). This requires highly accurate length measurement for each canal.

If the canal is filled even slightly below the apex, there is a high risk of periodontitis and cyst formation due to inflammation. This can eventually lead to tooth extraction.

If the gutta-percha extends slightly beyond the root tip, the patient may experience pain, neuralgia, or numbness of the lip or chin.

Tools that Help the Dentist

An apex locator is used to precisely measure the length of the root canal. This device, connected to a K-file via an electrode, displays the current depth of the instrument. Once the apex is reached, the device signals.

To verify accuracy, the dentist leaves the K-files in the canals and takes an X-ray to check if they reached the apex. The X-ray also shows whether the canal is tightly filled with gutta-percha and if there are any voids. This is the only way to ensure 100% accuracy of the measurements!

Canal Widening

Canals have natural narrowings and widenings. If these are not removed during mechanical preparation, the dentist will not be able to fill the canals properly. This can lead to inflammation and complications.

Manual tools or an endodontic handpiece are used for mechanical preparation. The handpiece provides significantly better results, leaving the canal walls perfectly smooth (important for filling with gutta-percha) and minimizing the risk of breaking a K-file during the process.

Filling Method

It is important to note that filling with just paste and a gutta-percha point almost always leads to complications. At "Kiadent," we use the lateral condensation method with cold gutta-percha (affordable and effective) and vertical condensation with hot gutta-percha (the most efficient method for sealing).

Post-procedure Recommendations

Avoid eating for the first 3-4 hours after the procedure (if necessary, only soft foods). Due to the ongoing effects of local anesthesia, you may injure your tongue, cheek, or lips while chewing.
Completely avoid chewing on the treated tooth until it is restored with an inlay, permanent filling, or crown.
Do not apply hot compresses.

After endodontic treatment, patients are advised to:

Take pain relievers if experiencing chewing pain.
Follow the prescribed medication regimen.
Contact your dentist if the temporary filling (used for periodontitis treatment) falls out.
Do not worry if you develop a mild fever for the first two days. This is a normal bodily reaction.
If the treated tooth has not been restored with an inlay or crown, do not delay its restoration. After endodontic therapy, the tooth becomes brittle, and there is a high risk of fracturing its walls during chewing.
If the pain intensifies on the 3rd or 4th day or if swelling increases, inform your dentist immediately.

Questions and Answers

What if the tooth continues to hurt?
Pain and pressure in the tooth are normal physiological reactions after nerve removal (as the nerve detaches from the jaw nerve), lasting for 2-3 days (in some cases, mild pain may persist for up to 2 weeks).
If the pain worsens, the fever persists, the gums swell, or a fistula appears, schedule
an urgent dental examination and get an X-ray.
How can I verify the quality of the retreatment?
Within a year of the procedure, you will need to take 2-3 targeted X-rays (for example, after six months and one year). If the images show positive progress, no voids, and no other canal changes, the treatment was successful.
How long will the tooth last after such treatment?
After proper endodontic therapy, the tooth can last a long time if good oral hygiene is maintained.
When is root canal retreatment needed?
Retreatment, cleaning, and hermetic obturation may be required in the following cases:
- Errors in initial treatment (leaky filling, inadequate antiseptic treatment, missed canals, root perforation, broken instrument fragments, etc.);
- Delayed restoration of the treated tooth (allowing bacteria to re-enter the tooth and cause inflammation);
- Crown fracture due to trauma, leading to infection in the canals;
- Cyst formation at the root tip.
Root canal retreatment is contraindicated in cases of vertical root fracture, severe destruction of the anatomical crown, significant tooth mobility due to periodontal inflammation, and others.