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An abscess is the body’s reaction to an infection at the tooth’s end of the root. Both acute and chronic abscesses are possible. Immediate attention is needed if it is acute, as you will have localised swelling or pain as well as a “fat face.” Consult an endodontist or your dentist.
We advise patients to take over-the-counter painkillers, or analgesics, such as Paracetamol or Neurofen, if they are in pain. But before taking any medication, please talk to your endodontist.
When a patient needs endodontic treatment, there are several ways to make them comfortable, ranging from sedation to an injection of a painkilling local anaesthetic.
Only when a tooth has a serious infection are antibiotics prescribed to patients. Antibiotics are frequently prescribed to patients without a proper diagnosis.
The tooth’s apex is the tip of the root.
The nerves and blood vessels exit the root through the apical foramen, which is an opening at the end of the root.
A periodontist is a dentist who focuses on identifying and treating conditions affecting the mouth’s supporting tissues and gums.
The elastic tissue that surrounds and is joined to the cementum by the tooth’s root. On a radiograph, this may appear thickened and may indicate inflammation requiring endodontic therapy.
(X-rays) are taken to make a diagnosis at the beginning of an endodontic appointment and again during the procedure to ensure the tooth has been cleaned and filled (obturated) completely.
Refers to the roof of the mouth.
The Apex Locator is a tool for measuring root canal length. An electronic root canal measuring device (ERCMD) is another name for it.
When a tooth is knocked out due to trauma, it may be possible to re-implant it, but it will almost always require root canal therapy.
A periodontist is a dentist who focuses on identifying and treating conditions affecting the mouth’s supporting tissues and gums.
A periodontist is a dentist who focuses on identifying and treating conditions affecting the mouth’s supporting tissues and gums.
There are many kinds of bacteria in the mouth. The pulp of a tooth becomes inflamed or infected when bacteria break through the enamel and enter, necessitating root canal therapy to save the tooth.
In the mouth, bacteria group together to form biofilm. This is the clingy plaque that must be removed from teeth on a regular basis to stop decay. The root canals of teeth may contain biofilm.
Bleaching is a common cosmetic procedure for teeth whitening. When it comes to endodontics, it is possible to perform internal bleaching after a tooth’s root canal to stop it from turning grey.
Bruxism is the habit of grinding one’s teeth under stress, which can lead to stress fractures and the potential need for endodontic therapy.
The buccal region is the area of the mouth closest to the cheeks.
Each tooth has at least one root, and the centre of each root is a canal. The pulp of the tooth, which may be inflamed or infected, is located within the canal. Cleaning out the pulp or its remains from the canal and filling it with a synthetic filling are crucial steps in root canal therapy. In order to complete a successful treatment, all canals must be located and addressed.
Also known as tooth decay, is the most prevalent disease in the Western world and is typically linked to a diet high in sugary foods and beverages. When a tooth has caries, it frequently needs to be filled. Bacteria will enter the pulp as a result of more caries and filling, necessitating a root filling.
The tooth’s root is encircled by cementum, a hard tissue resembling enamel.
Chlorhexidine is an antiseptic rinse that is used to stop the spread of bacteria. used frequently inside root canals to eliminate bacteria.
Although not dangerous, condensing osteoitis is an inflammatory condition that affects the bone that surrounds the tooth’s root and signals the need for root canal therapy. The condition typically appears as a pale area (radiopacity) on an X-ray (radiograph).
Endodontic treatments require radiographs or X-rays, but cone beam computed tomography (CBCT) can occasionally be helpful. Over and above a regular X-ray, CBCT creates a three dimensional model of the tooth and its roots. This useful data helps with planning a diagnosis and a course of treatment. The best standard of care before beginning many endodontic treatments is now generally accepted to be CBCT. If this was required, the endodontist would provide advice.
A core is the build-up material that is added before a crown is added when a large portion of a tooth is missing due to decay or fillings and a crown is necessary for strength. The majority of root treated teeth need a core build up and crown following root canal therapy.
Most endodontists will have an operating microscope, which enables them to identify every canal in a tooth. The best chance for long-term success and tooth retention comes from being able to accurately locate all the canals, instrument them, clean them, and fill them.
Is a term used to describe tooth pain that may not have an endodontic cause.
Gutta-percha is used to fill the root canal after it has been instrumented and cleaned. The endodontic procedure ends with this step.
Necrosis is the medical term for the death of the tooth pulp. A root canal is required for the tooth.
The maxilla is the top jaw. Lower jaw: mandible. Mesial refers to the direction of the mouth’s front. Mobility: A mobile or loose tooth indicates that the tooth’s underlying bone support has been lost. Apical periodontitis or general bone loss may be to blame for this. Endodontics should be used to treat apical periodontitis. A periodontist should identify and address general bone loss. The abbreviation MRONJ stands for Medication Related Osteonecrosis of the Jaw. Thought to be primarily a consequence of tooth extraction in those taking bisphosphonate medications for osteoporosis, it is now known that other medications may also be linked to the condition. The condition is now known as MRONJ, formerly known as Bisphosphonate-related osteonecrosis of the jaw. Keep your dentist informed of any medications you are taking. MTA, or Mineral Trioxide Aggregate, is a crucial repair substance that can be applied in a number of ways to assist in saving a tooth and fostering healing.
This is the tooth’s bony outer layer. The lamina dura appears as a thin, white line around the tooth root on a periapical X-ray. The tooth’s lingual region is the area closest to the tongue. Loupes: Dental professionals’ magnifying glasses. Most specialists will have a cutting-edge operating microscope that offers magnification that is significantly greater than loupes.
inferior alveolar nerve block, is a common injection used to treat endodontic pain in the lower jaw. Replace missing teeth or teeth that can no longer be saved by root canal therapy with implants. Ask for a referral to an endodontist if the tooth could be saved; they are specialists in doing so. Damage or decay can cause the dental pulp of a tooth to become inflamed. Inflamed pulp in a tooth may be the cause of sensitivity to heat and cold. The part of the endodontic procedure known as instrumentation that lengthens the root canal. It makes it possible for the cleaning agents to sanitise the root canal area. It is typically carried out using endodontic files. If you have irreversible pulpitis, which is a sign of a diseased pulp, there is no going back. The only options are extraction or root canal therapy. Visit your dentist as soon as you can to avoid needing emergency care. Irrigation: Various cleaning solutions are irrigated into the root canal to clean it out. The remedies eliminate bacteria and pulp tissue.
When the dentinal tubules are exposed and sensitive to hot or cold beverages and foods, hypersensitivity occurs in the teeth.
The ultimate goal of endodontic treatment is healing—eliminating apical periodontitis. “Healing” has taken place when this is observed clinically and radiographically.
After root canals have been cleaned out, they are filled with a rubber substance called gutta-percha. The last step of the endodontic procedure is to fill the root with gutta percha (GP).
An abnormal passageway from an endodontic infection at the root end to the surface of the gum next to the infected tooth is known as a fistula. It permits the expulsion of inflammatory or purulent material. A fistula typically indicates the need for endodontic therapy.
Use a root canal file to lengthen (shape) the root canal so that the irrigating solution travels all the way to the apex, maximising its disinfecting effect. Using a special dental hand piece or by hand, files can be moved.
A dentist who specialises only in endodontics and has completed two or more years of advanced training is an endodontist. The endodontist’s job is to assist patients in maintaining the health and function of their teeth. Since they are experts, they frequently have cutting-edge equipment, like an operating microscope.
The area of dentistry known as endodontics deals with the pathology of the dental pulp and its surrounding tissues. To become an endodontist, dentists must complete an additional two years of training before being accepted onto a General Dental Council specialist list.
Covers the tooth’s dentine and keeps decay from penetrating it and eventually the pulp. Acids produced by bacteria and sugar can attack and penetrate it, which is when decay begins.
Soft tissue can be cut and shaped using electrosurgery, frequently for cosmetic purposes.
Distal refers to the area of the tooth closest to the back of the mouth and is the part of the tooth that is farthest from the centre.
Disinfection is the process of getting rid of bacteria after a tooth has been opened up for treatment but before it is filled.
A sensitive tooth or teeth require desensitising therapy.
Dentinal tubules are tiny tubes that run through the dentine and connect the dental pulp to the dentinal fluid.
The semi-hard portion of the tooth below the enamel that houses the pulp is called dentine.
A dental abscess is a bacterial infection’s reaction, and it can be acute or chronic. The apex of the root is where dental abscesses most frequently develop. This is a byproduct of a diseased tooth and is referred to as a periapical abscess.
Debridement is the process of removing harmed tissue. This phrase is equivalent to curettage. In an endodontic procedure, dental pulp tissue or its byproducts are removed from the root canal.
Cysts come in a variety of shapes and sizes, and they can develop in the head and neck. Dental cysts can develop from dental infections that are “unchecked” at the end of roots. Surgery (apicectomy) may be necessary to remove a cyst.
Apicetomy is frequently combined with the surgical procedure known as curettage, which removes diseased tissue from the root area. The endodontist might take a biopsy of this tissue to determine its precise histological composition.
A crown, which is created by lab technicians, completely encases a tooth. Most teeth that have had root canal therapy will eventually need a crown for strength and protection.
The nerves and blood vessels exit the root through the apical foramen, which is an opening at the end of the root.
Is a term used to describe tooth pain that may not have an endodontic cause.
Gutta-percha is used to fill the root canal after it has been instrumented and cleaned. The endodontic procedure ends with this step.
Necrosis is the medical term for the death of the tooth pulp. A root canal is required for the tooth.
The nerves and blood vessels exit the root through the apical foramen, which is an opening at the end of the root.
Is a term used to describe tooth pain that may not have an endodontic cause.
Gutta-percha is used to fill the root canal after it has been instrumented and cleaned. The endodontic procedure ends with this step.
Necrosis is the medical term for the death of the tooth pulp. A root canal is required for the tooth.
Necrosis is the medical term for the death of the tooth pulp. A root canal is required for the tooth.
Pulpitis is an infection and necrosis-causing inflammation of the pulp. Pulpitis can be either chronic and painless or acute and painful. Root canal therapy is the only option for both conditions.
When a baby tooth becomes infected, children may need a pulpotomy as a treatment. While the pulp in the tooth’s centre is removed, the remaining pulp permits the root to continue to grow.
When an endodontist is diagnosing a problem, they will test the pulp’s receptivity to heat, cold, and electricity. If the pulp no longer reacts to these sensations, necrosis has set in, and root canal therapy is advised.
The nerves and blood vessels are in the pulp/pulp chamber, which is the central portion of the tooth. During adolescence, the pulp tissue inside the tooth develops anatomically into the tooth roots. Part of the root canal system is the pulp.
It is occasionally advised to place both a post and a core after a tooth has received root canal therapy. Prior to the placement of a crown, they will work together to strengthen the tooth.
Gutta-percha is compressed into the instrumented and clean root canal using pluggers.
A root canal procedure could encounter this potential complication. A treatment error that might require tooth extraction is perforating the side or tip of the root canal.
The area around the tooth roots known as the periradicular region is susceptible to infection.
X-rays are shown below for a radiograph.
Knocked-out teeth may be successfully re-implanted in order to preserve them.
The process by which infected root tissue is destroyed, typically as a result of apical periodontitis. A root canal procedure can get rid of the infection and halt the spread of this harmful process. An endodontist is the best person to treat resorption.
is a revascularization technique used to preserve developing teeth in children between the ages of 7 and 16. The procedure enables the tooth’s healthy pulp tissue to re-grow and enables the avoidance of traditional root canal therapy.
is the process of preparing and filling the root canal from the root apex in order to seal it during an apicectomy.
A root canal procedure may occasionally fail. Additional canals that weren’t treated during the initial procedure could be found by the endodontist. Retrenchment is advised in these circumstances.
The central portion of the tooth, known as the root canal system, contains the nerve and blood supply necessary for tooth development. The dental pulp of the tooth becomes inflamed or infected, which results in a root canal issue.
A rubber sheet that is placed over a tooth so that only the crown is visible isolates the tooth and makes sure that no bacteria from the mouth enter the root canal. Its use in endodontics ought to be commonplace. If there is no rubber dam in place, do not allow your dentist to continue.
Being sensitive to hot and cold or experiencing discomfort when biting is typically the first indication that you may have a root canal problem.
The primary cleaning solution used in endodontics is sodium hypochlorite solution (NaOCI), also referred to as bleach. All of the bacteria that cause apical periodontitis will be eliminated. D
Many patients are afraid of intricate dental procedures like endodontics. A consultant anaesthetist can administer sedation, using specific medications to calm the patient during the endodontic procedure. The patient can be completely relaxed and still receive the treatment. For patients who are anxious, sedation is ideal.
The primary cleaning agent used to irrigate root canals is sodium hypochlorite.
The primary ingredient in the most common root canal sealing substances is zinc oxide.
also known as radiographs, are crucial for root canal therapy and should be taken prior to, during, and after the procedure to make sure the root canals have been completely enlarged, cleaned, and obturated (filled).
To ensure that all infection is eradicated during a root canal procedure, sterility must be maintained.
Most endodontists will have an operating microscope, which enables them to identify every canal in a tooth. The best chance for long-term success and tooth retention comes from being able to accurately locate all the canals, instrument them, clean them, and fill them.
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