Endodonzia Studio Dentistico Raschiotti Sanremo
Endodonzia

Endodontia

It deals with nerve removal of a tooth element, which is necessary when inflammation is present due to extensive caries, bacterial infection, trauma, or fracture.

The devitalization

Root canal therapy (commonly called devitalization) is performed with sterile mechanical instruments to remove the nerve or pulp of the tooth and to shape the root canal, with the help of irrigants and disinfectants that help remove debris that cannot be reached by mechanical instruments. After the tooth canal has been shaped and disinfected, root canal therapy is completed with the sealing of the root canal system by filling with warm gutta-percha: a gum that turns out to be the best tool for ensuring the seal that is essential for preventing reinfection of the tooth. All stages of root canal therapy should be performed with proper isolation of the surgical area to protect the patient from the substances and instruments used and to work in a dry field.

Root canal reprocessing

It may be necessary to correct a previously performed root canal therapy; this procedure is called reprocessing and is necessary when the entire nerve has not been removed or the root canal has not been sealed well. Reprocessing involves removing substances, such as cements and gutta-percha, previously placed in the canal, disinfecting again and performing a new seal with warm gutta-percha.

How to protect a devitalized tooth

A properly devitalized tooth can last a long time, but it is a more fragile element because both the cavity accessing the canals in order to devitalize it and caries have worn away much of it. This loss of tooth substance causes an increased risk of fracture, so it is often necessary to protect it with a restoration that “hoods” it like an inlay or crown.