Endodontic and Root Canal Therapies
Endodontics is a modern branch and recognized speciality of dentistry that deals with treatment of pulpal diseases and the root’s surrounding tissues.
Indications for undergoing endodontic treatment includes reversible and irreversible pulpitis, non-vital teeth that may or may not have infections in surrounding tissues of the root area, dental trauma, cracked tooth syndrome, and cystic lesions of dental origin.
Non-surgical endodontics includes routine root canal treatment, where the tooth’s root canal is accessed, cleaned and shaped, then filled up with an inert filling material.
Other procedures include pulp capping, for reversible cases, pulpotomy, for young offending permanent and temporary teeth. Surgical Endodontics include apicoectomy, a procedure wherein direct removal of fistula (abscess cavity) or cysts is done following a routine root canal treatment.
Other surgical procedures are Hemisection, where a root is either amputated or separated from its point of fusion (furcation area), and Replantation, for cases of avulsed teeth. A major breakthrough in endodontics is the advent of microendodontics, wherein procedures are aided by powerful magnification tools such as loupes and dental operating microscopes.
Cleaning and shaping root canals have been also improved through the years because of advanced techniques and modern instruments.
Greater taper, use of nickel-titanium files with new rotary or hand motion are key to easier, faster, and better root canal treatment results.