Department
Endodontics
Endodontic Treatment Approach
Endodontics is the dental specialty in which the dental pulp and root canal system are treated after infection or trauma.
Root canal treatment aims to keep the tooth in the mouth as an alternative to extraction; the success rate depends on case complexity.
For teeth with apical lesions, root canal treatment or retreatment options may be assessed.
Microscope-assisted endodontics can help visualise complex canal anatomy.
Vitality tests may help assess pulp vitality.
In urgent trauma cases, pulp-protective treatments should be applied in time.
Variations in root canal anatomy can directly affect the treatment plan.
Thermal and chemomechanical irrigation protocols may support canal disinfection.
Canal Anatomy and Technique
In upper molars, the MB2 canal is a frequently missed canal; it may be identified with CBCT or an operating microscope.
Root canal shaping and irrigation are critical steps in microorganism elimination.
Canal filling material aims to seal the canal system with three-dimensional obturation.
In multi-rooted teeth, treating each canal separately is important for success.
Calcified canals and curved roots may require advanced technique and patience.
NiTi rotary files may provide flexibility in canal shaping.
The root canal irrigation protocol plays a decisive role in infection control.
Canal enlargement instruments should shape the apical area without causing damage.
Retreatment and Surgical Endodontics
In failed root canal treatment, retreatment involves removing old filling material and preparing the canal again.
Apical resection may be considered when retreatment is not possible.
Broken instrument removal and canal perforation repair are advanced endodontic procedures.
Not every retreatment case carries a guarantee of success; the restorative status of the tooth affects prognosis.
Ultrasonic tips and micro-instruments may be used in complex cases.
Apical surgery under a microscope may allow precise resection.
Root-end resection is used as an alternative to retreatment in selected cases.
In advanced endodontic cases, an operating microscope may improve visual quality.
Restoration Integration
After root canal treatment, the tooth may become more fragile; a crown or onlay restoration may be recommended.
Hard-shelled foods may be avoided while a temporary filling is in place.
Post-core application may improve crown retention when adequate coronal structure is missing.
Root canal treatment may be considered incomplete until the restoration is finished.
Fibre posts and adhesive systems may be preferred in modern restorative approaches.
Coronal sealing is a priority after root canal treatment to prevent bacterial leakage.
Post choice is planned as fibre or metal according to the remaining root and crown structure.
Temporary restorations should prevent bacterial leakage until root canal treatment is completed.
Patient Information
Sensitivity may occur during and after root canal treatment; in most cases it is temporary.
An antibiotic prescription may be considered when signs of infection are present.
Periodic radiographic follow-up of the treated tooth is used to monitor apical healing.
If root canal treatment is not possible, extraction and implant alternatives may be discussed.
The decision to complete treatment in one visit or multiple visits depends on infection severity.
An electronic apex locator may help radiography when determining canal length.
Post-treatment pain management may be supported with a personalised analgesic plan.
Periodic radiographic follow-up of root-treated teeth is recommended for apical health.
Clinical Assessment
In an endodontics assessment, anaesthesia choice is considered; priorities are set according to the clinical picture (not 1/0). No procedure is started without patient consent.