Stages of endodontic treatment

Endodontic or root canal treatment is a complicated process. If the tooth is heavily decomposed and the infection has spread to the jawbone, the treatment process may take a long time.

The beneficial therapeutic outcomes and longevity of the treated tooth highly depend on the qualifications and experience of the dental professional, as well as the patient‘s lifestyle and oral care.

Our clinic states with high assurance that over 90% of treated or filled patients‘ teeth cause almost no issues for over a decade or so.

Teeth can be filled or equipped with prosthetic appliances once treatment is complete. Filled teeth can fall out in cases of change in occlusion, which especially occurs in childhood, young adulthood or old age or sometimes in cases when one is trying to bite objects which are not fit for this purpose, e. g. bones, nutshells, dried-up bread etc.

Stages of endodontic or root canal treatment

Preparatory stage

  • Desinfecting and rinsing the oral cavity
  • Local anesthesia. Treatment is possible without undergoing local anesthesia, however, it‘s not always as well-performed, therefore we recommend it without hesitation.
Quality dental treatment requires local anesthesia; this is mutually beneficial as the patient feels no discomfort and the dentist can work without distractions caused by the patient‘s reaction
A dental handpiece is used to polish the surface of the dental cavity in order to save as much of the tooth as possible; during the procedure saliva is being sucked out by a special suction tube

Cleansing root canals, desinfecting dental cavities

  • Root canals are carefully mechanically cleansed and scraped, any leftover particles of dead internal dental tissues – nerves and blood-vessels are eliminated.
  • The dental handpiece is only used to penetrate the tooth surface as all efforts are made to preserve as much of the tooth as possible.
  • The dental cavity is desinfected with modern antiseptic agents that are completely safe.
  • Root canals are filled with special medical materials.

During this stage we eliminate the inflammatory tissue that has stopped functioning – the pulp cavity. It‘s the soft tissue located at the core of the tooth, situated under the solid tissues, the layers of enamel and the dentin which can be carefully penetrated by an experienced dentist‘s hand, if necessary. This allows to reach beyond the root canals where the area of the original infection is situated – the result of delayed treatment, able to damage the jawbone.

Even after mechanically and chemically treating a tooth that hasn‘t been treated for a long time, it is not possible to preserve as much of the original natural tooth as we would like.

It is very important to carefully and properly cleanse and desinfect root canals and cavities. No patient is able to evaluate this process; the results will be apparent only later, depending on the qualifications of the dentist, his experience, responsibility, as well as dental materials and technologies being used.

Hermetic canal sealing or filling.

After the medical procedures necessary to cleanse and desinfect the treated teeth, our experienced dental professionals will fill the dental cavities with great care.

A cofferdam system is basically a green medical napkin that keeps the oral cavity dry. When filling the tooth, a firm transparent strip is placed between the interdental spaces(seen in medical tweezers) in order to correctly restore the angle of the tooth
After the tooth has been filled, its surface is being polished and the exact height of the tooth is estimated

Treated root canals are hermetically sealed with highly durable, long-lasting safe filling materials that are in accordance with current hygiene acts and have been certified both in Lithuania and the EU. This way the treated area is protected from any further spread of harmful bacteria within the tooth and outside.

A tooth encapsulated with a dental ring to restore the limits of the filling as the natural boundaries of the tooth have decomposed
Properly treated and filled teeth may cause you no trouble for many years to come

Our experienced dentists do everything in their professional capacity to preserve every patient‘s natural teeth for as long as possible, using quality filling materials to preserve the natural colour, size and shape of the teeth.

All filled teeth, first and molars, are under 1 to 3 years guarantee depending on the level of damage.

A dental filling is being hardened using a dental helium lamp – an important part of the dental treatment and filling process

Dental filling is possible without treatment, e.g. aesthetic restoration of a broken tooth; filling a tooth that has been slightly affected by caries. In both cases, the tooth can be filled in a single appointment, provided the patient doesn‘t delay and the infection doesn‘t spread further. If delayed, the infection might spread further via root canals into the jawbone causing serious damage. In the latter case, treatment would be more complex and take more time.

However, dental treatment is not possible without filling the tooth as the treated tooth has to be hermetically sealed from any environmental influences in order to protect it against any infection and for future healthy functioning as well.