Endodontic treatment - Denervation
Endodontic treatment - Denervation
What is denervation?
Tooth denervation, or endodontic treatment, is the treatment that takes place inside the tooth.
During this process, nerves, blood vessels, germs, and toxins can be removed from the tooth.
The goal of denervation is to rescue a tooth that has a damaged or dead pulp (inner part of the tooth) and clean it.
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Initially, the dentist, if necessary, anesthetizes the area around the tooth where the denervation will take place.
The affected tooth is isolated so that there is no risk of fluid being swallowed by the patient but also to keep the area clean.
The dentist then enters the tooth to find the root canals. The root canals of the tooth are cleaned with the use of modern micro-tools from the caries and then with the use of special disinfectant liquids, germs, dead tissue, and cells are removed from inside the roots.
Upon completion of the cleaning and disinfection of the inside of the tooth, the area is dried and a special material is placed for the antiseptic of the area (root canal) which remains for 2 weeks so that it does not become infected again.
The course of treatment is different for each patient. There is a case where the area is not completely clean so the dentist can proceed with the closing of the tooth. In this case, the dentist cleans the area again. In any case, the pain goes away from the first date
In most cases, however, after the endodontic treatment procedure, the patient is not in pain and the tooth is asymptomatic. In this case, the dentist completes the procedure with the filling of the tooth.
The procedure is completed either with an occlusive material (white resin seal) with which the dentist fills the cavity of the tooth, and / or with a ceramic crown (Tooth case) to stabilize it.
When do we denervate?
A tooth needs denervation (endodontic treatment) when its inside (the pulp) is dead or infected. The main reasons this can happen are:
Caries, which has penetrated the dentin and has invaded the pulp causing inflammation.
– Tooth Fracture. When a tooth is broken resulting in its pulp being exposed. Exposure of the inside of the tooth into the oral cavity results in its infection. The result is the presence of inflammation and pain.
– Injury of the tooth resulting in necrosis of the pulp.
– Periodontitis, a disease of the gums and bone around the tooth. Sometimes patients have an abscess at the tip of the tooth root. This abscess can carry germs inside the tooth and cause an infection inside the tooth (pulp). In this case, the only treatment is denervation.
– Teeth with old fillings. In some cases, these fillings do not cover the tooth tightly, causing infection.
In the case of wisdom teeth, endodontic treatment is usually not recommended, except in cases where the tooth must be maintained. In any case, you should follow the instructions of your dentist.
What are my symptoms when I need a denervation?
The symptoms may vary depending on the case.
In most cases, there is tooth sensitivity with the contact of food, hot or cold water, etc., due to caries that have penetrated inside the tooth. This sensitivity translates into pain, which continues even after the stimulus that causes it has stopped.
The more caries have penetrated into the pulp, the more intense the symptoms that the patient feels. In some cases, however, the pain subsides after a few days and we usually conclude that it has passed. The opposite is true in reality, as the cessation of pain means that the inside of the tooth is now dead and that is why we no longer feel pain.
In more severe cases some of the symptoms may be:
- Pus discharge and tooth abscess
- Discoloration of the tooth due to its necrosis
- Creating a fistula near the tooth
Duration of Treatment-Session
The duration of a denervation session usually lasts 45 minutes to 1 hour.
It is important to know that each case is different and the dentist is not able to determine the exact duration of the session.
Denervation Costs
The cost of a denervation is not the same for all cases. Primarily the cost increases depending on the number of tooth roots. Some teeth have one root, two or even three roots.
In addition, documents of particular difficulty that require more appointments cost more than a simple denervation.
In each case, the dentist can determine the cost of the denervation once he has examined the patient and has determined, among other things, the number of roots that need denervation, the treatment materials and the condition of the tooth, and of course the difficulty and the time of restoration.
Contact us!
For information related to the treatment, you are interested in or for an appointment with Dr. Mavrogenis.
We are available!