Root canal treatment

A root canal treatment is a procedure to treat inflamed or dead tooth nerve tissue (pulp) within the root canal of a tooth. This procedure is also known as endodontics. During treatment, the inflamed or dead tissue is removed and the root canal is cleaned and disinfected. The root canal is then sealed with a filling to prevent re-inflammation. In many cases, a crown is then placed on the treated tooth to strengthen and restore it. 

Root canal treatment is one way to save a tooth that would otherwise have to be extracted. However, it is a complex and sometimes lengthy procedure that should be performed by an experienced dentist. 

Do you need root canal treatment and are looking for a suitable solution? We will be happy to assist you professionally in finding a solution for your specific needs. 

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We use all our skills to preserve your tooth

Teeth can be replaced predictably today. However, our top priority is to preserve your natural teeth. 

When do you need root canal treatment?

The cells that formed the roots during tooth development end up being trapped inside the tooth. Root canal treatment is necessary when these cells become infected. Possible causes are accidents or cracks in teeth through which bacteria have entered the interior of the tooth. However, by far the most common cause is deep caries that has reached the root canal. The immune system can do little against the bacteria inside the tooth, which is why they can quickly spread throughout the tooth.

At the beginning of an immune response, the body tries to relatively reduce the number of bacteria. It does this by storing fluid in the tissues, a swelling. However, since teeth are solid, this is not possible in the tooth. Therefore, the inflammation and subsequent immune response results in the severe pain associated with root canal inflammation. If the situation remains untreated, the inflammation can spread and the tooth is lost. 

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What is root canal treatment?

The aim of root canal treatment is to remove the bacteria inside the tooth. This is done with strong disinfectant solutions. So that these can act in the tooth, the root canals are enlarged with files at the beginning of the treatment and the inflamed tissue is removed. The cavity is then disinfected and tightly sealed from the inside. 

How long do teeth last with root canal treatment?

Successfully treated teeth can be preserved for life even with root canal treatment. There are various parameters for the success of a root canal treatment. Complete success is when the tooth is painless and the inflammation around the tooth root heals completely. Partial success is when the tooth is preserved without symptoms, but the inflammation around the root does not completely recede. Failure is when there are permanent symptoms or an increase in the size of the inflammation.

Another very important factor for the preservation of the tooth is the stable restoration. We will go into this in detail further down the page. 

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How do I know if I need a root canal?

The most common symptom is severe toothache that can radiate to the entire face. Other symptoms are biting pain and a strong sensitivity to cold. Before the treatment, we perform a detailed examination to determine whether the treatment is necessary or not. 

Is it possible to repeat an unsuccessful root canal treatment?

Yes, this is possible and usually successful. If a root canal treatment was not successful, however, the reason must first be analyzed. If the entire root canal was not treated and disinfected during the first treatment, this should be seen as positive, as there is room for optimization. However, even perfectly treated teeth can still show symptoms. In these cases, the prognosis is rather unfavorable. We will be happy to advise you personally on your case to what extent a revision of the root canal treatment makes sense or not. 

3D diagnostics

In complex cases, radiological diagnostics is carried out with the help of a three-dimensional X-ray image, which is produced in our practice with the help of digital volume tomography (DVT). Here you can see a case from our practice in which an upper molar had an additional, fourth root (circle) that had not been treated and led to an inflammation of the maxillary sinus (arrow). 

Does a tooth with root canal treatment need to be crowned?

Yes. Root-treated teeth are severely weakened. The cause of root canal treatment is usually extensive decay that has structurally weakened the tooth. In addition, the access cavity for root canal treatment goes inside the tooth like a wedge. This leads to problems. When teeth normally fracture, they tend to do so horizontally.

However, due to the access cavity, root-treated teeth fracture along the root towards the root apex. Once this happens, the tooth is unfortunately lost. Therefore, stabilizing the tooth with a dental crown is a prerequisite for long-term tooth preservation. More information about dental crowns.

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Only one treatment

Your time is valuable. We specialize in root canal treatments and are equipped with the latest technology. This allows us to complete the treatment in just one visit. This saves you multiple trips and anesthesia. 

Treatment costs

Our team will do its best to preserve your tooth. We are experienced experts in root canal treatment and use the most modern treatment methods. 

Contact us

The first step is the hardest. We make it as easy as possible for you. In our contact menu you will find a variety of contact options. Simply select the one that suits you best. We look forward to hearing from you. 

Virtual initial consultation.

If you need specific information about your case, we offer you a virtual initial consultation. Simple, without travel and free of charge.

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