Root Canal Treatment in Barcelona

It’s that classic, unbearable toothache! The kind that makes us rush to the dentist.

Endodontic treatment addresses the inside of the tooth. Inside the tooth is a soft tissue called pulp, which is necessary for the tooth’s growth and development. The pulp contains blood vessels, nerves, and connective tissue. It extends from the tooth crown to the tips of the roots, where it connects to the bone surrounding the tooth. The pulp can be affected primarily by cavities, trauma, and tooth wear, leading to its necrosis (death). In these cases, infection, pain, and inflammation occur in the bone and gums surrounding the tooth.

Root canal treatment cures these infections by removing the necrotic pulp, disinfecting the space it occupies, and filling it with appropriate materials to ensure a good seal.

WWith proper treatment, teeth that have undergone root canal therapy can last a lifetime, along with the benefits that come with it:

• Natural look
• Efficient Chewing
• Normal bite force and sensation
• Protect other teeth from excessive wear or stress

This is the treatment needed to save a tooth in which a previous root canal treatment has failed.
It may be the case that a tooth that has undergone a properly performed root canal treatment does not heal as expected, or it may
develop new problems. In these cases, pain and inflammation reappear months or years after the
initial treatment. This can happen, just as with any other dental or medical procedure, for various
reasons, including:

• Narrow or curved root canals were not treated during the initial procedure.
• The anatomy of the inside of the tooth is complex and was not detected during the first procedure.
• The placement of the dental crown or other restoration was delayed following root canal treatment.
• The restoration did not prevent saliva contamination inside the tooth due to a defective seal on
  its margins

In other cases, a new problem can put a tooth that was successfully treated at risk. For example:

• A new cavity can expose the root canal filling material to bacteria, causing a new
  tooth infection.
• Development of a bone infection around the roots of the tooth.
• A loose, cracked, or broken crown or filling can expose the tooth to a new infection.
• A cracked tooth.
• Sometimes we encounter situations in which it is advisable to optimize an existing root canal treatment, even if there are no symptoms. These are cases in which a new crown, bridge, inlay, or filling is required, and there is uncertainty about the internal condition of the tooth. The goal is to minimize the risk of future complications.

If your tooth does not heal or develops new problems, you have a second chance. An additional root canal procedure may be able to bring about healing and thus save your tooth.

During the retreatment, the endodontist will reopen the tooth and remove the filling materials that were placed inside during the initial procedure in order to carefully examine the interior of the tooth, looking for additional canals or a new infection. The interior of the tooth is then thoroughly disinfected and cleaned along its entire length.

This space is left perfectly filled and sealed. The access site is filled with temporary material. Shortly thereafter, a permanent filling with a perfect peripheral seal is required, and, as directed by the dentist, a new crown or inlay.

Periapical surgery is indicated when there is a periapical lesion—that is, an infection in the bone surrounding
the roots of the tooth.

Before undergoing this surgery, it is necessary to perform a root canal on the affected tooth.

The surgical procedure involves removing the infected tissue, performing a root-apex resection (we remove approximately one-third of the root tip), and filling the apical end of the root canal to ensure a perfect seal for the tooth. It is performed under local anesthesia. It requires antibiotic and anti-inflammatory treatment after surgery.

In addition, periodic X-rays are necessary to assess whether the bone injury has healed.

Currently, root canal treatments are performed on teeth that we know we are going to extract (remove from the mouth) but that have bone infections. We do this with the goal of promoting bone healing and the formation of new bone, ensuring a better prognosis for other dental treatments (implant placement, bone grafts, etc.).

Endodontic treatment aimed at preserving a young permanent tooth in which the pulp has died and root formation is not yet complete.

Children who have suffered a broken tooth or very deep cavities need it.

Once the root canal treatment is complete and the tooth has been restored, it will function just like any other tooth.

A relatively new treatment through which we aim to preserve the vital dental pulp.

It is important to correctly select the clinical cases in which to perform this procedure.