Endodontis


Endodontics is the branch of dentistry that is concerned with diseases of the dental pulp.

The most common disease is an inflammation that manifests itself as the “popular” toothache. The cause of a toothache is usually caries, which in most cases  develops under worn-out fillings, reaches the pulp, are results in inflammation and pain.


Human teeth are composed of hard and soft tissue. The soft tissue of the tooth is called the pulp and is composed of blood vessels, nerves and connective fibers that are found in the center of the tooth, known as the pulp chamber and root canals.

The dental pulp/nerve is essential for the proper growth and development of a tooth. Via the pulp, the tooth receives all the nutrients necessary for its developed from embryonic cells. After a tooth has fully developed, the pulp maintains a defensive role and indicates if there is something wrong within the tooth.

A toothache is a sign that something is wrong with a tooth and you need to contact a dentist.  If bacteria from a caries infection reaches the pulp, it is necessary to remove the infected pulp from the pulp chamber and root canals in order to stop the infection and prevent its further spread to the surrounding bone. If left untreated, it can eventually lead to tooth loss.

This leads us to the most common endodontic procedure known as a root canal. At DCM, root canals are performed using the ProTaper rotary endodontic system.  This system enables us to provide precise and successful endondotic treatment and ensure longevity of the treated tooth.



The procedure is perfomed in a several steps

  • endodontist – The dentist makes an access hole in the tooth crown in order to reach the pulp. The
  • the necrotic dental pulp is removed and the root canals are cleaned and shaped. This can be done manually (outdated method, less long-term success) or using rotary instruments (a more precise method for root canal treatment that ensures the longevity of the treated tooth).
  • irrigation and disinfection of the root canals
  • disinfection of the root canals by laser
  • sealing the root canals with thermal obturation materials
  • restoring the tooth with a filling or a post (we use posts if the dental crown has been severely damaged by caries)


The success of endodontic treatment depends largely on how long the tooth was infected and what method of root canal treatment was performed.

Manual root canal treatment is now an outdated method and has a lower long-term success.

In DCM, we use mechanical rotary systems for root canal treatment, which is currently the most precise method of treatment and ensures longevity of the treated tooth. If a tooth needs to be retreated, this can be done by removing the old root canal filling, removing the infection by first re-cleaning and then refilling the root canals.



It is good to know that despite removing the dental pulp /nerve, the tooth still has its normal function after endodontic treatment. Naturally, it is desirable to avoid endodontic treatment by maintaining good oral hygiene and visiting a dentist for regular check-ups.


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