When the pulp or internal tissues of a tooth become inflamed, infected, or damaged by deep decay, fractures, or trauma, endodontic treatment may be necessary.
At Clínica Dental Champsaur we offer endodontic evaluation and treatment in Panama, including root canal treatment, endodontic retreatment, perforation repair and apicoectomy when indicated.
Each case is assessed individually to determine the appropriate procedure and whether treatment can be performed on one or more appointments.
Avoid unnecessary extractions.
Effective treatment for dental pain
Conservative and safe solution
Prevents infections and complications
Endodontics is the area of dentistry that diagnoses and treats problems that affect tooth pulp and tissues related to tooth roots.The pulp is found inside the tooth and contains blood vessels, nerves, and connective tissue. It may become inflamed or infected as a result of a deep cavity, fracture, trauma, or certain problems in a previously treated tooth.The goal of treatment is to treat the problem present within the root canal system and, when conditions of the tooth allow, to help preserve it.
Signals that may require endodontic evaluation
Some symptoms or situations that may lead to an endodontic evaluation include:
Before indicating endodontics it is necessary to determine the origin of the problem and evaluate the condition of the tooth.
The evaluation may include:
In certain cases it may be necessary to use three-dimensional images, such as CBCT CBCT scan, when they provide additional information relevant to diagnosis or planning.
CT scan is not routinely necessary for all endodontics patients.
After analyzing the findings, the patient is explained the diagnosis, the alternatives available and the recommended treatment.
The procedure may vary according to tooth, anatomy, and problem identified.
In general, a root canal treatment may include the following steps:
The state of the tooth, pulp, and tissues surrounding the roots is determined.
They can be performed with sedation for patients who are very anxious or with some special need.
An access to the inside of the tooth is created to locate and treat root canals.
The affected tissue is removed and the root canals are cleaned and prepared to reduce the presence of contaminated tissue and allow its sealing.
Once prepared, the root canals are sealed with materials designed for this purpose.
After completion of the endodontic phase it is evaluated how to restore and protect the tooth properly. Depending on the diagnosis and amount of remaining dental structure, a subsequent restoration may be necessary.
Learn more about how a root canal treatment is performed here.
It can be made on one or more appointments, depending on the diagnosis and characteristics of the case.
Factors that may influence include:
After the evaluation we can explain what treatment you need and how your appointments will be arranged.
In addition to conventional root canal treatment, other endodontic procedures are performed at Clínica Dental Champsaur according to the needs of each patient.
Conveyor treatment is used when the tooth pulp has irreversible inflammation, infection, or other damage that needs to be treated inside the tooth. The procedure seeks to clean, prepare and seal the root canal system. The possibility of retaining the tooth depends on its general condition, amount of residual structure, periodontal support, presence of fractures and other factors to be assessed individually.
A tooth that has already received a canal treatment may need to be re-evaluated if it has symptoms or changes around the root are detected. In certain cases endodontic retreatment, also known as reendodontics, may be performed. During this procedure, the root canal system is re-accessed to remove previous materials, evaluate possible causes of the problem, re-clean the root canals and perform a new sealing when conditions permit. The indication depends on the cause of the problem, the condition of the tooth and its possibility of restoration.
A perforation is an unwanted communication between the inside of the tooth and the surrounding tissues. It can occur under different circumstances and needs to be evaluated to determine if it can be repaired and what the prognostic tooth is. Management depends, among other factors, on: - Perforation location. - Size. - Time out. - Condition of tissues. - General condition of the tooth. - Possibility to restore it later. Not all perforations have the same characteristics and cannot be treated in the same way.
Apicectomy is an endodontic surgery procedure that is done in certain cases to treat the area near the end of the tooth root. It can be considered when a problem persists around the root and there is an indication to treat it surgically. During the evaluation, it is determined whether an apicoectomy is appropriate or whether there is a more suitable alternative for the patient.
A blow can affect the pulp of a tooth even when initially there does not appear to be a major injury.
Depending on the type of trauma, clinical and radiographic checks may be necessary to monitor the evolution of the tooth.
Some traumatized teeth may need endodontic treatment later if the pulp loses vitality or signs of disease appear.
The management of trauma depends on the type of injury, the affected tooth and the time since the accident.
Endodontics treats the inside of the tooth, but later it may be necessary to restore the lost dental structure.
Definitive restoration depends on factors such as:
Location of the tooth.
Forces he receives when chewing.
Previous restorations.
Presence of fractures.
General condition of the tooth.
According to the diagnosis, different restorative alternatives can be considered.
For this reason, once endodontics is finished, it is necessary to evaluate how to return proper function and protection to the tooth.
Dental Clinic Champsaur has the possibility to evaluate intravenous sedation in certain patients and procedures.It is not a routine part of all endodontics treatments.Its indication depends on factors such as the patient's needs, anxiety level, required procedure and prior evaluation.If anxiety about dental treatment is a major concern for you, you can discuss it during your evaluation to learn about the alternatives available.
Clínica Dental Champsaur has more than 50 years of experience in dental care in Panama.
Our approach combines comprehensive dental care with different treatment areas within the same clinic.
This allows coordination, when the diagnosis requires, endodontics with other areas such as:
The need to combine treatments depends on each patient.
If you have tooth pain, deep cavities, trauma, or a previously treated tooth that causes discomfort again, ask for an evaluation.
Our team will be able to review your case, establish a diagnosis and explain the alternatives available.
Endodontics is the area of dentistry dedicated to the diagnosis and treatment of pulp and tissue problems around the roots.
Conveyor treatment is one of the main procedures performed within Endodontics.
Persistent pain, prolonged tenderness, inflammation, deep cavities, fractures, or certain traumas may indicate the need to evaluate tooth pulp.
However, these symptoms do not allow you to confirm on your own that you need endodontics. A diagnosis is needed.
Treatment can be performed using local anesthesia when indicated.
After the procedure, temporary tenderness or discomfort may occur, the intensity and duration of which may vary depending on the case.
The professional will give you the appropriate recommendations according to the treatment performed.
It can be made on one or more appointments.
The number of visits depends on the treated tooth, anatomy of the root canals, diagnosis, presence of infection, history of previous treatments and complexity of the case.
Endodontic reendodontics or retreatment is a new treatment of the root canal system of a tooth that has previously received endodontics.
It can be considered when new symptoms, infection or other alterations appear and the tooth can still be treated and restorations.
Endodontic surgery is an endodontic surgery intended to treat the area near the root end in certain cases.
Not all patients with problems after endodontics need an apicoectomy. Its indication depends on the diagnosis.
Yes.
Some previously treated teeth may develop symptoms or alterations around the root again.
In such cases, it is assessed whether endodontic retreatment, endodontic surgery, or other alternative treatment is possible.
Periapical X-rays are a common tool for evaluating the roots of the tooth and surrounding tissues.
The professional determines what images you need based on clinical findings and patient history.
No.
CBCT CBCT scan is used in selected cases when additional three-dimensional information is needed for diagnosis or planning.
It is not a routine study for all endodontics treatments.
The use of intravenous sedation may be evaluated in certain patients and procedures.
Your indication depends on the patient’s needs, anxiety level, procedure required and prior evaluation.
It depends on the state of the tooth and the amount of structure remaining.
After treatment, what type of restoration is suitable for returning function and protection.
In certain cases coordination with Oral Rehabilitation may be necessary.
