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Endodontic treatment (root canal treatment) is needed when microorganisms and their toxins reach the root canals andthe pulp – the soft tissue inside the root canals – becomes inflamed or infected. The inflammation of the pulp is called pulpitis. Also, pathological processes in the pulp can be triggered by other physical or chemical factors, such as traumas.
The pulp is a part of the tooth comprised of blood vessels, nerves and lymphatic vessels. It is inside the tooth under the enamel and the dentine and supplies the hard tooth tissues with nutrients.
The treatment of pulpitis involves the removal of the damaged tissues and, in most cases, the pulp itself has to be removed. Then the root canal system is cleaned mechanically and chemically and finally the canals are filled and sealed.
The main symptom of pulpitis is pain. Unlike any other parts of our body, where inflammation has room for swelling, the nerve inside the pulp chamber cannot swell up due to the hard and closed surroundings.Therefore, when the soft tissues inside get swollen, the tooth nerve is under growing pressure and increasing pain is felt. However, only the dentist during a thorough examination can provide you with a proper diagnosis. Pulpitis can be verified by using pulp vitality tests (sensitivity to heat, cold, electrometric tests). Sometimes an X-ray may be needed.
That is a mild inflammation of the pulp and, if treated in time, the pulp – the soft dental tissue – can be saved. The main symptom of reversible pulpitis is a short sharp pain while eating or drinking something cold or sweet. The pain lasts just as long as the food (drink) is in contact with the tooth and after 1-2 seconds the pain goes away.
Sometimes the symptoms of reversible pulpitis remain unnoticed and only when we get a toothache we become alert. To avoid a situation like that it is very important to pay regular visits to the dentist even if you have no toothache. The potential first symptoms of tooth nerve inflammation can be noticed during an examination or with the help of an X-ray. The earlier pulpitis gets diagnosed, the quicker, simpler and cheaper its treatment will be!
It is a severe inflammation of the tooth nerve after which it does not recover and the tooth dies.
Symptoms of irreversible pulpitis:
In case of irreversible pulpitis endodontic (root canal) treatment is necessary. Under some clinical circumstances the tooth may have to be removed.
It is important to remember that the symptoms of pulpitis vary greatly, frequently you cannot say for sure which tooth is painful, you may think that several teeth are painful. If the tooth is damaged by caries which has gone untreated for a while, it will always end up in developing pulpitis. Therefore, if you have any of the symptoms mentioned above, visit your doctor immediately. If you keep postponing your visit, you may have to have not only your tooth filled, but undergo root canal treatment as well or even have your tooth removed.
If the root canals are not treated, microorganisms inside the pulp leak out of the tip of the root and spread the infection into the surrounding tissues. As a result, this can lead to periodontitis, bone dissolution around the root and other complications.
If the endodontic treatment in the past was carried out improperly, or the crown is leaking or a new cavity appears, a secondary pulp inflammation may develop. Then the old filling material from the root canals must be removed, the canals are cleaned, shaped and refilled. The tooth crown is restored by placing either a filling or an artificial dental crown.
The prices indicated here are provisional. Only after an examination and consultation the doctor will be able to provide you with a precise treatment cost.
Olimpiečių g. 1A-9, LT-09235 Vilnius
+370 610 11 222
(8-5) 27 222 11
Monday – Friday
8.00 am – 8.00 pm
9.00 am – 2.00 pm
(Appointments are available by special arrangement in advance)