Mechanized endodontics

Endodontics is a specialty of dentistry that focuses on the internal structure of the tooth and the pathologies that can affect the dental pulp, a soft tissue containing nerves and blood vessels. Since the 1990s, mechanized instruments have been used during endodontic treatments (or root canal treatments) for the cleaning and shaping of the root canal system. Continuous, slow and constant rotation, these instruments made of a nickel-titanium alloy are more flexible than instruments used manually. They are activated by a small electric motor and allow a root canal treatment to be performed in less time than with conventional files. They are also equipped with a detector that allows you to locate the tip of the root precisely.

• Very deep cavity;
• Irreversible pulpitis;
• Necrotic tooth.

• Faster (often done in a single appointment);
• Guarantees more comfort for the patient;
• Allows for greater accuracy (the flexibility of the instruments allows for better compliance with the canal path);
• Provides superior (more consistent) treatment quality.

• None

• Increased pain or acute pain;
• Tooth discoloration;
• More widespread abscess and/or infection, which can spread to the rest of the body and even severely affect health;
• Loss of tooth.

• Clinical and radiological examination of the tooth;
• Prescription of antibiotics;
• Anesthesia of the tooth and gums;
• Protection of the tooth’s environment by placing a dam around it;
• Opening of the tooth from above;
• Cleaning, disinfection and mechanical preparation of the pulp chamber and channels;
• Sealing of the channels with a plastic material;
• Closing the tooth with a temporary filling;
• Final repair of the tooth with a crown.

• Some pain may be felt when in contact with the tooth; it will disappear after 72 hours with the use of analgesics prescribed by the dentist;
• Taking an antibiotic can control the swelling induced in the case of a previously infected tooth.

• Tooth with a poor prognosis;
• Periapical abscess on a wisdom tooth;
• Accessory channels;
• Calcified channels;
• Root resorption;
• Patient’s medical condition.

• Endodontic treatment performed with traditional instruments;
• Extraction of the affected tooth;
• Implant or bridge placement to replace the extracted tooth.