Endodoncie (léčba kořenového kanálku)
Treatment
Save your natural tooth with modern, painless root canal treatment performed by specialist endodontists using the latest rotary and imaging technology.
About the treatment
Endodontics is the dental specialty focused on treating the soft tissue inside your tooth, known as the pulp. This tissue contains nerves, blood vessels, and connective tissue that helped your tooth develop during childhood. When the pulp becomes inflamed or infected due to deep decay, repeated dental procedures, cracks, or trauma, root canal treatment becomes necessary to save the tooth and eliminate pain. During a root canal, the infected or damaged pulp is carefully removed, the interior of the tooth is cleaned and disinfected, and the space is filled and sealed with a biocompatible material called gutta-percha. The tooth is then restored with a crown or filling to return to full function. Contrary to popular belief, the procedure is no more uncomfortable than having a standard filling placed. Modern endodontic treatment v BestDent uses nickel-titanium rotary instruments, electronic apex locators, and dental operating microscopes to achieve exceptional precision. These technologies allow our endodontists to navigate even the most complex root canal systems, including curved or calcified canals that would have been extremely challenging just a decade ago. Digital radiography and cone-beam computed tomography (CBCT) provide three-dimensional views of the tooth anatomy, ensuring no canal is missed. The success rate for root canal treatment is consistently above 95% when performed by a specialist using contemporary techniques. A properly treated and restored tooth can function for a lifetime with good oral care. Saving your natural tooth helps maintain your natural bite, protects neighbouring teeth from excessive wear, and preserves the jawbone that would otherwise begin to deteriorate after extraction.
We can make your smile look great
Save your natural tooth with modern, painless root canal treatment performed by specialist endodontists using the latest rotary and imaging technology.
Keep your teeth healthy
Your endodontist begins with a thorough clinical examination, assessing your symptoms, testing tooth vitality with thermal and electric pulp tests, and evaluating your bite. Digital X-rays and, when needed, cone-beam CT (CBCT) scans provide a three-dimensional view of the root anatomy, revealing the number of canals, any curvature, and the precise location and extent of the infection.
The benefits of our dental treatments
- Preserves your natural tooth and avoids the need for extraction, implants, or bridges
- Provides immediate and lasting relief from severe toothache and infection
- Prevents the spread of bacterial infection to surrounding teeth, bone, and soft tissue
- Restores full chewing function so you can eat comfortably on both sides
- Maintains your natural smile appearance without gaps or prosthetic replacements
- Achieves a success rate above 95% with modern rotary instruments and imaging
- Often completed in a single comfortable session lasting 45 to 90 minutes
- Protects the jawbone from the resorption that occurs after tooth extraction
- Eliminates the risk of systemic complications from untreated dental infections
- Represents a more conservative and tooth-preserving approach than extraction
Who is it for?
- Patients experiencing severe, persistent, or throbbing toothache
- Those with prolonged sensitivity to hot or cold that lingers after the stimulus is removed
- Patients with visible swelling, tenderness, or a pimple-like bump (fistula) on the gum
- Those with deep decay that has reached or is approaching the tooth nerve
- Patients who have suffered dental trauma such as a crack, chip, or impact injury
- Those noticing darkening or discolouration of a specific tooth
- Patients with pain that worsens when biting down or applying pressure
- Those diagnosed with an abscess or infection visible on dental X-rays
- Patients needing retreatment of a previously failed root canal
- Those requiring intentional root canal treatment before crown or post placement
Treatment Process
Komplexní Diagnóza and 3D Zobrazení
Your endodontist begins with a thorough clinical examination, assessing your symptoms, testing tooth vitality with thermal and electric pulp tests, and evaluating your bite. Digital X-rays and, when needed, cone-beam CT (CBCT) scans provide a three-dimensional view of the root anatomy, revealing the number of canals, any curvature, and the precise location and extent of the infection.
Anestezie and Rubber Dam Isolation
The tooth and surrounding tissues are completely numbed using modern local anaesthesia techniques. A rubber dam is placed around the tooth to isolate it from the rest of the mouth, creating a sterile operating field that prevents bacterial contamination and protects the airway from irrigating solutions and small instruments.
Access Cavity Příprava
A small opening is created through the biting surface of the tooth to reach the pulp chamber. Using magnification and illumination from a dental microscope, the endodontist locates all root canal openings, including any hidden or extra canals that standard visibility might miss.
Canal Cleaning, Shaping, and Disinfection
Nickel-titanium rotary files are used to carefully remove the infected pulp tissue and shape each canal to a smooth, tapered form. Throughout the process, the canals are irrigated with sodium hypochlorite and EDTA solutions to dissolve remaining tissue, kill bacteria, and remove the smear layer. An electronic apex locator confirms the working length of each canal to ensure complete cleaning without over-instrumentation.
Canal Obturation (Filling)
Once the canals are cleaned and dried, they are filled with gutta-percha, a biocompatible thermoplastic material, combined with a sealing cement. The material is condensed to ensure a three-dimensional, hermetic seal that prevents bacteria from re-entering the canal system. A post-operative radiograph confirms the quality of the fill.
Temporary Seal and Zotavení
A temporary or semi-permanent filling is placed over the access cavity to seal the tooth. You will receive aftercare instructions, including managing any mild tenderness with over-the-counter pain relief. Most patients return to normal activities the same day.
Permanent Restoration with Crown
Within two to four weeks, you return for the final restoration. Back teeth typically receive a full-coverage crown to protect against fracture, while front teeth may be restored with a bonded filling. This step is essential for the long-term success of the treatment and restores the tooth to full strength and appearance.
Frequently Asked Questions
Is root canal treatment painful?
Modern root canal treatment is virtually painless. Effective local anaesthesia ensures you feel no pain during the procedure, and most patients compare the experience to having a routine filling. Any mild soreness afterward typically resolves within a day or two with standard pain relief.
How long does a root canal procedure take?
Most root canal treatments are completed in a single appointment lasting 45 to 90 minutes. Teeth with complex anatomy, multiple canals, or severe infection may occasionally require a second visit. Your endodontist will give you a time estimate after reviewing your imaging.
How long will my tooth last after root canal treatment?
A root canal-treated tooth that is properly restored with a crown can last a lifetime with good oral hygiene and regular dental check-ups. Studies show long-term survival rates exceeding 95% for teeth treated with modern endodontic techniques.
Is it better to just extract the tooth and get an implant?
Preserving your natural tooth is almost always the preferred option. Your natural tooth has a periodontal ligament that provides shock absorption and proprioception that implants cannot replicate. Root canal treatment is also less invasive and requires a shorter recovery time than extraction followed by implant placement.
What happens if I delay or avoid root canal treatment?
An untreated infected tooth will not heal on its own. The infection can spread to the surrounding bone, form an abscess, and in rare cases lead to serious systemic complications. The pain will likely intensify, and the tooth may eventually become unsaveable, requiring extraction.
Can a root canal-treated tooth get infected again?
While uncommon, re-infection can occur if the seal is compromised, a canal was missed during the initial treatment, or new decay develops around the restoration. In such cases, endodontic retreatment or an apicoectomy (surgical approach) can often save the tooth.
Why do I need a crown after root canal treatment?
Root canal-treated teeth lose some structural integrity and become more brittle over time because the blood supply to the pulp has been removed. A crown provides full coverage protection against fracture, especially for back teeth that endure heavy chewing forces. Skipping the crown significantly increases the risk of the tooth cracking.
What should I eat after root canal treatment?
Stick to soft foods for the first 24 to 48 hours and avoid chewing on the treated side until your permanent restoration is placed. Foods like yoghurt, soup, scrambled eggs, and pasta are ideal. Avoid hard, crunchy, or sticky foods that could damage the temporary filling.
Can root canal treatment be done on a tooth with a crown?
Yes. The endodontist can access the canals through the existing crown without removing it in most cases. A small opening is made through the crown, the treatment is completed, and the opening is sealed. If the crown is old or damaged, replacing it afterward may be recommended.
Is root canal treatment safe during pregnancy?
Root canal treatment is generally safe during pregnancy, particularly during the second trimester. Dental infections pose a greater risk to both mother and baby than the treatment itself. Your dentist will take appropriate precautions, including using lead aprons for any necessary X-rays and choosing pregnancy-safe medications.
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This information is for general informational purposes only and does not replace professional medical advice. Please consult your dentist for treatment options.
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