Dentistry focuses on diagnosing, preventing, and treating conditions of the teeth, gums, and oral structures, supporting oral health and overall well-being.
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The primary goal of endodontic treatment at Liv Hospital is to retain the natural dentition in a healthy, functional state. We utilize “advanced endodontics” protocols that prioritize the conservation of tooth structure, the complete disinfection of the root canal system, and the biological sealing of the space. Treatment options range from standard root canal therapy to complex retreatment and microsurgical interventions. Our approach is patient-centered, ensuring that even the most complicated procedures are performed with maximum comfort and efficiency.
This is the most common endodontic procedure, designed to save a tooth with irreversible pulpitis or necrosis.
Access and Isolation: The tooth is isolated with a dental dam to maintain a sterile environment. A small access opening is made to locate the canals.
Microscopic Navigation: Using the dental microscope, the endodontist locates all main and accessory canals, including the elusive MB2 canal in upper molars.
Chemo-Mechanical Preparation: The canals are shaped using flexible nickel-titanium files while being continuously irrigated with sodium hypochlorite to dissolve tissue and kill bacteria.
3D Obturation: The cleaned canals are filled with a biocompatible material, gutta-percha, and sealed with a bioceramic sealer to prevent bacterial re-entry.
Sometimes a previously treated tooth fails to heal or becomes reinfected. Retreatment offers a solution.
Disassembly: The complex task of removing the old filling materials, posts, or crowns to regain access to the root canal system.
Missed Anatomy: Retreatment often reveals canals that were missed during the initial treatment, which harbor the bacteria causing the failure.
Perforation Repair: If the root was damaged during the first procedure, advanced bioceramic materials (MTA) are used to repair the defect and seal the root.
Prognosis Assessment: The specialist evaluates whether the tooth is structurally sound enough to be saved or if replacement is the better option.
When nonsurgical treatment cannot resolve the infection, microsurgery is performed to treat the root tip directly.
Root End Resection: A small incision is made in the gum to access the bone. The tip of the root (apex) is removed to eliminate the complex apical delta where bacteria hide.
Retrograde Filling: A specialized ultrasonic tip creates a cavity at the end of the cut root, which is then sealed with a biocompatible material (MTA or Bioceramic).
Guided Tissue Regeneration: In cases of significant bone defects, bone graft material and a membrane may be placed to accelerate healing.
Microsurgical Precision: The entire procedure is performed under high magnification, minimizing trauma and ensuring a precise seal.
Modern endodontics aims to keep the pulp alive whenever possible.
Pulp Capping: Placing a bioactive material directly over a small pulp exposure to promote healing and dentin bridge formation.
Pulpotomy: Removing only the inflamed portion of the pulp (usually in the crown) and preserving the healthy tissue in the roots.
Biomaterials: The use of calcium silicate-based cements (like Biodentine) has significantly increased the success rates of these conservative procedures.
We employ advanced techniques to ensure the “hot tooth” is completely numb.
Local Anesthesia: Using potent anesthetics like Articaine, which penetrates bone better than traditional lidocaine.
Supplemental Techniques: Intraosseous or intraligamentary injections deliver an anesthetic directly to the vicinity of the tooth if standard blocks are insufficient.
Pre-emptive Analgesia: Administering anti-inflammatory medication before treatment to reduce post-operative discomfort.
Modern endodontics aims to keep the pulp alive whenever possible.
Pulp Capping: Placing a bioactive material directly over a small pulp exposure to promote healing and dentin bridge formation.
Pulpotomy: Removing only the inflamed portion of the pulp (usually in the crown) and preserving the healthy tissue in the roots.
Biomaterials: The use of calcium silicate-based cements (like Biodentine) has significantly increased the success rates of these conservative procedures.
We employ advanced techniques to ensure the “hot tooth” is completely numb.
Local Anesthesia: Using potent anesthetics like Articaine, which penetrates bone better than traditional lidocaine.
Supplemental Techniques: Intraosseous or intraligamentary injections deliver an anesthetic directly to the vicinity of the tooth if standard blocks are insufficient.
Pre-emptive Analgesia: Administering anti-inflammatory medication before treatment to reduce post-operative discomfort.
A root canal is a treatment to repair and save a badly damaged or infected tooth instead of removing it; it involves cleaning the canals inside the tooth’s root.
Most treatments are completed in one or two appointments, each lasting about 60 to 90 minutes, depending on the complexity of the tooth.
Strong emotions release adrenaline (epinephrine), which stimulates the beta receptors in your muscles, temporarily increasing your natural physiological tremor to a visible level.
It is a minor surgical procedure in which the root tip is removed and sealed to treat a persistent infection after a root canal.
Yes, a root canal-treated tooth can still get a cavity or gum disease, so proper oral hygiene and regular check-ups are essential.
It is a cutting-edge procedure that uses the body’s own stem cells to regenerate damaged tissue inside the tooth, often used for children with immature teeth.
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