If you need a root canal, you should know that there are different types of endodontics depending on the tooth that has been affected. This will vary the procedure you will have to undergo and will also influence the price you will have to pay.
In this canal therapy, the endodontist removes the pulp or nerve, cleans the ducts, fills and seals the dental cavity. But a front tooth is not the same as a premolar or molar, as each piece has different characteristics. Baby teeth and children’s permanent teeth also require special treatment.
Do you want to save a tooth and avoid an extraction? Then you should go to the dentist to have an endodoncy.
In this article we are going to help you with all the information you need to know before scheduling your appointment with the endodontist: what type of endodontic therapy you will need, what the treatment will consist of and how much it will cost.
What are the different types of Endodontics?
Are you going to the dentist to have an endodontics? Then you should know that the first thing the endodontist will do is get an x-ray of the tooth to make an accurate diagnosis.
This x-ray is essential so that the professional knows how many roots the affected tooth has. According to this, he will perform one of these types of endodontics:
- If the tooth has only one root or canal, you will need a type of endodontics.
This type of endodontics is generally performed on the front teeth, incisors and canines.
If that is your case, you can rest assured, as this is the easiest root canal treatment to perform. Its simplicity advice in several respects. Firstly, the tooth has only one root on which the endodontist must work.
Secondly, the front tooth is much more accessible. However, it may be the case that the tooth is very small, and that is a factor that can make the treatment more complex.
However, root canal endodontics is the most economical and the complete treatment will be very fast.
- You will need to undergo a endodontics if the tooth is a premolar or molar that has two canals or roots.
Among the different types of endodontics, the complexity of this treatment is intermediate and depends on several factors.
One of them is that although a molar may have two roots, sometimes it may have additional ducts that the dentist might not detect. That is why the success of this type of root canal treatment depends to a large extent on the precision tools available to the dentist for a diagnosis.
On the other hand, these types of pieces, whether premolars or molars have a larger dimension than the front teeth, which can facilitate therapy.
- The most complex endodontics is performed on molars, which may have three or more ducts.
This difficulty makes it impossible to perform canal treatment in a single session, so the endodontist must fill the cavity with a temporary product, give you some tips for cleaning and care and send you home.
This stage between sessions is usually difficult. You will have to clean your teeth carefully, not chew with the tooth that has a temporary filling, avoid that the filling comes out and that remains of food enter the cavity.
It is very likely that you will feel pain, so we recommend that you consult with the dentist what analgesics you can take and if he can give you a prescription for a stronger medicine, in case you feel intense pain.
Finally, you should know that among the various types of endodontics, this is the most risky for the tooth and also the one that will come more expensive.
Endodontics for children is different from that for adults, as baby teeth have a different structure than permanent teeth.
In baby teeth, as well as in children’s permanent teeth, the pulp of the tooth takes up more space and for this reason cavities affect it more quickly. In addition, in children’s teeth, the root takes longer to close.
However, it is up to the dentist to analyze whether it is advisable to perform any of the types of endodontics or to protect the pulp of the tooth.
When should endodontics be performed on children?
When the tooth has been deeply affected, the dentist must perform a pulpotomy that consists of removing the pulp from the tooth without touching the roots.
But if caries has affected the root pulp, the pulp must be completely removed, sealing the ducts to prevent the growth of bacteria. In addition, this will be necessary so that they are reabsorbed at the same speed as the root when it is pressed by the definitive teeth that will grow later.
In the case that the dental piece of milk or definitive has not had a deep damage, the dentist can choose to protect the pulp placing in it an insulating product. This product prevents further damage to the tooth and increases its sensitivity.
When the damage has not affected the pulp, you can choose to perform an indirect pulp protection. And if the child’s baby or the permanent tooth has a small portion of the exposed pulp but does not feel pain or other symptoms, a direct pulp protection is performed.
Some children’s permanent teeth do not have the tip of the root closed. In this case, if the pulp is affected, it is necessary to force the closing of the root carrying out a treatment called apicoformation. In this case, a product is placed inside the tooth, which changes and then seals the root canal with a definitive filling.
Root canal treatments in children are commonly more complex than the types of endodontics in adults. The teeth are smaller and several aspects must be taken into account so as not to affect the dental development of the small ones.
Root Canal Treatment or Exodontics?
In extreme cases, the endodontist can make the decision not to perform endodontics and instead extract the tooth, i.e., perform an exodontia.
This difficult decision is usually made by the endodontist when there is no possibility of saving the tooth.
The alternative of performing an exodontia instead of continuing with the root canal treatment is a clinical decision that is made when:
- The tooth is badly damaged and there is no chance of saving it.
- There is not enough tooth structure to restore the tooth.
- The patient prefers to lose the tooth and have a dental implant.
Undoubtedly, the decision to perform any of the types of endodontics required will depend on the endodontist and the person undergoing treatment.
But it is advisable whenever it is possible to perform root canal treatment and save the tooth and not have to do an implant treatment that will be painful, long and expensive.
Prevention to avoid Endodontics
The solution to avoid these long, painful and expensive dental treatments is to do everything you can to restore the health of your teeth and start preventive care, such as daily deep cleaning, flossing, and regular check-ups.
Don’t forget to maintain the whiteness of your teeth. It is a good idea to clean your teeth regularly, use appropriate products for the hygiene of your teeth and also avoid the food that can damage them.
Prevention is the best way to take care of your dental health. Don’t forget, it will save you a lot of headaches… and teeth!