Endodontics

Endodontic treatment consists of treating the root canal affected by an infection. Endodontic treatment is particularly necessary when the pulp of the tooth and its nerve endings are inflamed or infected.
These conditions can be caused by a number of factors, including

• Deep decay;
• Trauma to the tooth;
• Cracks in the tooth;
• Tooth fracture;
• Tooth necrosis.

Endodontic treatment is required to treat the infection which, if left untreated, is likely to spread from the inside of the tooth to the jawbone and the soft tissues surrounding the tooth, with the risk of destruction (osteolysis).

The pain can be unbearable in the case of a purulent abscess-like collection, because the pus cannot escape: the nerve endings are thus permanently compressed.

We stress the importance of the annual prophylaxis consultation, or a consultation in the presence of decay or a broken tooth.

Infection can develop without symptoms and have serious consequences. These can be minimised by treating the condition at an early stage.

Any dental trauma should even prompt a consultation, even if the lesions are not apparent, as a crack can be difficult to detect without the associated medical imaging.

This is why we use the very latest equipment, such as high-definition digital X-rays and the Cone Beam.

Following a consultation with a dental surgeon, who will carry out an oral and dental examination, endodontic treatment may be recommended.
To do this, the periodontal check-up is carried out in several stages:

• an interview phase to identify your history, your brushing habits, your risk factors, your fears, etc.; the dentist will look out for any recent trauma or shock;
• clinical, aesthetic and functional examination of the bucco-gingival cavity;
• additional medical imaging if necessary, or microscopy to detect micro-lesions;
• we will give you a report outlining the nature of the endodontic treatment to be carried out, together with a tailor-made estimate.

Endodontic treatment involves gaining access to the pulp, removing this vascularised and innervated tissue and disinfecting the canals in depth, then sealing them (obturation) and, if necessary, fitting a crown or a prosthesis.

The success of endodontic treatment depends on a number of criteria, in particular

the practitioner’s knowledge of the technique best suited to each clinical case ;
the quality of the equipment used (dam, optical aids, microscope);
the practitioner’s expertise.
The procedure for initial root canal treatment is very well codified and enables high-quality endodontic treatment to be carried out if the basic rules are followed.

DEVITALIZING A TOOTH

Devitalization of a tooth is the treatment of choice in endodontics: it consists of removing all inflamed or infected tissues by deep cleaning of the canals inside the tooth and eliminating bacteria and organic debris.
However, a devitalized tooth remains a living, functional tooth that must maintain a healthy periodontium. However, it is insensitive because it has been stripped of its sensory structures.

The operating protocol for endodontic treatment is familiar to most practitioners, but it remains a complex and meticulous operation.
The right equipment helps the practitioner to remove all the dental pulp and perform a complete root filling. For the most complex cases, we mobilise a dental surgeon entirely dedicated to endodontics, enabling perfect, risk-free root canal removal thanks to perfect mastery of the technical procedures and excellent equipment.

A good tooth filling can last a lifetime.

To continue to benefit from the results of endodontic treatment, we stress the importance of an annual preventive consultation. It allows us to detect any infection clinically or radiologically and, if necessary, to repeat imperfect endodontic treatment, remove old filling materials, disinfect the root canal system and perform a new watertight filling.
These points are also systematically checked when it comes to whitening a devitalized tooth by internal bleaching.

Our team welcomes you to the clinic to monitor your oral health and prevent any periodontal disease that could jeopardise the results of your endodontic treatment.
Don’t wait for the first symptoms to appear before coming for a consultation: protect yourself from the consequences of dental pathologies by turning to a team of professionals specialising in endodontics and the treatment of periodontal disease.

Dr Choukroun dedicates her practice to endodontics. She holds a CES in conservative dentistry and endodontics, and specialises in various tooth-preserving treatments.

The clinic is equipped with an optical microscope, enabling endodontic treatment to be carried out with the utmost precision. The endodontist works as part of a team with dentists specialising in implantology or periodontics, to ensure that the best possible overall care is provided.

The price of endodontic treatment adapted to your case will be given to you in a tailor-made estimate following your first dental consultation.
Please do not hesitate to contact our office to make an appointment or to find out about the cost of endodontic treatment and how it is reimbursed.