Consultation of the patient on the planned course of therapy, costs and prognosis is mandatory before therapy. Specialists of endodontology perform treatment under microscopy control, which provides magnification, additional lighting and the opportunity for higher precision work. Dentists use special equipment, materials and digital X-ray devices.
The endodontists of our clinic are members of the Latvian Society of Endodontology and European Society of Endodontology. The guidelines of the European Society of Endodontology are used to select therapy methods.
The number of endodontic therapy sessions depends on the diagnosis of the tooth and the anatomy of root canals. Most commonly, the treatment is performed in 2 sessions, but single session therapy is also acceptable, if there is enough time. In some cases an additional treatment session may be required.
Anaesthesia, isolation of the tooth, opening thereof and preparation of dental root canals under microscopy control is usually performed during the first therapy visit. During the retreatment of the tooth the removal of the existing filling under microscopy control is performed. During therapy, the tooth is isolated from the oral cavity with special rubber - a cofferdam, which protects the patient from the potential entry of infected tools into the airways or oesophagus. At the end of the session, the tooth is sealed with temporary medication and high-quality temporary restoration.
During the second therapy visit anaesthesia is used (if necessary); isolation of the tooth, repeated treatment of the root canal and filling of the root canal system is performed under microscopy control by using the vertical filling method, which ensures a denser filling compared to traditional methods. The tooth is sealed with temporary restoration.