Dental pulp is the soft tissue of the tooth, which is situated in the crown part of the tooth and root canals. It is frequently referred to as the nerve, although it contains not only nerve fibres, but also connective tissue, blood vessels and various types of cells. The inflammation of dental pulp is called pulpitis. When the infection has spread through the root canals, the inflammation of the apex of the root of the tooth or apical periodontitis may arise. It can also be asymptomatic and may be diagnosed by means of an X-Ray examination of the oral cavity. The inflammation of the dental pulp and apical periodontitis are the most common reasons for root canal treatment.
Endodontics
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The endodontic treatment at our clinic is performed by high level professionals, some of whom are lecturers at Riga Stradiņš University as well. In the practice of our clinic, we choose the most progressive and sustainable solutions of endodontic treatment solutions to provide you with maximum comfort and top class results.
Root canal treatment or endodontic therapy provides an opportunity to retain the natural tooth in your oral cavity.
Certified endodontology specialists perform endodontic therapy at our clinic by using the guidelines determined by the European Association of Endodontology.
Prices for endodontics
Endodontics
Endodontic specialist consultation
69
Root canal treatment for 1 rooted tooth
288
Root canal treatment for 2 rooted tooth
328
Root canal treatment for 3 rooted tooth
388
Root canal treatment for 4 rooted tooth
418
Root canal treatment for 5 rooted tooth
438
Root canal treatment for 6 rooted tooth
488
Root canal retreatment for 1 rooted tooth
357
Root canal retreatment for 2 rooted tooth
437
Root canal retreatment for 3 rooted tooth
537
Root canal retreatment for 4 rooted tooth
567
Root canal retreatment for 5 rooted tooth
587
Root canal retreatment for 6 rooted tooth
637
Preparing of one root canal
159
Preparing of two root canals
189
Preparing of three root canals
219
Preparing of four root canals
229
Preparing of five root canals
239
Preparing of six root canals
279
Partial preparing of six root canals
179
Completion of six root canal preparation
89
Preparing of tooth with complex, multiple-canal system (3 to 6 canals)
249
Repeated root canal preparation (additional session) for tooth with 1-2 rootcanals
89
Repeated root canal preparation (additional session) for tooth with 3 and more rootcanals
109
Filling of one root canal
129
Filling of two root canals
129
Filling of three root canals
169
Filling of four root canals
189
Filling of five root canals
199
Filling of six root canals
209
Biomaterial application (MTA, etc.) in apical or middle part of the root
69
Biomaterial application (MTA, etc.) in tooth crown or upper part of the root
59
Apical microsurgery
309
Apical microsurgery (two teeth in one surgical area)
359
Repeated root canal medication placement
49
Cement, fibreglass pins removal
99
Partial removal of filling from 3 and more root canals
79
Diagnostics
49
Localization of calcified root canals
59
Microsurgical revision
199
Vital pulp amputation
69
Screw removal
99
Instrument fragment and other metal object removal from the root canal
99
Root inlay removal
109
Filling removal (paste, gutta-percha, etc.) from 1 canal
79
Filling removal(paste, gutta-percha, etc.) from 2 canals
109
Pildījuma izņemšana (pasta, gutaperča u.c.) no 3 un vairāk kanāliem
149
Complete filling removal from 3 and more canals (if not performed during the entire session)
79
Removal of a canal filling and/or correcting iatrogenic factors in complex root canal system
149
Pulpektomy or partial root canal treatment for 1 to 2 canals
99
Pulpektomy or partial root canal treatment for 3 and more canals
129
Root canal treatment with unformed apex (each session)
109
Root canal filling material copping (with glass ionomer and other materials)
29
Closing root canals with medication (Ca hydroxy etc.)
29
Vital pulp therapy for teeth with unformed roots (each session)
69
Internal tooth whitening (first session)
99
Internal tooth whitening (each following session)
79
Tooth isolation
10
Dental crown revision - temporary filling removal
69
Dental crown revision - restoration removal
109
Creating temporary tooth edge from composite and/or other materials
29
Tooth revision with 1 to 2 root canals -filling removal (1 session)
149
Tooth revision with 3 and more root canals - filling removal
179
Tooth closure with temporary restoration
49
Tooth closure with permanent filling in case of small cavity
49
Tooth trepanation through crown
49
Endodontist’s work with microscope (1 session)
139
Endodontics specialist work with a microscope in complex cases (1 session)
169
Additional charge for manipulation exceeding manipulation time limit (each 60 minutes)
129
M.D. Anda Mindere - Gūbele price list of endodontic treatment
Endodontic specialist consultation
69
Root canal treatment for 1 rooted tooth
318
Root canal treatment for 2 rooted tooth
368
Root canal treatment for 3 rooted tooth
418
Root canal treatment for 4 rooted tooth
448
Root canal treatment for 5 rooted tooth
488
Root canal treatment for 6 rooted tooth
538
Root canal retreatment for 1 rooted tooth
407
Root canal retreatment for 2 rooted tooth
497
Root canal retreatment for 3 rooted tooth
587
Root canal retreatment for 4 rooted tooth
617
Root canal retreatment for 5 rooted tooth
657
Root canal retreatment for 6 rooted tooth
707
Root canal retreatment for 1 rooted tooth
179
Root canal retreatment for 2 rooted tooth
219
Root canal retreatment for 3 rooted tooth
239
Root canal retreatment for 4 rooted tooth
249
Root canal retreatment for 5 rooted tooth
269
Root canal retreatment for 6 rooted tooth
299
Partial preparing of six root canals
209
Completion of six root canal preparation
99
Preparing of tooth with complex, multiple-canal system (3 to 6 canals)
289
Repeated root canal preparation (additional session) for tooth with 1-2 rootcanals
99
Repeated root canal preparation (additional session) for tooth with 3 and more rootcanals
119
Filling of one root canal
139
Filling of one root canal
149
Filling of three root canals
179
Filling of four root canals
199
Filling of four root canals
219
Filling of six root canals
239
Biomaterial application (MTA, etc.) in apical or middle part of the root
69
Biomaterial application (MTA, etc.) in tooth crown or upper part of the root
59
Apical microsurgery
349
Apical microsurgery (two teeth in one surgical area)
419
Repeated root canal medication placement
49
Cement, fibreglass pins removal
109
Partial removal of filling from 3 and more root canals
99
Diagnostic manipulation
49
Localization of calcified root canals
69
Microsurgical revision
229
Vital pulp amputation
79
Screw remova
109
Instrument fragment and other metal object removal from the root canal
109
Root inlay removal
129
Filling removal (paste, gutta-percha, etc.) from 1 canal
89
Filling removal(paste, gutta-percha, etc.) from 2 canals
129
Pildījuma izņemšana (pasta, gutaperča u.c.) no 3 un vairāk kanāliem
169
Complete filling removal from 3 and more canals (if not performed during the entire session)
79
Removal of a canal filling and/or correcting iatrogenic factors in complex root canal system
169
Pulpektomy or partial root canal treatment for 1 to 2 canals
109
Pulpektomy or partial root canal treatment for 3 and more canals
149
Root canal treatment with unformed apex (each session)
119
Root canal filling material copping (with glass ionomer and other materials)
29
Closing root canals with medication (Ca hydroxy etc.)
29
Vital pulp therapy for teeth with unformed roots (each session)
79
Internal tooth whitening (first session)
119
Internal tooth whitening (each following session)
89
Tooth isolation
10
Dental crown revision with temporary filling removal
79
Dental crown revision with restoration removal
119
Creating temporary tooth edge from composite and/or other materials
29
Tooth revision with 1 to 2 root canals -filling removal (1 session)
169
Tooth revision with 3 and more root canals - filling removal
209
Tooth closure with temporary restoration
49
Tooth closure with permanent filling in case of small cavity
49
Tooth trepanation through crown
49
Endodontist’s work with microscope (1 session)
159
Endodontics specialist work with a microscope in complex cases (1 session)
189
Additional charge for manipulation exceeding manipulation time limit (each 60 minutes)
149
Specialists
Kristīne Aleksāne
Certified Endodontist
Certified Endodontist
Anna Mihailova
Certified Endodontist
Certified Endodontist
Anda Mindere-Gūbele
Certified Endodontist
Certified Endodontist
Olena Romanovska
Dentist
Dentist
F.A.Q
ENDODONTIC TREATMENT AND PROGNOSIS OF ENDODONTIC TREATMENT
ENDODONTIC THERAPY
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.
PROGNOSIS OF ENDODONTIC THERAPY
Prognosis is the determination of a therapy outcome for a longer period of time; it is determined after the diagnosis is set. The probability of healing of the existing inflammation (apical periodontitis) or the probability of developing new inflammation is forecast. The use of magnification, biomaterials and the vertical canal filling method increases the probability of a successful therapy result.
It must be considered that endodontic diseases are diseases caused by an infection and cleaning absolutely all micro-organisms from root canals is impossible. The prognosis of therapy is affected by all factors that enable the access of micro-organisms to the root canal or their survival in the canal system - initial diagnosis of the tooth and its anatomy, large number of sessions, repeated infection during the therapy, quality of temporary filing and restoration, previously made mistakes and the quality of the filling. Factors lowering the therapy result (re-infection during treatment, low quality temporary restoration, etc.) are excluded in the practice of endodontology specialists. The prognosis of re-treatment of the dental root canal in the event of pre-existing apical periodontitis (AP) is lower than that of primary therapy.
Kristīne Aleksāne
Certified Endodontist
Anna Mihailova
Certified Endodontist
Anda Mindere-Gūbele
Certified Endodontist
Olena Romanovska
Dentist