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Dra. Sandra PovedaOdontología

Restorative & rehabilitation

Root canal treatment

Treatment of the inside of the tooth when the pulp is inflamed or infected, in order to keep the tooth.

Duration
Endodoncia: aproximadamente 1 hora · Retratamiento: 1,5 horas · Cirugía: 2 horas
Materials and technology
Radiovisiógrafo · Motores rotatorios para limas reciprocantes · Activación por ultrasonido · Hipoclorito de sodio y EDTA como irrigantes

What it involves

Root canal treatment removes damaged pulp tissue from inside the tooth, disinfects the canals and seals them.

Its purpose is to preserve the natural tooth rather than extract it.

The quality of the subsequent seal is decisive for the long-term result: that is why the restoration placed on top is part of the treatment, not a separate step.

Who it is for

  • Spontaneous or prolonged pain with cold and heat.
  • Deep decay that has reached the pulp.
  • Dental trauma.
  • Infection with abscess or sinus tract.
  • A previously treated tooth with recurring symptoms: this requires retreatment.

How it works

  1. 1Diagnosis with digital radiography.
  2. 2Local anaesthetic and isolation of the tooth.
  3. 3Access to the pulp chamber and location of the canals.
  4. 4Shaping of the canals with rotary motors and files.
  5. 5Irrigation and disinfection, with ultrasonic activation.
  6. 6Sealing of the canals.
  7. 7Restoration of the tooth to secure the coronal seal.

Aftercare

  • There may be discomfort on chewing for a few days.
  • Do not bite hard on the treated tooth until the final restoration is placed.
  • Complete the final restoration within the time indicated: it is what protects the work done.
  • Follow-up appointments to check progress.

Frequently asked questions

How long does the procedure take?
A conventional root canal takes about an hour. A retreatment, around an hour and a half. Periapical surgery, about two hours.
What types of treatment are carried out?
Root canal treatment of front teeth, premolars and molars; retreatments; periapical surgery; root amputations; and 3D guided surgery for complex cases.
Is it painful?
The procedure is carried out under local anaesthetic. Discomfort afterwards is usually mild and temporary; intense or prolonged pain should be reported.
Why does the restoration afterwards matter so much?
Because a well-treated canal that is poorly sealed from above becomes contaminated again. The crown or restoration placed afterwards is not a cosmetic extra: it is part of the treatment.
Can it be redone if it fails?
Yes. It is called retreatment: the previous material is removed, the canal is disinfected again and resealed. Where that is not viable, periapical surgery is considered.

Is this the treatment you need?

In the consultation we review your case and explain the options.