Endodontic therapy’s main objective is to completely debride infected or necrotic pulp tissue and control infection in the root canal to allow complete sealing. Therefore, the objectives should be clear, evaluating each individual case to determine the number of sessions required to achieve successful treatment. Currently, it’s widely discussed whether biological or mechanical objectives of endodontic therapy can be met in one treatment session, or if there are particular cases that require more sessions to achieve those objectives. Contacting Dr. George Braithwaite DMD can help you answer this question.
It’s important to evaluate the patient, the tooth, as well as preparatory methods to determine the number of sessions. In addition, the incidence of postoperative pain, exacerbations, rates of success and failure in multi-session cases must be considered to determine the recommended number of sessions in each case. The overall objective of a dentist is to analyze the different considerations, taking into account everything in play to achieve successful endodontic therapy.
Objectives of a root canal
The overall goal of root canal treatment is to achieve complete debridement of infected or necrotic pulp tissue, as well as the eliminate microorganisms in the root canal system. Root canal therapy is based on a classic triad: diagnosis, preparation and obturation of the root canal system. The preparation of the root canal has two main components, cleaning and shaping, which is the most important phase of the root canal. The preparation should ensure the removal of tissue debris, bacteria and toxins from the root canal space and allow three-dimensional sealing of the space.
In turn, the preparation of the root canal depends on specific biological and mechanical objectives. Biologically, all irritants should be removed from the root canal, while sufficient space for proper washing and debridement is created, without harming the periradicular tissues. Mechanically, it should be formed on a solid matrix of dentin from which apical flow is tapered towards the coronal third of the duct in order to permit proper sealing. The complete seal of the system ducts provides a suitable environment for biological periradicular tissue healing.
The dentist
Finding a dentist suitable for this type of surgery is not hard because all dentists go through rigorous training to perform procedures just like this. However, you should always choose a dental professional that you are comfortable with. For more information on this and other procedures, contact your local dentist today.