We Recommend Our Resident Root Canal Specialists

Additional specialist training and experience go a long way in increasing the likelihood of treatment success in this field.

At Smile Solutions in Melbourne, all your root canal related treatment requirements will be taken care of by our highly experienced registered specialist endodontists:

 

The following four scenarios are typical indications for root canal therapy:

1. Inflamed Teeth

A damaged tooth that has inflammation of the pulp (nerve) can be acutely painful for the patient and can only improve with professional treatment.

How we can help

Often, the patient is distressed and in considerable pain. By ensuring a prompt response from one of our Dental Board–registered root canal specialists, we can relieve the stress for both the patient and the referrer.

What we do

Treatment is geared towards removal of the inflamed tissue, full preparation of the canal systems and full obturation (blocking up). This process, combined with a good crown or filling, ensures that bacteria are prevented from multiplying in the canal spaces. Prognosis is usually very good and success rates of 95 per cent are not unusual.

 

2. Infected Teeth

The situation can be worse than the above if the nerve or a blood vessel has disintegrated and bacteria have colonised the root canal system. This can lead to the formation of an abscess, with the bacteria sending toxins right into the jaw bone.

How we can help

With the use of the most modern equipment, microscopes, nickel titanium files and ultrasonic activated irrigant systems, we can make sure the canals are as clean as possible. We then seal them with thermo-plasticised gutta-percha to ensure a three-dimensional seal.

What we do

Treatment is more demanding where infection is present, as it then involves cleaning all bacteria from the contaminated root canal system. Canals are complex, three-dimensional spaces where absolute sterility is not possible, so the aim of sealing the canals is to trap any remaining bacteria and prevent any nutrients getting to them so that the bacteria will no longer be viable.

Even with the most advanced and efficient mechanical equipment, it is impossible to get rid of all the bacteria, so we employ various irrigants to further cleanse the canals and increase the chances of a successful first-time treatment.

As long as there are no fresh sources of leakage and the tooth is well sealed, a very high success rate of about 90 per cent can be expected.

 

3. Re-Treatments

If previous treatment has not achieved satisfactory results, or the canals have become reinfected, a further attempt can be made to cleanse the canals and re-treat the tooth. It is more complicated to disinfect teeth involved in re-treatments and they often require the removal of any obstructions to the canal.

How we can help

Using our thorough knowledge of canal anatomy, specialist techniques and equipment (digital radiographs and vision-enhancing microscopes), we can remove problems like posts and separated instruments, avoiding surgery whenever possible. To give careful and optimal treatment we can assess whether there are extra canals that may have previously been missed. We can also check any further factors that may compromise the tooth, such as perforations and fractures, and advise the patient accordingly so that they do not undergo treatment with a poor prognosis.

What we do

Re-treatment may require post removal and removal of the original root filling. This in itself can be quite time-consuming, and different irrigants need to be used to counter specific bacteria known to contribute to failure. The success rates for re-treatment tend to be not quite so good, but a rate of around 70 per cent can still be achieved – certainly a viable alternative to extraction.

 

 

4. Surgical Treatment

Occasionally surgery must be undertaken to rectify any errors or to clean an inaccessible portion of a tooth.

How we can help

We will thoroughly assess the causes of failure and will perform surgery only if it is the best option. Using microsurgery techniques, ultrasonics and biocompatible materials, we will make the outcome of any surgery as predictable as possible.

What we do

With the modern techniques we employ, we can often avoid all surgical treatment by first re-treating the tooth – and this is usually our first option. However, there are specific indications for surgery, and these include the need to avoid damage to a new post and crown or if there is an untreated portion of root not amenable to routine cleansing. In such cases we perform surgery if it has a good prognosis.