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Endodontics in Panama

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Abdiel Garibaldi De Alba

Do you have any questions about Endodontics?

How is endodontics performed?


Before performing an endodontic treatment, the dentist must have taken a complete clinical history of the patient and a subjective evaluation of the pain, i.e., time, intensity or areas affected, among others.

In the image, a dental examination is performed including pulp vitality tests, which consist of the dental response to thermal (hot and cold) and percussion (small touches) stimuli.

The diagnosis of pulp pathology should also be based on radiographic tests to determine whether it is reversible, irreversible, suppurative, etc., and to assess the condition of adjacent dental structures.

When and why should dental devitalization be performed?

We have previously reviewed the purpose of endodontics or dental devitalization; a treatment that removes the damaged dental pulp containing the nerve, blood vessels and tissue.

By devitalizing a tooth, the dentist eliminates the pain caused by a diseased tooth and regenerates it before it is lost.

This type of procedure is performed in certain cases, for example:

When and why should dental devitalization be performed?

During the treatment of a deep caries that has already produced irreversible damage to the dental pulp (to the point of necrosis or nerve death); dental devitalization is the next step to follow.

After this, the filling or veneer occupies the space of the material that has been removed; and with a resin that resembles the color of the tooth, the procedure is completed from an esthetic point of view.

Tooth decay is one of the most common problems among people of any age; however, it is not always necessary to have a root canal.

To identify deep caries, it is necessary to be attentive to the following symptoms:

Intense pain in the area.

Fracture of the dental piece.

Inflammation of the face.

Difficulty eating.

Tooth color change (brown or yellowish).

Why start your treatment at Ford Dental Clinic?

Ford Dental was designed with you in mind. We know that the visit to the dentist has been, throughout history, a source of anxiety. That is why we have incorporated in our clinic all the services of a day, so you can relax while our specialists take care of beautifying your smile. Additionally, we have the most advanced relaxation and conscious sedation techniques available.

Dental sensitivity

On the other hand, tooth sensitivity is caused by overexposure of the dentin, which is the part of the tooth that covers the nerve.

Whether due to gum recession or loss of the enamel layer, when the dentin is exposed, the internal canals of the tooth are stimulated by temperature changes or certain foods such as citrus fruits and sweets.

Such sensitivity causes pain, but it may subside after a short time. There are several treatments usually applied by the dentist:

Place fluoride in a splint in the shape of the dental arch and insert it in the mouth for a few minutes to ensure a high concentration of fluoride.

Use some bonding agent as a sealer on the dentin surface to provide a barrier to external stimuli.

Apply a fluoride varnish bath to strengthen the enamel and dentin.

Fracture of a tooth

You can also devitalize a tooth when it is broken; an unsightly situation that should be treated as soon as possible.

It can occur in both children and adults, being its main cause dental trauma, which also produces pain when biting and tooth sensitivity. Some of the most frequent causes of fractures are:


Untreated caries.

Tooth decalcification

Realizacion de una endodoncia


Also known as cyst or scar tissue, granuloma is one of the most frequent periapical lesions. This occurs when a disease of the dental pulp extends to the periapical area, causing an acute lesion that results in a cyst or granuloma.

There are two possible treatments for dental granuloma: conservative and surgical.

Conservative treatment consists of endodontics and restoration of the dental piece, eliminating the infectious focus. In these cases, the periradicular lesion may resolve with bone tissue formation.

Surgical treatment consists of an apicoectomy, where the affected parts of the tooth and the apical section together with the cyst are removed. In this treatment, the root and most of the tooth surface remains; while the resulting cavity is closed.

Do you have any questions about Endodontics?

Performing endodontics

Beneficios de la desvitalizacion de una muela

Endodontics itself is performed under local anesthesia, which means that it is not a painful procedure. Once the patient is anesthetized, the professional removes the diseased caries tissue and accesses the nerve or nerves, depending on the tooth that is affected, since there are teeth with one or more nerves.

The pulp tissue (nerve) is then removed mechanically, cleaning the resulting canal or channel thoroughly and locating, if necessary, the existence of more than one nerve and the end of the root (apex) with the aid of radiographic or endodontic devices. At the same time, the length of the root is sought and the canal is given a conical shape to facilitate the filling of the canal.

Finally, and after the pertinent radiographic confirmations, the canals are obturated – closed or filled – with endodontic materials that seal and fill them in their entirety. Likewise, during the treatment, the professional will consider whether it is necessary for the patient to take antibiotics either before or after the intervention.

Benefits of tooth devitalization

Dental devitalization involves the following benefits for the patient:

Eliminates acute pain

Devitalizing a tooth relieves the pain caused by the infectious process, which generally limits daily activities such as sleeping, eating or concentrating.

Pain during the process

The great fear of every patient who goes to the dentist is the assumption that dental treatment will be too painful. When performing a root canal, the use of local anesthesia helps to control the original pain to give way to immediate relief.

Elimination of dental infection

Thanks to the dental devitalization technique it is possible to eliminate all microorganisms causing infection inside the tooth, while sealing the cavity to prevent new outbreaks in the same tooth.

Biocompatible materials

The safety that biocompatible products offer to your teeth makes the body accept their presence inside the mouth without causing future complications.

Avoid future treatments

After a root canal, displacement and mobility of the surrounding teeth is prevented, resulting in the possible reduction of costly dental treatments in the future.

Cuando y por que se debe hacer una desvitalizacion dental

Cons of dental devitalization

Although we know that this is a conservative procedure that aims to keep the tooth in the mouth as long as possible, it also has some drawbacks:

Causes lack of irrigation on the dentin until it disappears.

Increases ease of fracture

The tooth changes to a dark color, due to dehydration of the dentin.

Why start your treatment at Ford Dental Clinic?

Ford Dental was designed with you in mind. We know that the visit to the dentist has been, throughout history, a source of anxiety. That is why we have incorporated in our clinic all the services of a day, so you can relax while our specialists take care of beautifying your smile. Additionally, we have the most advanced relaxation and conscious sedation techniques available.

Frequently asked questions about Endodontics in Panama

Endodontic treatment (also known as root canal treatment or root canal therapy) is a procedure often performed in the dental office to save teeth.

If you have been told you need a root canal, you may feel a little anxious. Don’t worry: root canal treatment is a routine dental treatment that can relieve tooth pain and help teeth last longer.

We want you to understand what the procedure is like, why it is necessary and how it will benefit you. Here are some answers to the most frequently asked questions.

Many patients, before visiting the dentist, are filled with questions for fear of suffering more in the office than at home. For them we share this series of questions and answers.

Obviously it is possible, just as it can be done on a permanent tooth or molar.

The difference in this treatment is that the filler material used varies. In fact, in children the filling material is resorbable; since the definitive teeth will replace the milk teeth and the roots must carry out their natural process.

Dentists use the term “root canal” to refer to the tiny, narrow canals inside the tooth that travel to the ends of the roots. Inside this canal we have a soft tissue known as dental pulp, which when healthy contains nerves and micro arteries.

The term “root canal treatment” refers to the procedure used to save the tooth if the soft tissue becomes acutely inflamed or infected.

If the pulp of the tooth becomes inflamed or infected, due to decay or injury, it is necessary to remove it to save the tooth and prevent the infection from spreading to the bone. An adult tooth does not actually need pulp to function normally; its primary use was to assist in the development of teeth during infancy.

The tooth could be extracted, but it is always better to try to save it, especially if we take into consideration that root canal treatment is a routine treatment and has a very high success rate (over 90%). Saving the tooth can prevent problems from occurring later; these could include bite problems, difficulty eating and loss of jaw volume and density.

The procedure usually causes no more discomfort than a shim. Unfortunately it has a bad reputation, but it does not deserve it since it is the disease that is to blame and not the treatment. That is, infections that require treatment are usually painful because they are inflammatory tissues that have many nerves and are therefore very sensitive. Endodontics is not the cause of pain. Endodontics really relieves this pain!

After anesthetizing the area, a small hole is made in the crown (top) of your tooth to access the pulp chamber and canals. The diseased tissue is removed and the pulp chamber and canals are disinfected to the root end. Teeth in the front of the mouth have one root and usually one canal; back teeth have two or three roots and usually three or four canals. Once the infected tissue is removed, the canals and pulp chamber are filled with an inert material and sealed with an adhesive cement. The access hole is sealed with a temporary shim.

The tooth may feel tender for a few days, but any discomfort can usually be relieved with painkillers or anti-inflammatory drugs, such as ibuprofen. Among the instructions you will receive, you will be asked to avoid biting hard things with that tooth until a final and definitive restoration is placed a few days later. Depending on how damaged the tooth is to begin with, you may need a crown to cover it completely. These options will be discussed with you in advance.

Keep your teeth free of cavities by brushing and flossing every day. Eat a healthy diet low in sugar and avoid acidic beverages such as sodas. Have regular professional cleanings and examinations. And if you play sports, consider wearing a custom-fitted mouthguard to protect your teeth from injury.

We have a whole article talking about it. Click here.

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