?Will I feel pain during or after the procedure?
Much endodontic treatment is carried out to deal with pain resulting from an inflammation or infection of the tooth’s pulp. Using modern techniques and local anesthesia it is possible to treat patients without causing them any pain. After treatment, the tooth may feel a little sore for a few days, especially when there had been pain or an infection previously. This can be controlled with light pain-killers or an appropriate homeopathic medication if needed. We will give you advice on what to do in this situation.
?Will further treatment be necessary?
Because endodontically treated teeth often suffer extensive loss of hard tooth substance, they are more likely fracture than solid healthy teeth. Such treated teeth must therefore be capped by a crown or partial crown to restore stability, function and appearance.
If not enough tooth is left, it might be necessary to insert a post or core into the tooth to which the crown is then finally attached .
?Life Expectancy – How long will endodontically treated teeth last?
?Costs – What will the treatment cost?
The costs depend on the difficulty and the amount of time needed for the treatment. Usually a detailed estimate is provided before each procedure so patients know exactly what the costs will be, and how much is likely to be reimbursed by medical insurance. These estimates will not even be increased, even if the treatment turns out to be more complicated or time-consuming than expected. I usually cannot apply the rates set by social insurance, as we offer a higher quality and the treatment is more complex and difficult than assumed by public insurance cost standards. Working exclusively on a private basis allows me to offer patients the best possible care.
?Alternatives – What are the alternatives to endodontic retreatment?
The only alternatives are a surgical procedure or extraction. The lost tooth must be replaced by a denture, a bridge or an implant to restore appearance and the ability to chew. This will also stop the movement of the remaining teeth.
Nothing can replace your own teeth, no matter how good the replacement looks!
?Can a diseased tooth give rise to illness in parts of the body (the focal infection theory)?
It has sometimes been claimed that endodontically treated teeth can become the source of bacteria or bacterial toxins that can spread and cause disease in other parts of the body, like the liver, kidney or the joints. However, endodontic treatment is designed to clean and prepare the entire canal system fully, before it is sealed. Many studies have been able to show that properly endodontically treated teeth are not sources of disease. However, partially cleaned and filled root-canals can be a problem, as the pathogenic germs they contain are able to affect the wider organism, which is why the modern techniques described here are so effective.
We carried out a study in my practice of 100 root-canal treatments. We were able to show that 6 to 12 months after successful endodontic treatment, 100% of teeth previously diagnosed to be a source of wider infection could no longer be considered to be such a source.