At the center of the tooth hard tissue, there is a chamber extending to the root apex of the tooth. This room contains blood, vein and nerve packages (pulp).

When the tooth starts to decay, it will reach the inside of the tooth pulp, if it progresses without early recognition, and causes inflammatory changes. Severe pain begins. At much more advanced stages, the event can spread to the jawbone from the root apex, resulting in loss of the tooth.

Before reaching the tooth extraction stage, the tooth and surrounding tissues can be recovered by treating the pulp chamber by removal oh the diseased pulp tissue. Pulp tissue (nerve and vascular package at the center of the tooth) is cleaned painlessly with anesthesia. The canals inside the tooth with inflamed nerves are cleaned, widened and disinfected. During these operations, it is strictly controlled how far is the canal length to the root apex in millimeters by taking x-rays. Then, preparation is performed according to the length of the determined canal length, and the pulp chamber and canals are filled with special fillings, ending in the root apex, and the root canal treatment is completed. The treated tooth maintains in the mouth for many years.

Root canal treatment is the treatment of infected and damaged teeth to be kept in the mouth and recover health.

Stages:

• The decay is cleaned and tissues are removed to the center of the tooth (cavity is opened) in order to remove the pulp (nerve and vascular packages).
• The root canals are cleaned mechanically and chemically.
• X-rays are taken to measure the length of the canal in millimeters.
• Root canals are filled to the root apex.
• The visible part of the tooth in the mouth is restored aesthetically.

In the treatment of root canal treatment, the canal expansion process, which lasted for a few sessions in the past years, was performed manually by small hand tools by dentists. With developing technology, the root canal treatment is performed in a much shorter time (one or two sessions), with the help of digital endodontic treatment devices called endo motor, in a practical and safe manner.

In our clinic, root canal treatments are applied to the protaper system in the most ideal way. One of the most important benefits of this device is that it alerts the dentist when the device reaches to the root apex, which is the target, in addition to reducing the root canal treatment time by 50%.

After the canal treatment, the hard tissue of the tooth becomes fragile, like a dry tree, because it cannot be fed due to the removal of the pulp, i.e. the nerves of the tooth. However, if the area with excessive material loss is very well cleaned and formed if it is restored with porcelain filling restorations made with digitally taken impressions by CAD-CAM technology and if the person has good oral care; then, it can stay healthy in the mouth for life.

It is applied in teeth without any improvement of the infection, even though it is treated with root canal treatment. Treatment of chronic infections with root canal treatment is often not possible. In such cases, once the root canal treatment is performed, the removal of the infected part at the root apex of the tooth under local anesthesia allows the tooth to be recovered mostly. This process is called resection.

Endodontic surgery teeth should be followed up radiographically with six-month periodic controls.