Endodontist: What can he do for me?
Unknowingly, you may have undergone endodontic treatment. A term that comes from the Greek endo which means “inside” and odont which means “tooth” and thus designates the treatment of the “content” of the tooth. Dr. Dorothée Louis Olszewski, an endodontist in Paris, describes the different applications of this discipline.
Reasons for consultation with an endodontist
Endodontics are routinely performed in all dental practices. However, exceptional circumstances (mineralized channels, complex anatomy, fractured instrument, perforation, etc.) may lead the dentist to delegate this treatment to a practitioner who restricts his activity to endodontics. This consultation is therefore often the last resort for the preservation of the patient’s tooth.
The acts performed by the endodontist
Endodontic treatment is required when the pulp becomes inflamed or infected. Inflammation and infection have multiple causes such as cavities, repeated dental procedures on the same tooth, or a fracture or dental fracture. Trauma (shock) can also cause pulpal damage even if the tooth has no visible sign of fracture. If the infected or infected pulp is not treated, this can cause pain or lead to an abscess.
In some cases, as with any medical treatment, a tooth may not heal after the first treatment for various reasons (mineralized or curved channels that could not be treated during the initial procedure, complex undetected anatomy, new Caries exposing root canal filling to bacteria causing a new infection of the tooth, …). Endodontic reprocessing is then indicated by conventional (tooth) or surgical (access through the gum) route. These treatments are all performed under local anesthesia.
The technical platform used for this care is at the forefront of technology. The microscope is at the center of this technological platform; it allows to magnify up to 25 times the inside of the tooth which makes possible the care impracticable with the naked eye.
The course of treatment
Treatment can be conducted in one or two sessions. After performing the anesthesia, the practitioner sets up a surgical field around the tooth to be treated called “dike” to work away from saliva and bacteria naturally present in the mouth. The practitioner makes an access through the crown of the tooth. Small instruments are used to remove pulp tissue or materials from the previous treatment and shape this space. Once the channels have been cleaned and shaped, the practitioner seals them sealed with a biocompatible material, gutta-percha. The gutta-percha is placed with a cement ensuring a leak-tight sealing of the canals. In most of the cases,
Treatments still poorly repaid
Acts relating to endodontics may be reimbursed by the social security system but have a basis for reimbursement which is wholly inadequate with the cost of the technical support and the time necessary to carry out such a procedure. Certain procedures may be nomenclature, but no entitlement to reimbursement by the social security system can be made available due to the increasing disengagement of the latter in the dental sector. In the case of the endodontist with a private practice, the financial burden for the patient is therefore relatively high.