Root canal filling

Tooth pain, increased sensitivity to hot or cold, and gum swelling may indicate damage to the internal tissues of the tooth. In such cases, endodontic treatment is necessary to preserve the tooth. Its key stage is root canal filling, which makes it possible to eliminate infection and prevent the recurrence of the inflammatory process.

Obturation is the final stage of endodontic treatment, during which cleaned and disinfected root canals are hermetically filled with special materials. Essentially, this is root canal filling, the main purpose of which is complete isolation of the internal space of the tooth from bacteria and reinfection.

After removal of the affected pulp, the doctor performs mechanical and medicamental preparation of the canals, shapes them to the correct anatomical form, and prepares them for hermetic sealing. The filling must be dense along the entire length of the canal — from the orifice to the root apex. Insufficient sealing may lead to the recurrence of inflammation in the tissues surrounding the root.

The quality of obturation directly affects the long-term treatment outcome. That is why at the “Oxford Medical” clinic the procedure is performed under X-ray control, which makes it possible to assess the correctness of canal filling and confirm the effectiveness of the performed treatment.

In most clinical cases, endodontic treatment makes it possible to preserve a tooth even with significant damage to its internal tissues. However, in some situations, the doctor may conclude that root canal filling will not provide a predictable long-term result.

The procedure may be inappropriate in the following cases:

• significant destruction of the crown portion of the tooth, when it cannot be properly restored even after treatment;

• vertical root fracture that makes hermetic sealing impossible;

• pronounced destruction of the bone tissue around the root with an unfavorable prognosis;

• excessive tooth mobility in cases of severe periodontal damage.

In such cases, the doctor may recommend tooth extraction followed by restoration of chewing function using implantation or orthopedic constructions. At the private clinic “Oxford Medical,” dentists do everything possible to preserve the natural tooth and recommend extraction only when other treatment methods cannot provide a stable result.

In most cases, endodontic intervention proceeds without complications and allows the tooth to be preserved for a long time. However, it should be understood that the root canal system has a complex anatomy, so the tissue response after the procedure may be individual.

In the first days after treatment, physiological post-procedural reactions are possible:

• slight pain during chewing;

• a feeling of “pressure” in the area of the treated tooth;

• moderate sensitivity that gradually decreases.

Such manifestations are associated with the reaction of the tissues around the root apex to the performed intervention and usually disappear within a few days.

Potential complications include:

• persistence of infection due to complex or atypical canal structure;

• recurrent inflammation in case of loss of tightness of the filling;

• exacerbation of a chronic process in the periapical tissues;

• the need for repeated endodontic treatment.

At Oxford Medical dentistry, considerable attention is paid to the prevention of such situations. During treatment, X-ray control is обязательно performed, the exact working length of the canal is determined, thorough antiseptic treatment is carried out, and the quality of sealing is checked. The use of modern equipment and certified materials makes it possible to minimize risks and ensure a stable long-term result.

The cost of root canal filling is determined individually and depends on the number of root canals in the tooth, the need for a medicinal stage of treatment with the placement of a temporary filling, as well as whether the treatment is performed for the first time or it concerns repeated endodontic intervention. The overall cost is also influenced by the method of subsequent restoration of the coronal part — by means of a filling or placement of a crown.

You can предварительно ознакомиться with the prices for medical services in Kyiv at Oxford Medical dentistry here. More precise information regarding the specifics of treatment and the cost will be provided by the doctor during the consultation.

To make an appointment at a convenient time for you, you can contact by phone or use the online booking form on the website.