Endodontics
Endodontics is a specialty that encompasses a range of medical services often performed by dentists who focus on oral cavity health.
Essentially, this specialty involves the treatment of conditions affecting the pulp chamber (the nerve) of a tooth, as well as issues arising from complications related to nerve infections. In other words, when a dentist says that they need to remove the nerve from a tooth, they are essentially indicating that an endodontic treatment is necessary.
Endodontics specialty
At MaxiloMED Clinic, endodontic treatments are performed by specialist endodontists. These professionals have completed a 3-year residency program, during which they honed their skills in this specific field. The establishment of this specialty in Romania over 10 years ago was driven by technological and scientific advancements in endodontics.
Having a doctor specialized in a particular area allows for a more in-depth focus on their professional training, enabling them to treat patients with greater attention and obvious to much higher standards of care.


When are Endodontic Treatments necessary?
There are several situations in which endodontic treatments are required. Frequently, these treatments become necessary when dental caries progress to the pulp of the tooth (the nerve), leading to severe pain for the patient. Unfortunately, another common scenario is when old treatments have resulted in an infection at the tip of the tooth’s root; these cases are known as re-treatment, as they involve restoring an already existing endodontic treatment.
There are situations when endodontic treatments may be needed for prosthetic purposes, such as when a patient requires dental crowns( to cover the teeth).
How is endodontic treatment performed?
At MaxiloMED Clinic, we pay special attention to this type of treatment, as we cannot build something durable on a shaky foundation. First, the case is evaluated using CBCT (Cone Beam Computer Tomograph) to obtain the most accurate image of the condition of the tooth that is to undergo endodontic treatment.
This detailed assessment allows us to understand the complexities of the tooth’s structure and any underlying issues, ensuring that the treatment is thorough and effective.
Subsequently, the treatment is performed with the tooth isolated to prevent contamination from oral bacteria, and under microscopic control to ensure optimal visibility. Endodontic treatment using a microscope not only aids in identifying the nerve and the contents of the pulp chamber, but also allows for more precise identification of atypical dental canals or root fractures that could compromise the outcome of the treatment.
Subsequently, the dental canal is disinfected and sealed to minimize, if not eliminate completely, bacterial contamination of the tooth. Finally, sealing the dental canal and potentially reconstructing the core is also performed by an endodontist using a microscope to enhance the precision of the reconstruction.
Frequently Asked Questions ...
I have presented the questions frequently asked by patients to make the process more efficent.
All medical procedures come with a certain percentage of success, even when performed optim, which is what we strive for. This involves preparing and disinfecting the tooth down to the radiographic apex (the tip of the tooth root as seen on an X-ray). In such cases, we have a success probability of 80-85%. In cases without bacteria, this probability rises to over 90%.
Like most treatments performed today by various dental specialists, root canal treatments are done under local anesthesia. During the procedure, the most uncomfortable part is usually the anesthesia itself or the fact that the treatment can take over an hour, during which time the patient may become bored.
In cases with infection, there is a higher chance of experiencing pain. However, sensations in the following days can range from complete absence of pain or discomfort to more intense pain. These pains can be managed with standard painkillers (such as ibuprofen or ketoprofen). Pain may persist from 2-3 days up to a week, after which it should completely subside.
Typically, the effects are expected to be observed within 6 months to 1 year. However, depending on the size of the apical lesion, this time may be extended.
In the case of apical lesions, it is generally recommended to wait 6 months to observe the healing process. During this time, it is not advisable for the endodontic treatment to remain exposed to the oral environment. Therefore, we recommend that the treated tooth be protected, either with a filling or a temporary crown.
If the desired healing is not achieved, an apical resection (surgical removal of the inflammation) can be performed. The surgeons at MaxiloMED Clinic can assist you with this procedure. In this case, the root canal treatment does not need to be redone (for more information, please refer to the oral surgery section). However, the surgeon will need to evaluate each tooth to determine if this procedure is possible and justified.
In this case, monitoring is recommended, along with a provisional crown. If no pain or fistula occurs after a minimum of 2 years, a permanent crown can be placed according to specialized studies. However, it’s important to note that such situations have a higher recurrence rate.
In principle, no patient treated at MaxiloMED leaves without teeth. If you have an old restoration, we can create a direct provisional crown in the cabinet. If there’s no existing crown, we can reconstruct the tooth, which will then be covered with an indirect provisional crown made in the lab.
Usually, the root canal treatment, including the crown reconstruction, is completed in one session.
Directly, it doesn’t increase the success rate, but it does reduce the chances of missing certain dental canals, especially those with very narrow openings. We can better visualize the anatomy and obstacles of the endodontic system. The duration of treatment decreases because we have better visual control. In conclusion, it indirectly increases the chances of success because we can see more clearly what we’re doing and avoid treating teeth that have no chance of success.



