Canal filling

The success of dental treatment depends on the quality of canal filling and is evaluated based on such parameters as the lifespan of the tooth, functionality, and compliance with aesthetic standards. To ensure compliance with these criteria, the following requirements must be met:

• Maximum canal sealing
• Absence of irritation and allergic reactions to filling materials
• Chemical and biological neutrality of the material in the canal (does not dissolve in liquid environment, does not change qualitative properties over time)
• Good visibility of canal filling during X-ray diagnosis (necessary for quality control of filling)
• Ability to remove filling material from root canals (if necessary)
• Absence of shrinkage or dissolution after solidification.

Since root canals often have a convoluted shape and many branches, high-quality canal filling is a difficult task for a dentist. The presence of specialized equipment and the latest micro-tools helps the doctor to cope with the most difficult situations, without making mistakes.

However, the main factor in achieving high-quality root canal filling is the qualification of the specialist. Working with innovative equipment (optical, therapeutic, measuring, diagnostic) used in modern dentistry requires special training and practical skills.

To prevent the development of complications after pulpitis treatment, which often occur in patients with weakened immunity, our clinic pays special attention to disinfection of root canals.

The HealOzone device is used to destroy foci of bacterial, viral, and fungal infections. Ozone treatment promotes the resorption of cysts and granulomas and the restoration of bone tissue after inflammation in the root canals.

The most important property of ozone is its local effect on the pathogenic environment without causing any harm to healthy tissues, including sensitive mucous membranes. Ozone is the most effective disinfectant, destroying almost 100% of known infectious agents, while pathogenic microorganisms lack genetic resistance to the disinfectant.

We use the KaVo HealOzone device in the treatment of pulpitis, soft tissues, and various types of caries (including in children) due to its absolute safety and consistently high effectiveness.

Sterilization of canals using laser radiation is an innovative direction in dentistry. During manipulations, photothermal, photochemical, and photomechanical properties of different lasers are used in the framework of endodontic treatment when interacting with tissues. The thermal energy generated by pulsed laser radiation selectively affects pathogenic foci and has a disinfecting effect on dentin, bone, and soft tissues.

In addition to disinfecting properties, laser light creates additional effects:

• reduces the severity of the inflammatory process;
• activates microcirculation in tissues, increases the content of oxygen;
• stimulates the regeneration of new cells;
• prevents bleeding (has the property of coagulating small vessels);
• accelerates the healing of open wounds;
• prevents the formation of scar tissue;
• has bacteriostatic and bactericidal properties;
• enhances local immunity.

Laser disinfection is carried out after the removal of pulp and the measurement of the working length of the canals. A special endodontic laser tip with a fiber optic cable is used for sterilization, which is inserted into the pre-treated and dried canal, not reaching the apical constriction area by 2 mm. Diode and erbium lasers (short and mid-infrared range) are used in combination with irrigation with EDTA and "Parkan" solution for filling root canals.

The working parameters (time, speed, and depth of pulse impact) are set by the dentist on the device. Thanks to thin and flexible fiber optic cables, root canals can be completely treated with laser radiation, including complex tortuous passages and branches.

Quality control of canal treatment and filling is performed at all stages, but the most important indicator of a dentist's work is radiographic control. Even when performing manipulations under a microscope, a doctor may make inaccuracies that will negatively affect the overall result. The image on the X-ray will allow you to identify:

• empty (unfilled) areas of the canals;
• elongated pins (protruding beyond the apex of the root);
• incorrect position of the pin;
• remnants of filling material;
• fragments of instruments.

A three-dimensional image obtained on a computer tomograph allows for an objective assessment of the quality of work. We conduct a study in three projections before starting work on the tooth, apply X-ray control during canal filling, evaluate the final result to exclude the possibility of the slightest inaccuracies.

Keeping healthy teeth is not easy, but they can be effectively treated at an early stage. Only a few patients take advantage of this opportunity, so our specialists regularly face the challenge of solving difficult problems. Often, it is necessary to redo dental work due to poor quality in previous periods.

Root canal filling, performed according to all dental protocol rules, is the main goal of a dentist when treating pulpitis or restoring a tooth. To achieve high results, we use innovative technologies based on modern equipment, instruments, and materials produced by the best manufacturers in Europe, the United States, and Japan. We strive to provide services at the most loyal prices so that quality treatment can be obtained by as many residents of Kyiv and other cities in Ukraine as possible.

Using computer 3D examination, the latest optical devices, laser devices with flexible LED tips, and other types of dental equipment, we have the opportunity to improve therapeutic techniques, achieve the highest aesthetic indicators, and restore the functions of severely damaged and incorrectly treated teeth.

Effective and safe local anesthesia allows all procedures to be performed without pain and discomfort for the patient. Information about the treatment and other services provided is stored in an electronic database, which greatly facilitates the dentist's work when carrying out subsequent restorations. You can find out the current cost of services or make an appointment at the iStomatolog clinic in Kyiv using the form on the website (in this case, you will receive a 10% discount) or by contacting us at the following phone numbers: 067 502-8-999, 093 502-8-999.