Endodontic treatment at Veda Stom Clinic is aimed at saving teeth with deep damage to the root canals and periapical tissues. In Tashkent, we use advanced methods of mechanical and medicinal root canal treatment, allowing us to effectively treat cysts and granulomas without tooth extraction. Sealed obturation and the use of modern biocompatible materials ensure long-lasting results and a reliable foundation for subsequent restoration.
Endodontics is one of the most complex and challenging areas of dentistry, requiring pinpoint precision and a thorough understanding of anatomy. While caries treatment addresses the outer layers of the tooth, endodontics works internally, within the root canal system itself. As a doctor at Veda Stom, I often see patients who have been recommended extraction elsewhere, but modern endodontic treatment allows them to successfully save their teeth.
When is root canal intervention necessary?
Endodontics becomes necessary when the infection extends beyond the pulp and begins to affect the tissues surrounding the tooth root (periodontium). This can lead to the formation of cysts or granulomas—foci of chronic inflammation in the jawbone. Residents of Tashkent often come to us complaining of pain when biting or periodic gum swelling, which are classic signs of root inflammation.
Indications for endodontic treatment:
- Acute and chronic periodontitis;
- Unsuccessful previous root canal treatment (need for retreatment);
- Preparing a tooth for crown prosthetics;
- Detection of hidden inflammatory processes at the root apex on images;
- Traumatic injury to a tooth involving the root.
Life-saving technologies: how we work at Veda Stom
Successful endodontics with the 90% depends on clean canals. Given that canals can be curved, branched, and very narrow, we use special nickel-titanium instruments with shape memory. These allow for effective cleaning along the entire length of the canal without damaging the root walls.
At our clinic in Tashkent, we strictly adhere to an irrigation protocol—repeatedly flushing the canals with antiseptic solutions. This is the only way to completely eliminate pathogenic flora in the microtubules, which mechanical instruments cannot penetrate.
Complex clinical cases and tactics for their solution:
| Situation | Problem | Solution at Veda Stom |
| Highly curved canals | Risk of tool breakage or perforation | Using flexible NiTi files and an apex locator to control length |
| Previously filled canals | Presence of old cement or tool fragments | Careful unsealing using special solvents |
| Presence of a cyst (granuloma) | Destruction of bone tissue at the root apex | Application of calcium hydroxide-based therapeutic pastes for bone regeneration |
| Obliterated canals | Closure of the canal due to age or inflammation | Searching and traversing channels under high optical magnification |
Stages of saving a "hopeless" tooth
The process of treating root inflammation usually takes two or more visits, as it takes time for the medications to take effect inside the canal.
Algorithm of actions for the doctor:
- Creating access and cleaning: We open access to the canals, remove old fillings or infected pulp.
- Determination of working length: Using high-precision instruments, we measure the length of each canal to the nearest tenth of a millimeter to prevent underfilling or material extending beyond the root.
- Chemical disinfection: Flushing canals to dissolve organic debris and kill bacteria.
- Temporary filling (if necessary): A medication is injected into the canals to stimulate bone healing in Tashkent, where we monitor the progress of the process.
- Hermetic obturation: Filling the cleaned canals with hot gutta-percha, which hardens and turns into a monolith, not giving the infection a chance to return.
Why can't we delay?
Chronic inflammation at the root of a tooth is a constant source of toxicity in the body. Bacteria and their toxins from the infection can enter the bloodstream, affecting the heart and kidneys. At Veda Stom, we do everything possible to eliminate this threat while preserving your natural tooth, which, after high-quality endodontic treatment, can serve as a support for restoration or prosthetics for decades.
Benefits of treatment with professionals:
- High probability of saving the tooth even with large cysts;
- Use of biocompatible materials that do not cause rejection;
- Minimal risk of recurrence due to strict adherence to antiseptic protocols;
- The possibility of retreatment of “old” teeth that have been bothering you for years.
Endodontics is your chance to save your teeth. We invite you to a consultation for a thorough examination and a personalized plan to save your smile.