Eliminate what remains of infected or potentially infected living tissues inside the tooth (dental pulp).
Thoroughly clean the inside of this tooth by mechanical action: scraping of the inner surface of the pulp channels (using manual or mechanical endodontic files), combined with chemical action: irrigation with sodium hypochlorite, which is the most effective disinfectant.
Form the canal lumen to the apical foramen, using manual files or mechanized files so that the irrigation solution penetrates everywhere. Indeed it is she who “cares” the tooth.
Dry the duct system. Carrying out the canal filling, most often with the aid of heated or cold gutta-percha, linked to the dentinal walls with a canal cement.
For this the endodontist performs a local anesthesia, so that the gesture is not painful. (the tooth, even partially necrotic, remaining generally sensitive). An adequate opening is made at the occlusal surface of the tooth, to access the camera and radicular pulp. Then the endodontist cleans well the canals of the tooth up to the apex. Once disinfected, the tooth is sealed.
Finally, it will be necessary to reconstitute the tooth either with a direct final coronary obturation (resin or amalgam of silver) if this is not too dilapidated or by an indirect prosthetic reconstruction (inlay, onlay or crown).
We systematically place a hermetic surgical field (the dyke) around the tooth to be treated. This protects you and allows us to carry out your treatment under the conditions of asepsis essential to the realization of a treatment of high quality.