Clinical Cases Endodontics

Endodontics, commonly known as root canal treatment, is dedicated to the diagnosis and treatment of teeth with compromised dental pulp - this is the tissue where the nervous and vascular tissues are located inside the tooth.

Endodontic treatment consists of removing and disinfecting the root canals' space and later sealing this system with the most appropriate materials and techniques.


The indications for performing root canal treatment are:

• extensive tooth decay
• fractures and trauma
• apical infection
• need for root canal re-treatment

Most teeth do not show symptoms of pain. Often, the root canal infection occurs, subsequently causing bone resorption near the teeth root system. With endodontic treatment, these infectious lesions tend to regress and disappear completely.

At the António Carracho Institute, we have 3D CBCT technology (Cone Beam Computer Tomography) that allows us to identify the number of roots and root canals of your tooth, facilitating the treatment and ensuring that the entire anatomy of the tooth is correctly identified and treated.

We use advanced shaping, cleaning, and filling (sealing) techniques using thermoplastic and biocompatible materials to improve the prognosis of the treatment.

Dr. Joana Cordeiro has extensive experience in this area. She completed a full-time specialization in endodontics and is currently a Specialist Member of the European Society of Endodontology - ESE.

Step by Step

  1. Diagnosis: radiographs and clinical examination are carried out to assess the dental pulp condition. When indicated, 3D CBCT radiographs are performed to identify anatomical structures or locate root canals.
  2. Endodontic Treatment: access to the root canal system is done to perform shaping, cleaning, and a 3D sealing. The root canals are sealed with biomaterials and techniques appropriate to each case.
  3. Restoration: at the end of treatment, the final restoration is essential to maintain the structural strength of the tooth and prevent re-infection from occurring, guaranteeing the long-term success of the intervention.

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