Dental Extraction
22/10/2025Ceramic Inlay
22/10/2025FreeSmile
Root Canal Treatment
FreeSmile Dental Clinic in Rome Prati
Root Canal Treatment, also known as Endodontic Treatment or Dental Devitalisation, is a dental procedure used when the inside of a tooth becomes inflamed, infected, or necrotic.
Inside each tooth is the dental pulp. This soft tissue contains nerves and small blood vessels. When bacteria reach this area, the tooth may become painful, sensitive, or infected. In some cases, the infection can extend toward the root and the surrounding bone.
The aim of the treatment is to remove the infected or damaged tissue, clean and disinfect the root canals, and seal the tooth carefully. In many cases, this makes it possible to preserve the Natural Tooth and avoid extraction.
At FreeSmile Dental Clinic in Rome Prati, Root Canal Treatment is planned after a careful diagnostic assessment. Digital X-rays, clinical evaluation, and clear explanations help the patient understand the diagnosis, the alternatives, and the next steps.
When Is Root Canal Treatment Necessary?
Root Canal Treatment may be necessary when the dental pulp inside the tooth becomes inflamed or infected. This can happen for different reasons.
- Deep Decay When tooth decay reaches the deeper layers of the tooth, bacteria can enter the pulp and cause inflammation, pain, or pulp necrosis.
- Dental Trauma A fall, impact, fracture, or repeated microtrauma caused by bruxism or malocclusion can damage the tooth, even when the outside still looks intact.
- Advanced Gum Disease In some cases, a deep periodontal infection can reach the root area and make Endodontic Treatment necessary.
- Dental Granuloma or Periapical Lesion If the infection reaches the area around the tip of the root, a granuloma or periapical lesion may form. Depending on the diagnosis, Root Canal Treatment, Retreatment, or an Apicectomy may be considered.
- Incomplete or Failed Previous Root Canal Treatment If a previous Root Canal Treatment has not fully resolved the infection, an Endodontic Retreatment may be necessary. In selected cases, an Apicectomy may also be evaluated.
The decision depends on diagnosis, not only on pain. It is important to assess the X-rays, the depth of the infection, the condition of the root, and whether the tooth can be reconstructed in a stable way.
How Is Dental Devitalisation Performed?
At FreeSmile Rome Prati, Root Canal Treatment follows a structured process.
- Diagnostic Assessment and X-Rays
The dentist examines the tooth and evaluates digital X-rays to understand how far the infection extends, how the root canals are shaped, and whether the tooth can be preserved. - Local Anaesthesia
The treatment is usually performed under local anaesthesia. The aim is to make the procedure as comfortable as possible for the patient. - Removal of the Infected Pulp
A small access is created in the tooth. The inflamed, infected, or necrotic pulp tissue is carefully removed. - Cleaning and Sealing of the Root Canals
The root canals are shaped, disinfected, and sealed with suitable biocompatible materials to reduce the risk of reinfection. - Tooth Reconstruction
After Root Canal Treatment, the tooth needs to be restored. Depending on how much healthy tooth structure remains, this may involve a filling, an inlay, or a dental crown.
Root Canal Treatment and Apicectomy
In more complex cases, an infection may persist near the tip of the root. In these situations, an Apicectomy may be considered.
During an Apicectomy, the dentist reaches the root tip through a small incision in the gum, removes the infected area, and seals the affected part of the root.
This is not the first step in every case. It is usually considered when standard Root Canal Treatment or Endodontic Retreatment is not sufficient or is not technically possible.
Root Canal Treatment: Costs and Benefits
Root Canal Treatment can help preserve a natural tooth and reduce the risk of a more extensive infection.
The cost depends on several factors: the number of root canals, the anatomy of the tooth, the presence of chronic infection, previous treatments, and the type of reconstruction needed afterwards.
At FreeSmile Rome Prati, each case is assessed individually. After the diagnosis, the patient receives a clear explanation of the treatment plan, the alternatives, the expected steps, and the estimated costs.
Root Canal Treatment
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