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Post-endodontic treatment

Post-endodontic treatment is the treatment of a tooth after endodontic treatment due to significant tooth deconstruction.

Only a white filling is rarely enough (it does not ensure an even transfer of chewing pressure to the weakened remaining peripheral walls of the tooth = risk of fracture and tooth loss). The tooth often needs to be treated prosthetically (onlay, overlay, half crown, crown, bridge - replacements that allow the distribution of chewing pressure to the remaining tissues = reducing the risk of tooth fracture) - post-endodontic treatment is therefore ALWAYS part of endodontic treatment and cannot be omitted. The most common cause of endodontic treatment failure is the absence of post-endodontic treatment or incorrect post-endodontic treatment!

The most common complications of endodontic treatment
  1. Root canal obstruction (extreme tooth anatomy, obstruction in the root canal, notch in the root canal wall during preparation, obliteration = narrowing or disappearance of the root canal)
  2. Bleeding, leakage of inflammatory fluid (inability to fill the ducts)
  3. Root canal instrument separation (obstruction)
  4. Failure to find root canals (very important use of magnifying devices - microscope)
  5. Via falsa (wrong preparation), stripping (puncturing the root canal wall), transportation (transfer of the course of the original canal = weakening of the root wall), excessive expansion of the root tip (rinsing disinfection, impossibility of perfect filling)
  6. Flare up – sudden outbreak of inflammation after endodontic treatment (a very painful complication, most often in the immune system's reaction to bacterial breakdown products)
Does endodontic treatment hurt, should I expect pain after treatment?

All procedures are performed under local anesthesia, so endodontic treatment is currently painless. An exception may be teeth with severe acute inflammation, where the effect of local anesthesia is reduced. Pain after endodontic treatment is usually not significant, usually persists for the first two days and then disappears. More sensitive individuals can reach for commonly available analgesics.

What is the prognosis of endodontic treatment?

The success rate of modern endodontics (machine processing, use of magnifying optics, adherence to disinfection protocols, hermetic closure of canals, adequate post-endodontic treatment) ranges from 90 to 96%.

How can the success of endodontic treatment be evaluated?

The basic criterion for successful endodontic treatment is the presence of a quiet tooth in the oral cavity without signs of periapical clearing on the X-ray (without signs of a cyst). However, it should be noted that cysts can heal for many years. Endodontic therapy is considered a failure if there is no reduction in the finding on the X-ray even after 4 years of endodontic therapy.

Why is the price of endodontic treatment so high?

Endodontic treatment is a very time-consuming and expensive method of saving a tooth (magnification optics, machine processing, vertical condensation of gutta-percha filling), which is of course also reflected in the price of the treatment. Currently, insurance companies do not cover this modern approach to treatment and endodontic treatment "for the insurance company" is just a postponement of the forceps with a significant increase in the cost of tooth replacement.



What do our clients say about us?

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Both sons are in the care of Smart Care. I have been extremely satisfied from the first moment. They took the boys into my care, even though they were rejected everywhere, saying they were too young. Thanks to this, they were able to intervene in time and my son avoided an operation that would have awaited him later in life. The approach is great, we always arrive on time, everyone is pleasant, kind and professional.

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Always kind and helpful staff, professional equipment and care, friendly environment. Comprehensive dental care in one place. I chose the clinic and have been visiting it for almost two years, including my wife and two minor sons. I can only recommend it.

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I have been coming to the clinic for less than two years and I cannot praise the dental hygiene. I have experience with three hygienists and they have all always been completely professional. I have the same experience with tooth extractions.

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I was in Prague for only a week when my retainer completely ripped. I went to smart care, explained the situation to them and they immediately helped and solved the problem. They were super kind and fast. It was a great service and I definitely recommend them :)

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I commend the Smart Care dental clinic for their professionalism and excellent service. I have been visiting the Orthodontics and Dental Hygiene departments at the clinic for a long time and I always leave with a good feeling. The entire staff is of a high standard and the clinic environment is clean and tidy. I recommend the Smart Care clinic to everyone. Thank you.

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Nice first session for orthodontics. Everyone is very polite and professional.

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I can only praise the clinic and all the staff. I was more than satisfied with the treatment provided. The environment is very pleasant, the equipment is highly modern and the care is absolutely professional. I have never encountered such high-quality treatment before. I definitely recommend the clinic.

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Wonderful smiling people, a beautifully pleasant environment. They are truly experts, they explain everything, they support you and your fear disappears quickly. All in an incredibly excellent atmosphere. I never knew or imagined that a visit to the dentist could be at such a high level.

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I visited the clinic based on a recommendation. The staff was pleasant and professional. I was very satisfied with the care. I definitely recommend it!


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