Conservative dentistry

Conservative dentistry is the branch of dentistry concerned with the treatment of dental caries and trauma. Treatment with conservative therapy embraces the treatment of caries, root canals, fillings etc. on individual teeth in the oral cavity.

Nowadays, root canal treatment (endodontics) is performed during one visit at the dentist’s office with the aid of RVG technology (radiovisiography, digital dental x-ray).

In the Dental Clinic IDENT endodontic issues are addressed with different methods.

Today, amalgam fillings are history. A wide range of composite shades enables the dentist to perfectly form the missing part of a tooth, both morphologically and aesthetically.

Our specialists will do everything to save every tooth, and these efforts are best reflected in conservative dentistry. Often, tooth extraction seems to be the simpler and cheaper solution in the case of inflamed or even necrotic dental pulp (“nerve” of the tooth). But still, this is not true, because eventually a missing tooth will have to be replaced by an implant or bridge.

Please contact us for more information about our services, treatment methods and therapies or if you have any other question relating to conservative dentistry procedures.

Which fields are covered by conservative dentistry?

Conservative dentistry covers various methods of direct and indirect restoration and is focused on the preservation of every tooth in the mouth.

This branch of dentistry deals with the restoration of the original tooth, functionally and aesthetically, which implies:

– dental fillings (new and replacement fillings),
– treatment of root canals (endodontics),
– crowns and bridges (prosthetics),
– inlays, onlays and the like.

What is endodontics?

Endodontics (devitalisation) is a procedure or root canal treatment – removal of the tooth nerve. Put simply, with this procedure the tooth is being devitalised.

Due to caries or another kind of tooth damage, the way for bacteria is free towards the dental root canal, where they cause an inflammation that can expand to the surrounding tissue or bone. In this case it is very important to immediately see a dentist and start a therapy of the root canal in order to avoid more serious complications.

After the endodontic treatment of the tooth, very often loss of dental tissue occurs that has to be replaced, while avoiding possible fractures. Nowadays, this is done with fibreglass reinforced composite posts which are inserted into the root canal. The advantage of this technique is that the composite posts with their elasticity and aesthetic features are more similar to the natural tooth than the previously used metal restorations, they provide more strength to the devitalised tooth under load and in such way prolong the lifetime of the tooth.

Is endodontics better than tooth extraction?

If the dental pulp (“nerve”) is inflamed or necrotic, it must be removed from the root canal to prevent the decay of the surrounding tissue and tooth loss. Radiographic images often show inflammatory processes in the bone surrounding such a tooth (abscess, granuloma or cyst). The root canal is processed and disinfected with special instruments and chemicals and obturated with gutta-percha cones. After the completed endodontic therapy, the tooth crown is restored with a filling, inlay or crown, depending on the damage degree.

Although tooth extraction seems to be the simpler and cheaper solution, in the end it is more costly because a missing tooth will have to be replaced by an implant or bridge. Therefore it is better, whenever possible, to save the tooth with endodontic treatment.

How is dental caries treated?

Caries is a degenerative disease of the hard dental tissues that appears on the surface of the tooth and progresses all the way to the pulp. Caries treatment is a procedure that starts with the removal of the decay, after which the tooth is restored by filling the area where the affected tissue was removed.

Thanks to the contemporary technology, filling can be done during only one visit at the dentist’s office, regardless of the caries type (superficial or deep). However, if the caries has reached the pulp, the tooth can no longer be treated and the nerve has to be removed.

What are dental fillings?

Caries is a progressive chronic disease of the hard dental tissues that eventually destroys the teeth. Most frequently the disease starts with the demineralisation of the enamel that is visible on the tooth surface and progresses in depth and width affecting the surrounding structures of the dental tissue. Therefore caries must be removed and the tooth must be restored into its previous form, colour and dimension.

Tooth restoration implies the filling of the cavity (hole) in the tooth remaining after the caries has been removed. Since the tooth is actually filled, the procedure is referred to as filling.

Ceramic fillings are most durable dental fillings. They are highly resistant, long lasting, but also most acceptable from the aesthetic point of view, because they are hardly visible. Special materials and the development of advanced methods allow for a restoration of teeth which correspond in colour and form to the previous healthy tooth, maintaining its quality and longevity.

Book an appointment