Root canals are a key part of the tooth where its living tissue — the pulp — is located. In cases of inflammation (pulpitis) or complicated caries, the root system is the first to suffer from bacterial penetration. If the affected tissues are not removed and proper root canal filling is not performed, the inflammation quickly progresses to periodontitis and subsequently to a cyst, abscess or even tooth loss. At Diplomat Med Center, root canal treatment is performed according to international protocols, under a microscope, using next-generation materials, ensuring long-lasting and predictable results.
What is pulpitis and why it requires immediate treatment
Pulpitis is an inflammation of the soft tissues of the tooth (“the nerve”), caused by a deep carious cavity, bacterial infection or trauma. According to the European Society of Endodontology (ESE, 2022), more than 60% of pulpitis cases develop due to delayed caries treatment — a figure that reaches 70–75% in CIS countries. WHO studies confirm that pulpitis-related pain is one of the most common reasons for emergency dental visits, and refusing treatment almost always leads to pulp necrosis and destruction of the root canals.
The main problem with pulpitis is that infection spreads rapidly: bacteria enter the root and progress beyond its apex. In such cases, a simple filling is no longer effective — full endodontic treatment with cleaning, shaping and filling of the canals is required. The earlier a patient seeks care, the higher the chance of saving the tooth without complex procedures or surgery.
What root canal filling includes
Root canal filling is a stage of endodontic treatment during which the empty space inside the tooth, after nerve removal, is filled with special biocompatible materials. According to the recommendations of the FDI World Dental Federation, the density and hermetic seal of the filling are decisive factors for treatment success. Inadequate filling is responsible for 75% of recurrent root inflammations.
After nerve removal, a cavity remains which must be thoroughly rinsed with antiseptics, mechanically shaped, enlarged and prepared for filling. Only after this stage is the canal filled with one of the modern materials, most commonly gutta-percha. The goal of the procedure is to completely seal the root canal system, preventing bacterial invasion and ensuring long-term tooth preservation.
How diagnostics is performed before root canal filling
Accurate diagnostics is an essential step without which high-quality treatment is impossible. Diplomat Med Center uses digital radiography and computed tomography, in accordance with the protocols of the European Society of Endodontology. According to the Journal of Endodontics, CT scans detect up to 30% additional root canals that are not visible on conventional X-rays, as well as hidden inflammatory lesions.
To determine canal length, an apex locator is used — a device providing accuracy up to 0.1 mm. This eliminates the risk of underfilling or extrusion of material beyond the apex — common errors in clinics without a microscope or specialized endodontic equipment. Combining radiography, CT and apex location provides maximum predictability of the outcome.
Materials for root canal filling
Modern endodontics uses various materials, but the gold standard remains gutta-percha — a biocompatible substance that does not cause allergies and completely reproduces the anatomy of the canal after condensation.
Gutta-percha points
Gutta-percha has high plasticity and durability, does not dissolve in tissue fluids and maintains stable form for many years. According to the International Endodontic Journal, three-dimensional filling of the canal with heated gutta-percha provides up to 98% success rate when protocols are followed.
Thermafil
Thermoplastic obturation allows gutta-percha to be heated to a highly elastic state. The material adapts closely to canal walls and seals even lateral branches. The hermetic seal achieved with Thermafil reduces bacterial growth and makes the technique ideal for complex canal anatomy.
Depophoresis method
This technique is used in cases of curved, difficult-to-pass or severely destroyed canals. Copper and calcium ions create deep disinfection of the root canal system, allowing preservation of teeth even in severe clinical cases. According to studies conducted by the Moscow Institute of Dentistry (2021), the depophoresis method is effective in 85–90% of complicated cases.
Why root canal treatment is a highly complex procedure
Endodontic therapy is considered one of the most complex areas of dentistry. Approximately 36% of roots have additional canals and 60% have significant curvature, which complicates treatment. The procedure is carried out several centimeters deep, under microscopic control, with extreme precision. Errors can lead to perforations, inadequate filling, chronic inflammation and eventual tooth loss.
Therefore, the duration and complexity of treatment depend on the clinical situation: stage of inflammation, number of canals, root anatomy and quality of previous treatments. At Diplomat Med Center, every procedure is performed using a rubber dam, ultrasonic instruments, nickel–titanium rotary files and optical magnification.
Root canal filling at Diplomat Med Center
At Diplomat Med Center, root canal treatment and filling are performed strictly according to international protocols, using a microscope, digital diagnostics and premium materials. Our specialists perform the entire spectrum of endodontic procedures: from pulpitis treatment to complex multi-root tooth therapy and retreatment.
If necessary, full restoration is carried out: caries treatment, pulpitis treatment, reconstruction of tooth tissues, installation of crowns or veneers, as well as professional AirFlow cleaning. This integrated approach ensures long-term results and prevents recurrence of inflammation.
If you experience pain, sensitivity to cold or hot, or discomfort when chewing — this is a clear sign to visit the clinic. The doctors at Diplomat Med Center will perform diagnostics, preserve the tooth structure and carry out root canal filling with guaranteed quality.
Schedule your consultation today — and we will help you keep your teeth healthy for many years.
Diplomat Med Center — professional dentistry for the whole family.