Root Canal Treatment in Klaipėda
Endodontic treatment that lets you keep your own tooth when the pulp is damaged. For patients with pain, sensitivity, long-standing infection, or after a failed previous treatment. In complex cases and retreatment we work with a dental microscope.
What is root canal treatment (endodontics)?
Root canal treatment (endodontics) is a procedure in which the damaged or infected pulp of the tooth (the nerve tissue) is removed, the root canals are carefully cleaned and disinfected, and they are then sealed with a special material (gutta-percha). This lets you keep a natural tooth that would otherwise have to be extracted.
At Miško Clinic we work with rotary nickel-titanium instruments, which are far more efficient and precise than older hand systems. All treatment is carried out under rubber dam, isolating the tooth from saliva and bacteria.
After successful root canal treatment a tooth often becomes more brittle, so we recommend protecting it with a crown. This ensures that the saved tooth lasts not just a few years but many.
Root canals at our clinic are usually treated by Dr Rasa Smilgevičienė, a dentist whose main area of work is endodontics; she has focused on it since graduating from Vilnius University.
Root canal treatment under the microscope
In complex cases and when retreating previously treated teeth we use a dental microscope. It shows the inside of the tooth magnified, so we can see what the naked eye would miss: thin, extra or calcified canals, cracks and fragments of fractured instruments. Microscope work is charged by time: 100 € per visit of up to an hour. Root canal treatment itself is priced per canal: cleaning 60–80 € and filling with gutta-percha 60–80 €. We tell you whether the microscope will be needed, and what the treatment will cost, after an examination.
When a root canal needs retreatment
Retreatment is needed when a tooth that has already had root canal treatment starts to ache again, or an X-ray shows an abscess at the root tip. We first remove the old root filling materials, then clean and fill the canals again. It is more demanding work and may need 2 to 3 visits. Cleaning a root canal during retreatment costs from 140 € per canal. Read more about the process and prices on our root canal retreatment page.
When might you need root canal treatment?
- Severe, throbbing toothache: especially at night or triggered by hot food.
- Lingering sensitivity to cold or heat: when the discomfort lasts more than a few seconds after the trigger.
- A swollen gum or abscess: a visible lump or redness of the gum next to the tooth.
- Deep decay: the decay has reached the nerve and an ordinary filling will no longer be enough.
- Tooth trauma: the nerve is damaged by a blow, the tooth darkens or starts to become loose.
- Recurrent infection: a previously treated tooth starts to ache again or an abscess appears at the root tip.
- Preparing for a restoration: when a tooth is to be crowned and the pulp is damaged.
How root canal treatment works
- 1
Examination and X-ray
We assess the tooth and take a dental X-ray; in complex cases a 3D CBCT scan may be needed to see the canal anatomy.
- 2
Local anaesthetic
The tooth and surrounding area are numbed so you feel no pain during the procedure.
- 3
Isolation with a rubber dam
The tooth is isolated from saliva and bacteria with a rubber sheet. This is the foundation of sterility.
- 4
Removing the pulp and cleaning the canals
With rotary NiTi instruments we carefully clean and shape the root canals, flushing them with antiseptic solutions.
- 5
Interim treatment (if needed)
If there is infection, calcium hydroxide is placed in the canals and the tooth is sealed temporarily for 1 to 2 weeks.
- 6
Final sealing of the canals
The cleaned canals are tightly filled with gutta-percha and sealer, and a control X-ray is taken.
- 7
Restoring the tooth
The crown part is filled, and if the tooth is badly damaged we plan a crown or a post and core.
Types of root canal treatment compared
| Type | When it is needed | Complexity | Price | Duration |
|---|---|---|---|---|
| Primary treatment | The tooth is treated for the first time, the canals are clean | Medium | 60-80 € per canal | 1-2 visits |
| Retreatment (endo retreatment) | A previously treated tooth aches again, infection remains | High, old materials must be removed | from 140 € per canal | 2-3 visits |
| Treatment under the microscope | Calcified canals, extra canals, fractured instruments | Highest | 100 € per hour extra | Several visits, longer work |
Root canal treatment cost in Klaipėda
- Primary chemo-mechanical preparation (cleaning) of a root canal per canal 60-80 €
- Root sealing with gutta-percha per canal 60-80 €
- Root canal cleaning during retreatment per canal from 140 €
- Calcium hydroxide treatment (one canal) 30 €
- Treatment under the microscope charged by time, one visit up to an hour 100 €
- Dental X-ray 10 €
You can find the full price list here. We confirm the exact price after an examination.
Who carries out this treatment
-
Dentist
Rasa Smilgevičienė, profile
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Dentist
Lauras Smilgevičius, profile
Aftercare following root canal treatment
After root canal treatment the tooth may be more sensitive to pressure for a few days, especially when chewing. This is a normal tissue reaction that gradually passes within 3 to 7 days. Ordinary ibuprofen or paracetamol-based medicines are suitable for pain relief.
- For the first 24 hours avoid chewing on the treated side, especially hard food.
- If the tooth is only sealed temporarily, protect it so the filling does not fall out. If it does, contact the clinic.
- Continue your daily oral hygiene, using floss carefully.
- If you feel a worsening throbbing pain, swelling or fever, get in touch without delay.
After the final sealing it is important to protect the tooth from fracture. In most cases we recommend fitting a crown, especially on the back teeth. Regular check-ups every 6 months help us monitor how the canals are healing: we usually take a control X-ray 6 to 12 months after treatment.
Why choose Miško Dental Clinic for root canal treatment
- A long-standing focus on endodontics: Dr Rasa Smilgevičienė has purposefully focused on root canal treatment since graduating from Vilnius University; it is her main area of work.
- Rotary NiTi instruments: more efficient, higher-quality canal shaping than hand technique.
- Dental microscope: in complex cases we can see extra, calcified canals or fractured instruments.
- Work under rubber dam: isolation from saliva and bacteria, which directly determines the success of treatment.
- Teamwork: after endodontics we plan the tooth's restoration together with Dr Lauras Smilgevičius so the result lasts for years.
Dentist Rasa Smilgevičienė on root canal treatment (endodontics):
Root canal treatment is, I think, one of the most difficult areas of dentistry. And there are plenty of challenges here.
For example, a patient often comes in with an aching tooth, having not slept for several nights, exhausted, full of painkillers, hurting so much that their head feels ready to split. Or the opposite: the person feels nothing, everything is fine for them, but the X-ray shows an abscess quietly dozing away. It needs treating, but the person does not want it, after all it does not hurt. Ah, all I can do is sigh.
It is at least good that these days we already have the means to help a patient effectively, but the treatment is expensive, takes a long time and needs more than one visit.
In canal treatment thoroughness matters enormously; you cannot rush it, the work must be done to within a fraction of a millimetre. Sometimes it feels as if you scrape and scrape at those canals, simply praying as you lean over the little tooth, yet there is no end in sight. Especially when endodontic retreatment is needed. The things we find in those canals.
Our colleagues in the past did not have the possibilities we have today, so very often we have to retreat teeth that were treated long ago, in order to save them from extraction. But sadly it does not always work; there are many reasons, and I will not go into them.
That is why in many European countries a practice is already taking shape: 'oh, why bother, out it comes, in goes an implant and hurrah.' But in my opinion this is not the most correct path; no implant will replace your own tooth root. So whenever there is a chance to save a tooth, I invite you to choose the harder road.
I was delighted when we acquired rotary instruments for cleaning canals. Life in the world of endodontics brightened a little, the work became far more efficient, quicker and even better in quality. Yes, perhaps the price does not look cheering to the patient, but it is justified: the instruments are expensive, you use the fine files a few times and throw them away. But I could no longer work the way I did at the beginning, ten years ago.
In the clinic we try to work as a team. And ever since graduating from Vilnius University I have purposefully gone deeper into endodontics, attended courses, kept improving and chased after all sorts of news, so root canal treatment often rests on my shoulders.
Dentist Rasa Smilgevičienė
Root canal treatment in Klaipėda: frequently asked questions
How much does root canal treatment cost?
What is root canal treatment (endodontics)?
Is root canal treatment carried out by an endodontist?
When is root canal treatment needed?
Is endodontics painful?
How long does root canal treatment take?
Will the tooth be weaker after treatment?
How long does a treated tooth last?
Can root canal treatment be avoided?
Can a tooth be retreated if it was treated before?
How does treatment under the microscope differ from ordinary treatment?
Can root canal treatment cause complications for the whole body?
Can root canals be treated during pregnancy?
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