Modern methods of successful root canal treatment offered at Estetica

One of the most common symptoms such as spontaneous sharp pain, prolonged sensitivity to hot and/or cold, discomfort upon touching and chewing, are also unfortunately some of the most neglected. They are the result of damaged dental pulp, which is the living tissue in the centre if the tooth. For years, root canal treatment was considered painful and was postponed. Not today, though. Now, we offer our patients quality and precise endodontic treatment, which will preserve the natural teeth to a maximum extent, preventing the inflammation from reaching the nerves in the centre of the tooth and relieving the intense discomfort.

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Root canal treatment

When the dental pulp is infected or traumatically damaged, it requires the application of root canal treatment. Its purpose is to preserve the natural tooth and restore its normal function. Most often it is necessary in the event of pulpitis – complicated caries that has become so deep that it affects the pulp. Another case in which root canal treatment is necessary is the inflammation around the roots of the tooth leading to changes in the tissues in the shape of granulations. The treatment is administered in several stages. Firstly, it is necessary to apply local anaesthesia, after which the tooth is opened and the contents of the root canals are cleaned. At Estetica dental clinic, we use the latest and certified effective methods of treatment of the diseases of the pulp and the periodontium through machined shaping of root canals, which facilitates their three-dimensional obturation with warm vertical condensation. Applying a filling, the missing part of the tooth crown is restored. Our contemporary methods not only alleviate the discomfort and preserve the tooth, but are also guaranteed to prevent the lack of undesired effects such as excessive darkening and colouration of the treated teeth.


Renewed or retreatment of the tooth can be necessary in case of completed unsuccessful treatment. Although the sequence is the same as in the initial treatment, it requires much greater attention in the removal of the filling from the root canal or finding a new one. In the event of retreatment, the tooth has to be reopened, the obturation materials from the first treatment have to be cleaned and the tooth must be carefully explored for additional canals or a new infection. Once cleaned and shaped, the canals are obturated again. After the tooth is treated, it will need the placement of a permanent crown or obturation. At Estetica dental clinic, we are experienced in applying medications to overcome the infection and fill the root canal in order to achieve the healing of the bone around the root. To make sure the retreatment is successful, we track the outcome through an X-ray photograph.

Removal of a separated instrument

Albeit an unpleasant complication, this is a procedure that we perform successfully in order to prevent the application of apical surgery or tooth extraction. We will determine whether there is an infected tissue and will apply the most appropriate techniques and methods for the positive solution to the specific clinical status. After the level of breaking, the size of the fragment and the type of the fracture are identified, as well as the type of the instrument, we administer treatment under microscope with ultrasound instruments and systems to remove the separated instruments.

Fibre posts

The application of a post is used in teeth with severely broken or missing tooth crowns and well-filled root canals. At Estetica, we offer our patients fibre posts for the implementation of this procedure. They are distinguished by greater elasticity, which is closer to that of dentine – the hard dental tissue surrounding the pulp. With them, the risk of breaking due to jamming is considerably lower compared to the metal and ceramic posts. Fibre posts also have excellent resistance to material fatigue.

Apical osteotomy

There are especially persistent cases in which the root treatment will not lead to healing, in which surgical treatment is necessary. Apical osteotomy is a surgical intervention in which the granuloma and root apex are removed after endodontic treatment has already been administered and the canal of the tooth has been filled appropriately. This is a microsurgery which is performed under local anaesthesia and lasts for about 2 hours. It is popular due to the good indications in the front teeth.


Physiotherapeutic procedures in acute and chronic inflammatory processes in the craniofacial area are concomitants of the main therapy and facilitate considerably the shortening and successful completion of the healing process.

Iontophoresis – a physiotherapeutic method of application of medications into the root canal of the tooth for successful elimination of the infection

Our doctors

  • Dr Martin Petkov

    Dr Martin Petkov


    0888 545 288

  • Dr Venelina Georgieva

    Dr Venelina Georgieva


    0885 837 946

  • Dr Nikoleta Atanasova

    Dr Nikoleta Atanasova


    0898 73 25 54

+ 359 889 744 955