endodontilise

Endodontilise is an adjective used in some languages to denote relation to endodontics, the branch of dentistry that deals with the dental pulp and the surrounding periradicular tissues. It covers the diagnosis, prevention, and treatment of pulpal and periapical diseases and injuries. The core area is the management of the root canal system, often requiring non-surgical root canal therapy, retreatment, and, when needed, endodontic microsurgery.

Key components of endodontilise practice include comprehensive clinical and radiographic assessment, pulp vitality testing, and diagnosis of pulpal and periapical conditions. Treatment steps typically involve local anesthesia, access cavity preparation, cleaning and shaping of the canal system, thorough disinfection with irrigants, obturation with gutta-percha and sealer, and final restoration to prevent reinfection. In immature teeth, vital pulp therapy may be pursued to preserve tooth development. In complex cases, microsurgical approaches or re-treatment may be indicated.

Materials commonly used include nickel-titanium instruments, irrigants such as sodium hypochlorite and EDTA, gutta-percha, and endodontic sealers, with newer bioactive cements (e.g., MTA) sometimes employed.

Outcomes depend on infection control, tooth anatomy, and coronal sealing; success rates are generally high when performed by trained clinicians. The term endodontilise emphasizes the dental pulp–root canal aspect of care and is typically contrasted with extraction or restorative approaches. Training in endodontilise corresponds to formal endodontic specialization in many countries.