endodoncija, lečenje kanala korena, vađenje živca, pulpitis, gangrena zubaYou’ve been having a toothache for two days now and cannot stand it anymore? As soon as you take something cold or warm, you feel a sharp pain, that doesn’t leave you alone? It is high time you found out what has been going on with your tooth!

Every tooth consists of two parts:

  1. Crown – a part visible to the eye. However, we cannot see the entire crown, as one portion is covered by gums.  
  2. Root –a part located deep in the jaw, invisible to the eye.  

Tooth decay (caries) begins by affecting the outer layer (the enamel). If left untreated at this point, it slowly spreads to the deeper layers and infects the dentin. Since the dentin is adjacent to the pulp (with the tooth nerve inside), sometimes at this stage, the pulpitis (inflammation of the nerve) can occur.


Pulpitis (inflammation of dental pulp tissue)


The inflammation happens when a caries is left untreated for a longer period. It then spreads from the outer layers towards the internal tooth structures, containing the tooth nerve. Unfortunately, in the majority of cases, this condition is irreversible. The nerve has to „go out“, and the tooth needs to be treated.

At this stage, patients have a strong toothache. The pain can be very different, depending on the type of pulpitis. It can be spontaneous (no external stimuli) or tooth can react to cold. The pain is sharp and stabbing. It can last from several minutes up to several hours. In more difficult cases, when the pus has formed in the root canal, the tooth can hurt to warm stimuli and increase at night, when the patient is lying down.  


Tooth gangrene


It sometimes happens that large amount of bacteria takes over the root canal. This is called a tooth gangrene. It is often asymptomatic, but on occasion, a tooth can hurt to warm stimuli. We cannot emphasize enough how essential the regular dental check-ups are.  Your stomatologist can very easily determine whether you have a gangrene, even if you don’t have any symptoms. Unfortunately, patients find out that they‘ve had gangrene only after the infection had already spread to the tissue below the root tip. When a tooth starts to hurt when biting, this means that the so called „process on the tip of the tooth’s root“ is present. At this point, sadly, some teeth are beyond the curing stage.


Tooth nerve extraction


Most of our patients at this point fear that they have to face a painful and exhausting intervention. We assure you that the nerve extraction at the Pavlovic Clinic is a very comfortable experience. Here’s how it looks like in practice:

Upon determining that the nerve of your tooth has been inflamed, we begin the healing treatment.

  • At the very beginning, the patient receives local anaesthetic so he/she can be completely pain-free during the entire process. At the same appointment, the stomatologist opens up the tooth, removes the caries and access the nerve. Using special needles, the dentist extracts the nerve and begins debridement of the cavity in the canal where the nerve was located. Our Clinic is equipped with the most up-to-date endodontic appliances, which allows us to perform the manual and machine-driven debridement. Machine-driven treatment is very comfortable for the patient, lasts shorter and is more precise. The doctor places a medication in the root canal and schedules your next appointment. It is sometimes possible to fill the root canal with an adequate filling material during the same appointment, and if enough dental tissue has been preserved, to seal it with a filling. In some cases, when a tooth has been too damaged by the caries and there is not enough of it left to place the filling, our dentists will suggest to install a crown.
  • At times, in order to heal the tooth, a patient needs to make several visits to the dentist. During each visit, our stomatologist checks the condition of the root canal and replaces the medication, if needed. The Pavlovic Clinic is equipped with the most advanced digital X-ray machine. Our patients enjoy the convenience of having a radiography imaging at their disposal in our office, which is of great help in determining the presence of tooth decay or „tooth process“, as well as in monitoring of the therapy progress.  


Dental treatment - price


The price of dental treatment at our Clinic depends on the tooth that is being treated and on the number of canals in its roots. We have formed our prices in relation to the number of the canals.

Treatment of each canal is RSD 3,000.

For easier understanding – Molars (6 and 7) have three canals, and the price of treatment for these teeth is RSD 9,000 without the filling.

Front teeth (1, 2, 3) mostly have one canal. Thus their treatment has a lower price and costs RSD 3,000 without the filling.

Premolars (4 and 5) have one or two canals and the price of their treatment is RSD 3,000-6,000, without the filling.

If the medication placed in the root canal needs to be replaced several times, (e.g. as in gangrene), this intervention costs RSD 1,000 per visit.


How to prevent tooth inflammation?


Regular check-ups are the key to the health of your teeth!
At the Pavlovic Clinic, all check-ups are free of charge. Schedule your appointment at
 011/3822-331 and don’t worry about your teeth! 

We will take the best care of them!

See you at Niska 4, at your next check-up! 





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