Root Canal Treatment
WHEN DO WE NEED A ROOT CANAL TREATMENT?
Root canal has to be done when there is pulp damage. If the cause of your tooth pain is serious decay or infection in the tooth pulp, your tooth may need a root canal treatment.
Once the pulp is infected or dead, if left untreated, pus can build up at the root tip in the jawbone, forming an abscess. An abscess can destroy the bone surrounding the tooth and cause pain
The most common causes of pulp damage or death are:
- A cracked tooth
- A deep cavity
- An injury to a tooth, such as a severe knock to the tooth, either recent or in the past.
WHAT ARE THE SIGNS AND SYMPTOMS THAT INDICATE NEED FOR ROOT CANAL TREATMENT?
Your tooth might need a root canal if:
- It hurts when you bite down on it, touch it or push on it
- It is sensitive to heat
- Night pain
- It is sensitive to cold for more than a couple of seconds
- There is swelling near the tooth
- It is discoloured (whether it hurts or not)
- It is broken
WHAT IS A ROOT CANAL TREATMENT?
During root canal treatment, the inflamed or infected pulp (a small, thread-like tissue in the centre of the tooth) is removed and the inside of the tooth is carefully cleaned and disinfected, then filled and sealed with a rubber-like material called gutta-percha. This procedure seals off the root canal. Afterwards, the tooth is restored with a crown or filling for protection. Years ago, teeth with diseased or injured pulps were removed. Today, root canal treatment saves many teeth that would otherwise be lost. After restoration, the tooth continues to function like any other tooth.
WHY SAVE THE TOOTH AND DO A ROOT CANAL TREATMENT?
Saving the natural tooth with root canal treatment has many advantages:
- Your dental health: Teeth that are around the missing tooth area will “drift” into this empty space resulting in chewing, biting and joint problems.
- Your bite: malaligned teeth are at increased risk of fracture.
- Oral hygiene: The drifting teeth become crooked and misaligned making them more prone to decay because they are harder to keep clean.
- Your speech: Your teeth help you speak clearly and distinctly.
- Time. It can be more time consuming to replace tooth/teeth than to repair them.
- Your budget. It is more affordable to treat the tooth in need than to replace the tooth/teeth with a bridge, implant or denture.
- Your appearance will also change: Shrinkage in the jaw bones will cause your facial structure to change leading to “hollow” cheeks thus ageing and wrinkling your face.
HOW LONG WILL THE RESTORED TOOTH LAST?
Your treated and restored tooth/teeth can last a lifetime with proper care. Because tooth decay can still occur in treated teeth, good oral hygiene and regular dental examinations are necessary to prevent further problems.
CAN ALL TEETH BE TREATED ENDODONTICALLY?
Most teeth can be treated. Occasionally, a tooth can’t be saved because the root canals are not accessible, the root is severely fractured, the tooth doesn’t have adequate bone support, or the tooth cannot be restored. However, advances in endodontics are making it possible to save teeth that even a few years ago would have been lost. When endodontic treatment is not effective, endodontic surgery may be able to save the tooth.
TIPS FOR CARE AFTER A ROOT CANAL TREATMENT:
A treated and restored tooth can last a lifetime with proper care. Root canals have a high success rate. Here are a few ways to take care of your teeth after a root canal:
- Practice good oral hygiene – brush teeth twice a day, and floss at least once. Taking care of your teeth can help prevent future problems.
- Visit the dentist regularly – cleanings and examinations by dentists and hygienists.
- Avoid chewing on hard foods – chewing on hard foods such as ice can cause teeth to break, and can harm root canals.
WHAT IS A SINGLE SITTING ROOT CANAL TREATMENT?
Single sitting root canal treatment of teeth is a new advancement in dentistry, which has made dental root treatment painless, less time consuming & cost friendly. In India, the single visit root canals have become very common with the patients and dentists. In many special cases, the dentist performs the entire root canal treatment of teeth in a single sitting with an antibiotic coverage for about 2-3 days depending on the type of decay and dental problems of the patient.
WHEN CAN IT BE DONE?
- An injury has occurred in the teeth and has exposed the nerve.
- A severe sensitivity of the teeth is making it impossible for the patient to consume hot or cold liquid and even food items.
- Non-Vital teeth with no acute symptoms.
- Near to Pulp Carious exposure.
- When there is an acute infection with no pus accumulation in & around the tooth, root canal treatment can be completed in a single sitting.
WHAT ARE THE ADVANTAGES OF SINGLE SITTING ROOT CANAL PROCEDURE?
- Patient comfort: This is undoubtedly the biggest advantage. Patients are absolutely thrilled with the idea of root canal treatment in a single visit. The major reason for the increased patient acceptance is the reduced number of injections (who wants to take injections?). The other comfort factor is reduced number of visits to the dental clinic.
- No inter-appointment pain.
- Saves time.
- Minimizes fear and anxiety: Single visit Endodontics is a boon to the apprehensive patient. For these patients, the psychological trauma starts at the very thought of going to the dentist. Single visit Endodontics builds confidence and motivation in such patients.
- Minimizes incomplete treatment.
- Esthetics: For patients who report to the clinic with fractured anteriors, an esthetic restoration can be placed immediately after single visit Endodontics.
- Immediate sealing of root canals, lateral accessory canals gives prompt healing.
WHICH ARE THE CASES IN WHICH SINGLE SITTING ROOT CANALS CAN NOT BE DONE?
- Teeth with alveolar abscess cases with pus discharge.
- Patients who have acute apical periodontitis with severe pain on percussion
- Asymptomatic teeth with apical lesion and no sinus tract.
- Cases with procedural difficulties like calcified canals, curvatures, extra canals, etc
- Patients with TMJ disorders and inability to open the mouth.
- Teeth with limited access.
- Retreatment cases.
ROOT CANAL RE-TREATMENT
WHY A ROOT CANAL RE-TREATMENT MIGHT BE NEEDED?
As occasionally happens with any dental or medical procedure, a tooth may not heal as anticipated after initial treatment for a variety of reasons:
- Narrow or curved root canals sometimes pose complications during the initial procedure.
- Complicated root canal anatomy (shapes and forms) went undetected in the first procedure.
- The placement of the crown or other restoration was delayed following the treatment, resulting in reinfection of the root canals.
- An inadequate seal of a restoration (filling) allowed recontamination of the inside of the tooth.
New problems too, can jeopardize a tooth that initially had successful root canal treatment.
- New decay can expose the root canal filling material to bacteria, causing a new infection in the tooth.
- A loose, cracked or broken crown or filling can expose the tooth to new infection.
- A tooth sustains a fracture of the crown or root.
WHAT WILL HAPPEN DURING RETREATMENT?
During retreatment, the endodontist will reopen your tooth and remove the filling materials that were placed in the root canals during the first procedure. The endodontist then carefully examines the tooth, looking for additional canals or new infection. The endodontist then removes any infection, cleans and shapes the canals, and places new filling materials. The opening is then sealed with a temporary filling. Once the tooth heals, a new crown or other restoration is placed on the tooth to protect it.
HOW DO I KNOW IF RETREATMENT IS THE BEST CHOICE AND WHAT ARE THE ALTERNATIVES?
Whenever possible, it is best to save your natural tooth. Retreated teeth can function well for years, even a lifetime. Advances in technology are constant and updated techniques may be used to save a tooth, which may not have been available when you had your first procedure. If non-surgical retreatment is not an option, then endodontic surgery may be considered. This involves making an incision to allow access to the end of the root(s). Endodontic surgery may also be recommended in conjunction with retreatment or as an alternative.
The only other alternative to retreatment or failing endodontics ultimately is the extraction of the tooth. It will then need to be replaced with an implant, bridge or removable partial denture to restore chewing function and aesthetics and importantly, to prevent adjacent teeth from shifting. Because these options require surgery or dental procedures on adjacent healthy teeth, they can be more costly and time-consuming than retreatment and restoration of the natural tooth.
TO KNOW MORE CALL NOW – 09930113857 (SK Smile Dental Clinic Airoli)