ENDODONTICS

Root Canal Treatment

A tooth has three layers enamel, dentin and pulp. When the cavity is so deep that it has reached the pulp, Root Canal Treatment has to be done. In this all the infection from within the tooth is removed, all the canals in the root are cleaned and medicament is placed. The tooth is sealed so that no infection seeps in after Root Canal Treatment. After performing Root Canal Treatment, the tooth becomes weak and brittle. That’s why post Root Canal Treatment crown is very important to protect the tooth.

Root Canal Treatment also is known as Endodontic Treatment is a procedure done when the tooth decay reaches the pulp (innermost layer of the tooth) causing inflammation. It is necessary to save the damaged tooth from extraction. This procedure is done by an Endodontist who is known as a Root Canal Specialist. The procedure involves:

• Removal of inflamed or infected tooth material
• Cleaning and disinfection
• Filling and sealing with an inert material
• Restoration and crown/cap

It is a multi-step procedure and may require multiple sittings.

WHY DOES ONE NEED TO UNDERGO ROOT CANAL TREATMENT?

Root Canal Treatment is done on a damaged or infected tooth. Infection could be due to a cracked or broken tooth, deep decay, gum diseases or maybe due to repeated dental treatment on a particular tooth. It becomes extremely important to get the Root Canal Treatment as:

• It stops the infection from spreading and will then save the tooth from extraction
• RCT relieves the pain caused due to inflammation

SYMPTOMS

• The most common symptom that one might need Root Canal Treatment is a toothache. The pain can range from mild to severe. With time it may worsen, and you will feel the pain even when you bite your food.
• The other reason is prolonged sensitivity. If you feel sensations in your tooth while consuming something hot or cold, then there is the slightest chance that one needs to undergo Root Canal Treatment.
• Swelling in the gums can also be a sign that you need Root Canal Treatment.

WHAT ARE THE CONSEQUENCES OF NOT GETTING A ROOT CANAL TREATMENT?

• If the pain you feel goes away, then it does not mean that your tooth had healed with time but this indicates that the nerves inside the tooth are all dead and the infection has grown manifolds.
• The bacteria from infection can enter into the tissues of gum and jaw which can cause a pus-filled abscess. This can even lead to a serious condition like heart disease and stroke.

WHAT IS THE PROCEDURE FOR ROOT CANAL TREATMENT?

Step 1:

The very first step involves an X-ray which is taken to determine the extent and approach to infection. If required local anesthesia is administered before starting the treatment.

Step 2:

The next step is Cavity Preparation. A cavity is prepared, making sure all the infected tooth material or previous filling material is removed and a proper approach to inner-part of the tooth (pulp) is established.

Step 3:

This is followed by disinfection and shaping of pulp canals. The infected pulp is cleared out completely, canals are shaped and cleaned. Thorough disinfection is achieved.

Step 4:

Clean and disinfected canals are then sealed and filled with an inert rubber-like filling material known as Gutta-Percha.

Step 5:

The very last step is restoration & crown. The crown portion of the tooth cavity is then restored with a filling, followed by a Cap/Crown cementation.

POST-TREATMENT CARE FOR ROOT CANAL TREATMENT

• Do not put pressure on the tooth. Since there is no crown, the tooth is unprotected as a result, putting pressure can cause damage to the tooth.
• Avoid hard and crunchy food, instead chew soft food until final restoration
• Be careful while brushing. Do not be too harsh while brushing
• Get a dental crown as soon as possible as this will protect your tooth from further damage
• Visit your dentist if you face any complexities or severe pain

What Exactly Is 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 and that too with an antibiotic coverage for about 2-3 days depending on the type of decay and dental problems of the patient.

Why need crown after root canal

Root Canal Treatment (known as “Endodontic Treatment”) involves the treatment of disease or injury to the dental pulp or ‘nerve in the tooth’. This nerve is located in the very center of the tooth in a small narrow ‘canal space’ which extends from the crown to the tip of the root – the area inside the center of each tooth that contains nerves and blood vessels that help nourish the tooth. If the nerve is injured or diseased then it can die and this often leads to sensitivity, toothache or a dental abscess. It can also lead to the tooth actually discolouring.

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Frequently Asked Questions

Q.1. Can An Infected Tooth Heal Itself?

Even if one does not feel pain the infected tooth will not heal itself and require a proper RCT.

Q.2. Do Root Canals Procedures Hurt A Lot?

Because the tooth is infected one feels constant pain it is assumed that the treatment will also hurt. But in reality, the treatment is pain-free.

Q.3. How Long Does It Take To Heal?

A successful RCT can result in pain for a few days but this pain is temporary and will go away with time. One just need to follow good oral care practice.

Q.4. Can One Get RCT Done In A Day?

Anterior or front teeth have one canal and the back teeth have multiple canals, therefore, the procedure might take 1-3 visits depending upon the difficulty.