Root canal is a treatment to repair and save a badly damaged or infected tooth instead of removing it. The procedure involves removing the damaged area of the tooth (the pulp) and cleaning and disinfecting it, then filling and sealing it. The common causes affecting the pulp are a cracked tooth, a deep cavity, repeated dental treatment to the tooth or trauma to it. The term “root canal” comes from cleaning of the canals inside the tooth’s root.
Decades ago, root canal treatments were painful. With dental advances and local anesthetics, most people have little if any pain with a root canal today.
ROOT CANAL TREATMENT CONSISTS OF A NUMBER OF STEPS THAT TAKE PLACE OVER SEVERAL OFFICE VISITS, DEPENDING ON THE SITUATION.THESE STEPS ARE:
1. The endodontist examines and x-rays the tooth, then local anesthesia is administered to the affected tooth. 2. A dental dam is usually placed over the affected tooth to isolate it and keep it free from saliva. 3. The endodontist makes an opening through the back of a front tooth or the crown of a molar or pre-molar to remove the diseased pulp, called a pulpectomy. 4. Next, the pulp chamber and root canals are cleaned and shaped in preparation for a filling.
1. The endodontist fills the root canal with gutta percha material. 2. If more than one visit is needed, a temporary filling is placed in the crown opening to protect the tooth between dental visits. The temporary filling is removed and the pulp chamber and root canal are permanently filled with gutta percha into each of the canals and is sealed in place with cement. Sometimes a metal or plastic rod is placed in the canal for structural support. In the final step, a crown is usually placed over the tooth to restore its natural shape and appearance. If the tooth is broken, a post may be required to build it up prior to placing a crown.
Root canal treatment is performed when the pulp becomes inflamed or infected. Usually the cause for inflammation or infection is a deep cavity, trauma to the tooth or extensive restorative treatment. The signs of pulpal damage can include pain, sensitivity to hot or cold, color changes and swelling or soreness in the gums.
Once the pulp becomes inflamed or infected, a root canal or extraction is necessary to remove the affected tissue and restore the area to health.
FAQ’S : ROOT CANAL TREATMENT
Q1: Why do I need to get rct ? cant I just get simple filling in my tooth?
A: sir/ mam your tooth has surpassed the stage of simple filling, as the decay has reached the nerve so in that case to properly clean the tooth and to remove all the infection we will have to save the tooth by rct. If we do simple filling , this can instead cause more pressure on your nerve resulting in more pain. Q2: Is rct very painfull ?
A: we will numb/anesthetize your tooth nicely before proceeding. It will be very comfortable. Rct is like a minor surgery , so mild to moderate pain is possible depending on the amount of infection tooth has. We will take care of you,its our promise so Don’t worry !! Q 3: How many sittings will it take?
A: that will depend on how fast your tooth becomes bacteria free. Usually takes 1 to 3 sittings. The whole purpose of rct is to take out infection from tooth so depending upon extent of infection sittings increases Q4: Why cant i just get my tooth extracted?
A: sir we believe in saving everything given by god as gift. Your tooth can serve for years and can help you chew,look n feel better . An artificial tooth/bridge can never match a natural tooth in its efficiency.
Q5: I have pain after my 1st sitting is it normal?
A: Rct is like a minor surgery. Can you think of any surgery without minor post operative pain? You need to take given pain killers and it will sort it out within few days. But in case of severe pain or swelling give us a visit as soon as possible. Q6: Patients in whom we will prescribe antibiotics?
A: heart disease patients, joint replacements, uncontrolled diabetics, severe tooth infections. Q7: why did I have swelling and pain after my 1st sitting of rct?
A: whenever the amount of infection is more , it sometimes spreads when touched. It is a response of body which goes within 2-3 days. Q8: Can I chew immediately after my 1st sitting?
A: Yu can chew from other side, just avoid eating anything hard from rct t/t tooth for few days. Q9: How long will my tooth serve after getting rct or what will be the life of my tooth after rct?
A: Rct treated tooth can serve for many more years. Its life will depend upon how much forces u put n how clean u keep it by brushing n flossing. Q10: Do I need a crown on my rct treated tooth?
A: yes for Shure. Rct treated tooth is a week tooth which will fracture under chewing force, so to increase its strength we need to reinforce it with crown or we can go for a latest high-tech technology like onlay