What is Root Canal Treatment?
Root canal therapy is a sequence of treatment for the infected pulp of a tooth which results in the elimination of infection and the protection of the decontaminated tooth from future microbial invasion. Root canals and their associated pulp chambers are the physical hollows within a tooth that are naturally inhibited by nerve tissue, blood vessels and other cellular entities which together constitute the de3ntal pulp. Root canal Treatment involves the removal of these structures, the subsequent shaping, cleaning and decontamination of the hollows with small files and irrigating solutions, and the obturation (filling) of the decontaminated canals with an inert filling such as gutta percha and typically a eugenol based cement.
When Root canal Treatment is required?
- A patient complaining of severe toothache while chewing food or severe pain while taking hot or cold liquid where examination shows presence of severe tooth decay. This can lead to accumulation of blackish material (bacteria) on the tooth.
- Darkening of the tooth when the patient meets with an accident.
- A long standing dental infection in the bone that erodes through the side of the bone and causes sudden, serious and painful swelling.
- In case of severely worn out teeth, where crown is being advised.Before placing a crown in such a case, that tooth may need to be treated with Root Canal Treatment.
Why Root Canal Treatment is required?
- It relieves all the pain and discomfort.
- It saves your tooth from extraction.
- It maintains the natural tooth function.
- It avoids the complication which occurs after the tooth removal.
What is the procedure of Root Canal Treatment?
A Deep Infection Root
A Deep Infection Root canal treatment is needed when an injury or a large cavity damages the tooth's root. The root becomes infected or inflamed.
A Route to the Root
The dentist numbs the tooth. An opening is made through the crown of the tooth to the pulp chamber.
Removing the Infected/Inflamed Tissue
Special files are used to clean the infection and unhealthy pulp out of the canals.Then they shape the canals for the filling material. Irrigation is used to help clean the canals and remove debris.
Filling the Canals
The canals are filled with a permanent material. Typically this is done with a material known as gutta-percha. This helps to keep the canals free of infection or contamination.
Rebuilding the Tooth
A temporary filling material is placed on top of the gutta-percha to seal the opening. The filling remains until the tooth receives a permanent filling or a crown. A crown, sometimes called a cap, looks like a natural tooth. It is placed over the top of the tooth.
In some cases, a post is placed into the root next to the gutta-percha. This gives the crown more support.
The Crowning Touch
The crown is cemented into place.
Test & Diagnosis
Pain – Most common complaint of patients
Types of pain:
- Intermittent Pain
- Continuous Pain
- Duration of pain
- Clinical examination of tooth
- Percussion – To determine the tenderness of the tooth
- Thermal Testing – To check the sensitivity of the tooth
Does the Root Canal Treatment hurt?
No. Usually, a local anesthetic is used and it should feel no different to having an ordinary filling done. There may be some tenderness afterwards but this should get gradually less over the time.
Prevention of Root Canal Treatment
- By maintaining excellent oral hygiene (brushing & flossing)
- Regular dental checkups for preventing infection from getting deep into the tooth
- Use of high quality dental materials which will last longer with no reinfection
- To prevent decay or stress on the tooth
- Preventing the habit of teeth grinding
- Avoid cavity or trauma that may lead to a root canal in the first place.
What is Single Sitting Root Canal Treatment?
Single Sitting Root Canal Treatment is a new advance in dentistry, which has made root canal procedure painless and less time consuming. The single visit root canals are very common with the patients and dentists these days. In many special cases, we perform the entire root canal treatment in a single sitting and that too with an antibiotic coverage for about 2-3 days depending on the type of decay and oral health of patient.
When the Single Sitting Root Canal Treatment is possible?
- An injury has occurred in the teeth and it is at exposure to the nerve.
- 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 acute symptoms.
- Near pulpal carious exposure requiring root canal treatment prophylactically.
- When there is an acute infection with no pus accumulation in and around the tooth, Root Canal Treatment can be completed in single sitting.
- tooth nerve tissue has started to degenerate in case of attrision,abrasion.
When Single Sitting Root Canal Treatment should not be done?
The tooth with chronic periapical abscess
Mobile (loose) teeth
What are the advantages of Single Sitting Root canal Treatment?
- Less traumatic for the patient
Less time consuming. It takes only 45 min.to 1 hour to finish.
The patient does not feel discomfort by local anesthesia again and again in every visit.