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Root Canal Dentistry

Single Setting Root Canals:- Endodontics is commonly called as ‘Root Canal Treatment’. Endodontic treatment is required when the pulp tissues within the tooth get infected or inflamed either because of decay, cracked tooth, trauma, faulty restoration and crowns or excessive wear of tooth. During an endodontic procedure the inflamed or infected pulp tissue is removed and the emptied root canals are thoroughly cleaned and disinfected. At Care and Cure – The Dental Wellness Clinic we use modern method like Rotary Endodontics with use of Apex Locators and RVG. The emptied area is then filled up with a rubber like material called Gutta Percha. After sealing the material the tooth is restored by a filling followed by a crown for protection. Repeat Root Canals : Root canal treatment may be done in single or multiple visits depending upon the complexity of the tooth or the infection present while starting the procedure. Modern root canal treatment procedures are relatively comfortable and often painless as the tooth is anesthetized during treatment. Post treatment tooth may be sensitive or tender for few days. This discomfort can be relieved by taking mild analgesics or painkillers. When is the root canal treatment needed? The crown of the tooth is made up of the hard white enamel layer and a thicker dentine layer. Both these hard layers protect the innermost soft tissues of the tooth called the pulp containing blood vessels and nerves. Root canal treatment involves the removal of the pulp tissues from the tooth that it gets infected or inflamed. The pulp can be infected or inflammed due to either deep decay or an extensive restoration that involves the pulp, cracked or fractured tooth due to trauma, excessive wear of tooth exposing the pulp and sometimes as a result of severe gum disease. Signs of pulp damage may include pain, prolonged sensitivity to heat or cold, discoloration of the tooth, swelling, tenderness of the overlying gums or a bad taste in the mouth. On the other hand, there may be no symptoms at all. If pulp inflammation or infection is left untreated, it can eventually cause pain, swelling and loss of the supporting bone. What are the advantages of root canal treatment? Root canal treatment saves teeth that would otherwise have been extracted. After root canal treatment the tooth is pulpless, that is, it has no vital tissues within. However, there are vital tissues surrounding the root e.g. the gum, periodontal membrane and supporting bone. A root canal treated tooth can function normally and can be maintained with routine dental care and oral hygiene measures. How is the root canal treatment carried out? Removal of the infected or inflamed pulp is the first step in saving the tooth. Under local anaesthetic, an opening is made in the tooth to get access to the infected or inflamed pulp within. Using small, specially designed files, the root canals are cleaned and shaped to a form that can be sealed. Debris within the canals is removed by flushing with an anti-bacterial solution. The canals are finally filled or sealed with an inert material called gutta-percha. The tooth should be restored to full shape and function by a permanent filling followed by a crown. This should be done as soon as possible as there could be a risk of tooth fracture due to biting forces. Root canal treatment may be done in single or multiple visits depending on the complexity of the tooth. In between treatment appointments, medicaments may be placed within the canals and the tooth is covered with a temporary filling. Often, X-rays are taken to determine the length of the root and to monitor various treatment stages. Is root canal treatment painful? Root canal treatment procedures are relatively comfortable and often painless as the tooth is anaesthetized during treatment. After treatment, the tooth may be sensitive or tender for a few days due to inflammation of the surrounding tissues. This discomfort can be relieved by taking mild analgesics or painkillers. But, if the pain persists and is severe, or a swelling occurs, you should contact your dentist. Care of treated tooth As far as possible, avoid chewing or biting on the tooth being treated until you have it permanently restored with a filling and a crown. Excessive pressure at this stage may crack or fracture the tooth. Therefore, it is very important to restore the tooth properly as soon as possible. Most endodontically treated teeth last as long as natural teeth following permanent restoration. Practice good oral hygiene, including brushing and flossing at all times as root-filled teeth are as prone to decay as natural teeth. It is also important to have your treated tooth reviewed regularly by your dentist.



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