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Root Canaling

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What is Root Canal?

Beneath your crown part, is a soft tissue called pulp of the tooth. This tissue consists of nerves, blood vessels, and connective tissue which helps in the growth of the root.
When your tooth is completely developed, it can survive without the pulp.
That’s the only reason that proved to be the success of a Root Canal Treatment

Who is an Endodontist?

Endodontist are the dentist, specialized in endodontic procedures that deal with the problems with the pulp and root of the tooth. They are mainly trained in endodontic diagnosis and therapy.
Your dentist will more likely refer you to the endodontic specialist who will further decide the best solution either to preserve the tooth function or to extract it. Endodontist deals with tooth injuries that could impact on your pulp or root.
The lower third of your tooth is basically the root of the tooth. These roots serve as the support to the tooth in its position and are embedded in the bone.

What Is Root Canal Treatment?

An endodontist may advise you to go for a Root Canal Treatment if he diagnoses inflammation or an infection in the pulp of your tooth.
We will treat it and fill it inside the tooth to prevent any further damage and spread of infection.
The goal of Root Canal Treatment is to save your tooth and prevent it from getting extracted.

Why Do You Need Root Canal Treatment?

When your tooth is injured or has a cavity, bacteria gain access to your pulp and root canal. This bacterial penetration can cause irritation and infection which can later spread to your root canal.
The aim of root canal treatment is to prevent the tooth from getting extracted by removing the infected pulp.

Do You Know When To Get Your Root Canal Treatment?

Well there are many signs and symptoms to get root canal treatment of your tooth.
If you are delaying the root canal treatment for your tooth when these early signs appear, you may worsen the situation. The infection may spread to the underlying bone and eventually lead to tooth loss.
• Severe and persistent toothache
• Your tooth is sensitive to hot and cold foods.
• Fever
• Swelling of your gums
• Discoloration of tooth

Do You Know Why To Get Your Root Canal Treatment?

• Severe tooth decay
• A cracked tooth
• Broken crown
• Cracked or lose filling
• Previous failed restoration
• An injury to the tooth root
• Gum diseases
These signs tell that you are in dire need of endodontic treatment.
If you delay your treatment and the infection is not resolved on time, it can turn into an abscess that is a collection of pus.
This can be painful in the future and can cause swelling and tenderness around your tooth and jaw.
When the infection spreads further into your jaw bone, you may need to have your tooth removed.
Do you want to get your tooth extracted or you want to save it?
If you are experiencing any above-mentioned signs, contact us.

Step by Step Process of Root Canal Treatment

Before starting the treatment an endodontist will take an X-ray of your tooth to detect your canals and tooth morphology. Root Canal Treatment is a multi-step procedure that is explained below in steps.

STEP 1:

Root canal treatment is usually done under a local anesthetic. Your dentist will administer it to numb your tooth and surrounding tissues. This completely blocks the tooth and jaw area and keeps you relaxed during the whole procedure.

STEP 3:

The next step is to make an opening in the crown of your tooth. This opening is made to gain access to root canals for cleaning purposes.

STEP 5:

The root canal is disinfected with a disinfectant or an irrigating antibacterial solution.

STEP 7:

Have you ever heard about Gutta Percha?
That’s actually the filling material your tooth is filled with during the root canal treatment. It is a rubber-like material that is heated and compressed in your root canals against the walls. This compression makes them fit accurately and take the shape of your root canal. The material is then sealed with a sealer in order to prevent the bacteria from gaining access and reinfect. This is a very critical and important step.

STEP 9:

After the procedure is completed, your dentist will prescribe you antibiotics to treat and prevent any infection. He will also prescribe you some over the counter painkillers to treat discomfort.

STEP 2:

Once your tooth and jaw are numb, he will place a thin rubber sheet in your mouth. This sheet is called Dental Rubber Dam, which serves to provide isolation against the moisture and other contaminants.

STEP 4:

Root canals are cleaned and the infected pulp is removed with the specialized instruments used for cleaning purposes. You do not need to worry, this step is not painful at all as your tooth is already numb. Once the pulp is removed, the tooth is completely painless now as there are no nerves. This is the major step in determining the success of your treatment. If root canals are not cleaned properly, you’ll later need retreatment.

STEP 6:

The next step is to shape the canals with a flexible instrument. This step is very important as it serves to shape your root canals accurately to receive the fillings in the next step. Any debris during this step is washed and cleaned prior to sealing in order to ensure an effective seal.

STEP 8:

The permanent filling material is placed to seal the access hole and the rubber dam is removed. If your tooth lacks sufficient structure to provide support for the filling, the dentist will place a post to retain it.

STEP 10:

After healing, your tooth now needs a permanent restoration or a crown to replace the lost tooth structure. This will provide support and a complete seal on the top. Once you are done with this step, your root canal treatment is completed.

What To Expect Afterwards?

After you’re injected with a local anesthetic, it may take several hours before the sensation comes back.
You may experience pain and discomfort after the effect of anesthesia wears off. Your dentist may prescribe you over-the-counter painkillers such as Paracetamol or Ibuprofen. You may also have some slight tenderness with bruising around the treated tooth but this lasts for a short time only.
If you have severe pain or tenderness that worsens with time, see your dentist.

Complications & Retreatement

Every medical and dental procedure is done with some risks.
Sometimes it maybe is successful and sometimes all your struggles and treatment may go in vain.
Complications may occur during and after your treatment.
Possible complications can be:
1. When one of your root canals was left untouched while cleaning, it can lead to contamination and later need of retreatment.
2. An undetected crack on the root can promote bacterial growth and failure of treatment.
3. Inadequate or overfilled restoration (filling) can cause contamination and bacteria can gain access to the canals.
4. Defective materials such as sealer used during the treatment can later wear off and allows bacterial access into your canal.
5. Pain after root canal treatment that worsens over time because some bacteria was left behind while cleaning
If you’re unsatisfied with the treatment and your tooth still hurts after the root canal treatment, contact your dentist.
You may be advised to have re-treatment.
Well in our dental clinic we have the best professionals and trusted experts to take care of your dental problems so the chances of errors and complications are minimum and near to none.

Facts Related To Root Canal Treatement

There are certain facts about a root canal treatment that you need to know before getting the treatment done.
1. Root canal treatment is not painful. In modern dentistry, root canal treatments have become painless. In fact, this procedure is generally done to relieve your pain.
2. Root canal treatment is not needed only if there is pain. When your pulp is dead, you won’t feel any pain but you are in need of the treatment to remove this dead pulp.
3. Root canal treatment doesn’t often require multiple appointments, they can be completed in a single visit.
4. The treated tooth should always be covered with a crown after the treatment in order to prevent it from reinfection and dislodgement of restoration.
5. The success rate of root canal treatment is nearly 95%.

Root Canal Treatment During Root Canal Treatment

Dental treatments during pregnancy should be done just to prevent the spread of infection.
If any dental work needs to be done in pregnancy, it should ideally be done within the second trimester.
It is best to avoid any sort of dental treatment during pregnancy unless an emergency, in order to protect the developing baby from any risk, even if minimal.
Can you get a root canal treatment during pregnancy? Is it safe?
It is a misconception that you cannot go for a dental X-ray when you’re expecting.
It is safe to get a dental X-ray while you’re pregnant because the radiations are limited to your mouth.
Make sure your dentist is aware of your pregnancy so they make take extra precautions.
Heavy anesthesia during pregnancy is dangerous. If your dentist knows you are expecting, he/she may use little anesthesia to make you comfortable.
Root canal infections can extremely be painful at times and counted as a dental emergency. It’s better not to delay this and have it as soon as you can.
Don’t worry it is safe if your dentist is aware of the situation and take extra precautions.

How To Heal After Your Root Canal Treatment

When you’re planning to have a root can treatment, the first thing you should consider is always looking for a dentist who has experience performing such procedures.
Your dentist may ask you to have X-rays and keep you on a follow-up.
You’ve to follow all the aftercare instructions properly to promote proper healing.
Keep in touch with your dentist if you’re experiencing any issues after the treatment.
A follow-up may help detect possible problems and treat them on time.
It is important to take care of the repaired tooth to avoid any further damage.
• Brush twice a day using fluoride toothpaste.
• Floss every day between your teeth.
• Avoid smoking
• Rinse your mouth with an antibacterial mouthwash after every meal.

What Are The Alternatives To Root Canal Treatement

Sometimes, there are certain conditions when your tooth cannot be saved and root canal treatment is not possible.
This usually happens when your tooth is severely damaged or you’re suffering from a gum disease which prevents your tooth from healing after treatment. In such conditions, your dentist will recommend you to have the tooth removed (extraction).
The leftover space can later be covered with a Removable Partial Denture or an Implant.

Frequently Asked Questions

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What is a root canal?

A root canal is a dental procedure that is used to prevent the loss of a tooth and relieve pain. When the pulp gets infected, a root canal is necessary in order to prevent its spread to the bone.
Your tooth’s root canals are cleaned and the infected pulp is removed.
The tooth is later sealed to prevent bacteria to reinfect.

Is Root Canal Treatment painful?

It’s just a misconception that root canal treatment is painful. Modern dentistry had made this procedure painless. Local anesthetic makes your tooth and jaw numb therefore when your infected pulp is removed, you don’t feel the pain sensation.
But once ten local anesthesia wears off, you may feel discomfort which can be managed by over-the-counter painkillers such as Paracetamol and Ibuprofen.

If I'm not having a tooth ache is it necessary that I need a root canal?

Root canal treatment is not necessary only if you have pain. Sometimes you don’t experience any sort of discomfort because the tooth of your pulp is dead. A root canal is done in order to disinfect your tooth’s root canal and prevent the spread of infection. Just because your tooth stopped hurting does not mean it is no longer infected.

If I don't go for a root canal treatment, what other options do I have?

Sharp throbbing pain in your tooth is a dental emergency that needs to be treated as soon as possible. If you delay the treatment, it can turn into an abscess, spreading the infection to the underlying bone. You don’t have any other option at this moment and you need to get your tooth extracted.
The leftover space can be covered with a bridge or an implant.

Is the procedure expensive?

Saving your tooth through a root canal treatment is less expensive than other alternatives. When you get your tooth extracted, the left over space is filled by a bridge or an implant which is generally more expensive.

Will I loose my tooth?

This depends on the severity of your problem. If the damage or the infection is severe and cannot be treated with the root canal procedure, your dentist may suggest you get it extracted. But if the infection hasn’t spread to the bone and it is possible to remove the pulp, you’ll be advised to go for a root canal treatment to save your tooth.

What should I expect after a root canal?

After you’re done with the procedure, you may experience some sort of discomfort and tenderness that subsides with time.
The dentist will prescribe you over the counter painkillers and antibiotics to ensure proper healing. Follow the aftercare instructions properly so that your tooth heals on time. If you still experience any pain and tenderness that worsens with time, contact your dentist.

Root canal treatment causes illness?

There is no such evidence that a root canal treatment may cause any illness after the procedure.

How long will my Root canal treated teeth last?

In most cases, root canal treated teeth may last forever and won’t cause you problems in the future.
But in a few instances such as if you don’t take care of the treated tooth and don’t maintain your oral hygiene properly your tooth may be affected with secondary caries. This will eventually lead to loss of tooth or tooth extraction.

How will Root Canal Treatment help me?

Root canal treatment saves your tooth before the infection spreads to the bone. It’s always better to preserve the tooth rather than losing it. Alternatives such as implants and bridges are costly as compared to a root canal treatment.

How long will the procedure of root canal treatment take?

The amount of time it takes to do your root canal varies depending on the number of roots that need to be cleaned.
Most teeth have one root canal, while others have between two and four. For a single canal, the procedure usually lasts less than an hour. The more canals your tooth has a longer amount of time it will take and in some cases, you will require more than one visit.

When do you need a root canal treatment?

If you experience any of the below-listed symptoms, most probably you are in need of a root canal treatment. Visit your dentist if you have any of the following symptoms:
1. Severe and persistent toothache
2. Pressure on your tooth while biting or chewing hard objects.
3. Sensitivity to hot or cold foods.
4. Blisters around the gums of your suspected tooth.
5. Darkening of your gums.
6. The toothache radiates to your jaw and neck.

Is it safe to have root canal treatment during pregnancy?

All dental treatments should be avoided during pregnancy unless it’s a dental emergency. The second trimester is usually ideal for all dental procedures if you want to get them done without risking the baby’s health. Root canal treatment can be extremely painful at times. It can lead to serious damage to the underlying bone, so it’s better not to delay the treatment. Make sure the dentist is aware of your pregnancy and you are safe to go under root canal treatment. You’ll be administered with a minimal amount of anesthesia in order to avoid any risk for a pregnant mother and her development.

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