Root canal Treatment is also referred to as an endodontic treatment. It is usually performed by an Endodontist or a root canal specialist. Root canal involves removal of decayed, infected part of tooth and filling it with permanent cement followed by placement of suitable prosthesis.
Root Canal treatment is indicated in tooth infected secondary to caries or trauma and this is best diagnosed on patient history. Symptoms, clinical examination, pulp testing tests and dental x-rays.
In root canal treatment the endodontist removes the infected pulp and fills it up with an artificial filling material. The procedure usually starts with a local anaesthesis injection followed by rubber dam isolation. Then your dentist will drill your teeth to gain access to your root canals, followed by filing of the root canals to remove the infected part (also referred to as biomechanical preparation).
Suitable irrigation with saline. Betadine, sodium hypochlorite or chlorhexidine is done to resolve the infection and aid in biomechanical preparation. Following biomechanical preparation the root canals are usually filled with gutta purcha and the crown portion is filled with a suitable post obturative filling material. Thus the permanent filling is done.
A suitable prosthesis is usually recommended on root canal treated tooth so that the tooth is b enough to sustain the masticatory forces.
Root canal is usually carried out under a suitable antibiotic coverage and patient is also advised pain killers / anti inflammatory drugs post treatment. There may be slight discomfort, swelling and pain for 3 days post root canal. Precautions taken during treatment are with respect to diet and oral hygiene. Patient needs to avoid eating anything hard & sticky. Patient should avoid chewing from that tooth till prosthesis is placed. Also needs to use proper oral hygiene aids for maintenance.
A properly restored tooth following root canal therapy yields long-term success rates near 97%. However there are often complications associated with root canal like instrument breakages, hypochlorite accident, improper root fillings, tooth discoloration etc. So root canal needs to be done by utmost care by an experienced endodontist or a root canal specialist.
Now a days with recent advances in endodontic material and equipments these complications are minimized to a large extent. Endodontist usually use microscopes. laser, loops, rubber dam isolation, rotary endodontic system, apex locator, digital x-rays and Nitti files to name a few recent advanced endodontic materials.
RCT (also called endodontics) is needed when the blood or nerve supply of the tooth (known as the pulp) is infected through decay or injury. You may not feel any pain in the early stages of the infection. In some cases, your tooth could darken in colour, which may mean that the nerve of the tooth has died (or is dying). This would need RCT.Q2: Why is Root canal treatment needed?
If the pulp becomes infected, the infection may spread through the RCT system of the tooth. This may eventually lead to an abscess (gum boil). An abscess is an inflamed area in which pus collects and can cause swelling of the tissues around the tooth. The symptoms of an abscess can range from a dull ache to severe pain and the tooth may be tender when you bite. If Root canal treatment is not carried out, the infection will spread and the tooth may need to be taken out.Q3: Will Root canal cause Discomfort ?
During the Root canal the tooth is anesthetized (numbed). There should be no feeling at all.Q4: Should Antibiotics be taken before an Root canal ?
It is important that you take your antibiotics to help rid the area of infection.Q5: Does Root canal treatment hurt?
No because it is done under local anaesthesia. There may be some tenderness afterwards but this should gradually get less over time.Q6: Do Root Canals Always Work?
No. A Root canal is not always successful, but it is a therapy with a high rate of success. Sometimes the infection never clears up and the tooth has to be either: a) retreated, b) have an apicoectomy and retrofill (lay the gum tissue back, curette out the infection, and smooth off the end of the Root), or c) extract the tooth. Because the success or failure of a Root canal can result from causes that are not under our control (such as tooth anatomy, breakage of endontic files in the Root, or a low patient immune system), we have the following policy: If your Root canal fails within one year of treatment we will follow up with an equal cost amount of treatment to restore the area. However, if your Root canal fails after one year it is our policy to perform the necessary treatment at our normal fees.Q7: What does it involve?
The aim of the this Service is to remove all infection from the RCT. The teeth is then cleaned and filled to prevent any further infection.
RCT in Pune is a skilled and time-consuming procedure. Most courses of Services will involve two or more visits to your Good dentist.
At the first appointment, the infected pulp is removed, and any abscesses can be drained. The RCT is then cleaned and shaped ready for the filling. A temporary filling is put in and the tooth is left to settle.
The tooth is checked at a later visit and when all the infection has cleared, the tooth is permanently filled.
In the past, a Root-filled tooth would often darken after Procedure. However, with modern techniques this does not usually happen. If there is any discolouration, there are several Services available to restore the natural appearance.Q9: What if it happens again?
RCT is usually very successful. However, if the infection comes back, the Service can sometimes be repeated.Q10: Will the tooth be safe after treatment?
Yes. However, as a dead tooth is more brittle, so for extra strength and support, cap is compulsory after the RCT.Q11: What if I don't do the RCT ?
The alternative is to have the tooth out. Once infected the pulp can't heal on itself, and it is not recommended to leave an infected tooth in the mouth.Q12: What are the complications that may arise after the RCT?
The tooth may be tender for few days after a RCT because the area around the tooth is inflamed. After the RCT, build-up and crown, the tooth should appear and feel like a natural tooth.Q13: What about aftercare?
Root-treated teeth should be treated just the same as any other tooth. Remember to clean your teeth for two minutes, twice a day. Cut down on sugary foods and drinks. See your dentist once in every 6 months for regular oral prophylaxis.
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