Root Canal Treatment

The thought of a root canal may make you fearful or uneasy if you aren’t familiar with the procedure. There are common misconceptions that endodontic treatments such as root canals, cause pain and should be avoided at all costs. The exact opposite is true.

The longer you postpone treatment the more you risk the chance to save your tooth. Take the time to read the information below to find out what endodontists do to save teeth with minimal time and discomfort. Then you could address any remaining concerns or questions with your dentist or endodontist.

What is a Root Canal Treatment(RCT)/ Endodontic Treatment?

Root canal specialist in Whitefield

To understand endodontic treatment, it helps to know in brief about the anatomy of the tooth. Inside the tooth, under the white enamel and the brown layer called the dentin, is a soft tissue called the pulp. The pulp contains blood vessels, nerves and connective tissue and creates the surrounding hard tissues of the tooth during development.

Step-by-Step Endodontic/Root Canal Procedure

  • The endodontist makes an opening in the crown of the tooth. Very small instruments are used to clean the inflamed and infected pulp from the pulp chamber and root canals. The inside of the tooth is carefully cleaned and disinfected to shape the space for filling. Root canal specialist in AECS Layout
  • The root canals are then filled with a biocompatible material called gutta-percha. If the tooth lacks sufficient structure to hold the restoration in place, a fibreglass post may have to be placed inside the tooth. The access opening in the tooth is closed with a permanent filling of composite resin (core build-up). Root canal treatment in Whitefield
  • The tooth is then restored with a cap/crown for protection from chewing forces to avoid fracture and to continue to function like any other tooth.
    Root canal treatment in AECS layout
    The pulp is important during a tooth’s growth and development. However, once a tooth is fully mature it can survive without the pulp, because the tooth continues to be nourished by the tissues surrounding it. Hence, a root canal treated tooth can continue to function as a normal tooth.

FAQs about Root canal treatment:

What is the difference between a dentist and an endodontist?

While all endodontists are dentists, less than three percent of dentists are endodontists.

Endodontists complete an additional three years of training (MDS in Endodontics) after graduation (BDS) to be qualified to practice and also teach endodontics. Their additional training focuses on diagnosing tooth pain and performing root canal treatment and other procedures relating to the interior of the tooth.
Endodontists are specialists in saving teeth, committed to helping you maintain your natural smile for a lifetime. Their advanced training, specialized techniques, and superior technologies mean you get the highest quality care with the best result — saving your natural teeth!

When do I need a Root canal?

Root canal treatment is necessary when the pulp, becomes inflamed or infected. There are a whole host of reasons why you might need root canal treatment:

  • Deep decay
  • Repeated dental procedures on the tooth
  • Crack or chip in the tooth
  • Trauma/injury

What are the signs of needing endodontic treatment?

Signs to look for include pain, prolonged sensitivity to heat or cold, tenderness to touch and chewing, discoloration of the tooth, and tenderness in the lymph nodes as well as nearby bone and gum tissues. Sometimes, however, there are no symptoms.

Will I feel pain during or after the procedure?

Decades ago that may have been the case, but with modern technology and anaesthetics most patients are absolutely comfortable during the procedure.

Root canal treatment is virtually painless and patients who experience root canals are six times more likely to describe it as painless than patients who have a tooth extracted.

Will the tooth need any special care or additional treatment after endodontic treatment?

Mild discomfort is expected in the treated tooth for about 2 -3 days. The endodontist will prescribe medication which should be taken without fail.

You can brush normally over the root canal treated tooth.

You are instructed not to chew or bite on the treated tooth until you have had it restored by your dentist. Normally after a root canal, we wait for about 7-10 days to make sure the tooth is comfortable. After this period, a cap (crown) is put. Failure to put a cap can increase the chances of tooth fracture.

What is the success rate of root canal treatment?

Endodontic treatment has a high success rate of about 96% and many root canal-treated teeth last a lifetime.

How much does a root canal cost?

The cost varies depending on how complex the problem is and which tooth is affected. Molars are more difficult to treat; the fee is usually more.

Generally, endodontic treatment of the natural tooth is less expensive than the alternative of having the tooth extracted and replaced. An extracted tooth must be replaced with an implant or bridge to restore chewing function and prevent adjacent teeth from shifting. These procedures tend to cost more than endodontic treatment.

Should I not extract/remove the tooth instead?

Sometimes you may think, why not have a tooth pulled, especially if no one can see it. But you will know your tooth is missing and it will negatively impact your quality of life. Missing teeth can cause other teeth to shift, affect your ability to properly chew and ruin your smile. Replacing an extracted tooth with a bridge or implant requires additional dental visits and cost and may result in invasive procedures to neighbouring teeth.

Nothing looks, feels or functions like your natural tooth. Saving your natural teeth, if possible, is always the best option. Nothing artificial can replace the look or function of a natural tooth so it’s important to always consider root canal treatment as an option.

Root Canal Retreatment

Most endodontically treated teeth last as long as other natural teeth. In a few cases, a tooth that has undergone endodontic treatment does not heal or the pain continues. Occasionally, the tooth may become painful or diseased months or even years after successful treatment. Often when this occurs, redoing the endodontic procedure can save the tooth.

Surgical Endodontics/apicoectomy:

If for some reason, an infection persists at the root tip in spite of conventional root canal treatment, it may be necessary to clean out the infected root tip surgically to remove all the infection.

Steps in surgical endodontics:

  • The tooth and surrounding areas are anesthetized. A small opening is made near the tooth by reflecting the gum tissue away from the tooth.
  • The infected root tip is removed and a small filling is placed at the root tip to seal it. The opening in the gum is closed.
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