Root canal treatment is a dental procedure which helps in removing the entire internal parts, mainly pulp chamber of the tooth. It also involves the filling of the prepared empty cavity with a suitable bio-compatible material.
- The dentist diagnoses a patient and advices for the treatment if the root canal is decayed.
- The tooth area is isolated with the help of rubber dam kit, which is a rubber sheet fitted with the help of clamps or clips around the tooth which is going to be treated. This isolation helps in ease of operation for the dentist and prevents the entry of mixing of fluids from the motor and the saliva in the mouth.
- The dentist would then prepare a cavity by the help of an aerotor which is done with proper outline and depth into the root, but this does not eliminate all the contents of the pulp chamber. Then the root canal files are used to entirely clean the root. These root canal files increase in thickness when they enter the root and help in removal of the pulp of the tooth.
- After this is done, there are 2 ways of which one is chosen by the dentist – Either do everything else in a single seating or sealing the cavity with a soothing medicine with temporary filling material for a week until the next sitting is called for the completion of the procedure.
- The use of soothing medicine is that it prevents the spread of further infection, if there was any prior to the cavity preparation, or also prevention of occurrence of any new infection in that region.
- The final stage includes the filling of the canal with some plastic material which are bio- compatible, and after the canal is filled, a suitable and a esthetic regular cement filling is done over it, which can be accompanied with crown placement sometimes.
How many sittings are required?
- The position of tooth in the mouth, maxillary molars take more time than the mandibular ones
- Number of roots present in a tooth and number of root canals seen in the roots, as each of the canal is to be emptied and filled with the filling material.
- The length and thickness of root canals.
- Previous procedures- If the tooth has gone through some treatment earlier, like crown placement, then it takes more time for the entire procedure rather than the normal tooth with some small filling.
Some facts to remember
Root canals are done to protect a tooth, the calcified tissues of the tooth. This helps in maintaining the jaw integrity. If the entire tooth is extracted, the space in between the adjacent teeth can lead to shifting around of those teeth if a bridge or implant placement is not done rightly there. So, a root canal treatment is advised for the protection of the tooth during an infection.
The thickness of the calcified structure would be considered by the dentist as they are more brittle and can break down. So to maintain and restore a tooth structure, crown placement is usually done.
Any endodontic infection is accompanied with swelling due to inflammation of that region, which occurs after the necrosis or death of the oral tissue. This, if not taken care of, will spread to all the parts of the oral cavity and sometimes would lead to some medical complications in severe cases.
When root canal is done, it does not make the tooth entirely dead. Removal of the pulp contents do not make the tooth dead. The reason for this is that the tooth still gets adequate nourishment from the adjacent tissues and from the alveolar bone. So it is not regarded as a dead tooth, and it can be restored and maintains the integrity of the alveolar bone and dental arch when a crown is placed over it.
Who need this treatment?
- Patients with throbbing pain in their tooth, especially during night while sleeping
- Patients having sensation while having cold or hot drinks or food
- Patients with swelling in their jaw bone or around the gums.
In the first step of the procedure, the dentists will drill the infected area so as to access the infected pulp. Once they drill the area, the dentists will remove the infect pulp tissue and then continue drilling the root canal. After removing the pulp and drilling the root canal, the dentists will disinfect the canal with the help of saline water and medical compounds. Standard filling material is used by the dentists to seal the canals and to prevent future infections. After filling and sealing the canals, the tooth is covered with the help of crown to protect it from fractures
This treatment procedure demands several visits to clinic as it cannot be accomplished in a single clinic visit. To suppress the sensation of pain during drilling, the dentists apply local anesthesia prior to treatment. We at Sparkle Dental offer painless RCT at an affordable rate.