DR.Smilez

Root Canal Treatment

Root Canal Treatment

In cases where tooth decay progresses to involve the dental pulp and nerve of the tooth, it results in an infection at the tip of the tooth root causing pain and sometimes swelling or the tooth may feel loose. In such cases, in order to save the tooth, a root canal treatment must be done. Sometimes, there may no symptoms if the infection is present for a long time.

When is Root Canal Treatment advised?

  1. Toothache during chewing or during contact with any extreme hot or extreme cold which is usually tolerated
  2. Constant tooth pain during chewing
  3. Change in color/Darkening of the tooth
  4. Fracture of the tooth due to trauma
  5. Swelling seen in the areas of gums around the tooth

Laser-Assited Root Canal Treatment

The use of Lasers in dental treatment allows more precision and better outcomes. The use of Lasers in root canal treatment is limited and presents with advantages and disadvantages. The main issue is that Root canal spaces are rarely straight and more often are curved in at least two dimensions. Root canal instruments used to clean the space throughout its length can be curved to follow the curvatures in a tooth root. However, Laser probes can clean an area in a root canal space that is straight. The best use of Lasers is to remove the decayed part of the tooth and to disinfect the root spaces that are straight. Even with the use of Laser, conventional treatment techniques are required to complete the procedure. Currently, Lasers are only used as an adjunct to conventional root canal treatment techniques and not as its replacement.

What to expect during a Root Canal procedure

A diagnostic x-ray is required to confirm the decision of root canal and to plan the procedure. A local anesthetic is given to numb the tooth so that you do not feel anything during the procedure. The decay is completely removed and the infection at the root tip is removed through the crown of the tooth and a medicament is placed within the tooth. Once the infection is controlled, the root filling is completed. This completes the root canal procedure.

Is a crown necessary after Root Canal Treatment?

After a root canal treatment, a tooth will become brittle and will not be able to withstand the forces of biting and chewing. A crown acts as a protective covering of the tooth and prevents any breakdown of tooth structure. So it is mandatory to crown any tooth that has been treated by root canal.

Single Visit Root Canal Treatment – Conventionally, root canal treatment is a two visit procedure, but the advancements in the procedure and the materials have now allowed the procedure to be completed in a single visit. The main advantage of completing the procedure in a single visit is the prevention of re infection that can happen when the treatment is prolonged for a long time.

Indications –

  1. Front teeth that are fractured due to injury
  2. Teeth that are used for support for bridges and overdentures
  3. Tooth Sensitivity to heat and cold, but no pain on pressure
  4. Absence of swelling/pus discharge