Root canal treatment
What Is Endodontic / what is Specialist Root Canal Treatment?
Endodontics is the speciality in dentistry that specializes in the root canal treatment, prevention, diagnosis, and treatment of diseases or injuries related to living tissue (dental pulp), present inside the tooth. It deals with the treatment of root canals of human teeth. The living tissue inside the tooth is the soft tissue that contains the nerves and blood vessels and this soft tissue is responsible for hot and cold sensitivity.
Root canal treatment is a completely safe way to save the carious tooth if done by an RCT specialist. Meet our Root Canal Treatment specialist, Dr Shilpi Gupta, a part of Basil Dental is a highly trained endodontist who specializes in root canal treatment, read more about her here. Read on further to know what is root canal treatment and the steps involved.
What Does RCT Involve?
Root canal treatment is completed in two or three sittings depending upon the diagnosis, the number of roots, and the severity of infection in the tooth. It can also be completed in 1 sitting (often called as single sitting RCT) if done by a root canal specialist.
Steps of Specialist Root Canal Treatment
Root Canal Treatment: Step-by-Step Process
1. Administer Local Anaesthesia: To numb the area and prevent pain.
2. Isolate the Tooth: A rubber dam is used to keep the tooth dry and prevent contamination.
3. Access the Root Canal: An opening is made through the tooth's top.
4. Remove Pulp Tissue: Special instruments called files are used.
5. Take Radiographs or Digital Images: Ensure accurate removal of tissue; apex locators may also be used.
6. Clean and Shape Canal: Prepare for filling or sealing.
7. Apply Medications if Needed: To prevent infection between visits.
8. Temporary Filling: If treatment spans multiple visits.
9. Seal Canal: Final step to prevent contamination.
10. Permanent Restoration: Complete the tooth restoration post-treatment.
Get your root canal done by an expert at Basil Dental Clinic, Gurgaon.
What to expect after treatment:
Mild discomfort can be expected in most cases which can be treated with an over-the-counter painkiller.
Does Premedication With Antibiotics required
Required only for the highest risk patients. The current recommendations of the American Heart Association (AHA, Dallas, TX) place increased emphasis on maintaining good oral Hygiene.
Systemic Antibiotics for Endodontic Infections
Most of endodontic infection do not require antibiotics.
Single-Visit versus Multiple-Visit Treatment
Vital cases are often suitable for single-visit treatment.
Teeth with non vital pulps and apical periodontitis are often more complex than vital case and require multiple sittings.
What Causes the Pulp to Die or Become Diseased?
Extensive caries or trauma results in the inflamed or injured dental pulp and causes irreversible damage to it, to the extent that it may eventually die. Due to the ingress of bacteria from a cavity or saliva, the bone supporting the tooth will also be destroyed and may result in pain and swelling. Without endodontic treatment, the tooth will have to be removed.
What Is the Success Rate of Root Canal Therapy?
Root canal therapy has a predictable prognosis if treatment is performed properly. As per the studies, root canal treatment is usually 90% to 95% successful. It also should be considered that the prognosis may vary depending on the specifics of each case. The importance of maintaining good oral hygiene and a sound restoration after root canal therapy can not be ignored without which treatment may not last long. The need for periodic follow-up must be addressed to assess the long term status of the tooth and peri radicular tissues.
What is the Need of a Crown or “Cap” After the Treatment?
The need for a dental crown depends upon several factors like the amount of sound tooth structure remaining after endodontic treatment, type of tooth and the amount of chewing force to which the tooth will be subjected. Loss of tooth structure significantly weakens the tooth and renders it more susceptible to fracture; as a result, it may be necessary to protect what is left with a restoration, such as a crown.
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