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Root Canal Treatment

root-canal-before-after

Root  Canal Treatment

Root  Canal Treatment  (endodontics)  is  needed when  the  blood  or  nerve  supply  of  the  tooth  (pulp) is damaged due to decay or injury. It is most  often needed in teeth which have deep fillings, or in teeth which have deep dental decay.
Why is root canal treatment needed?
If the pulp becomes infected or inflamed, infection may spread through the root canal system of the tooth eventually leading to an abscess.
If Root Canal Treatment (RCT) is not performed, the infection will spread and the tooth may need to be extracted.
What does root canal treatment involve?
The infected pulp is removed and any infection is drained. The root canals are then cleaned, disinfected and shaped until ready for the permanent root filling. Once the dentist is confident that the infection is gone, the root filling (a rubber material) is compressed into the canals to permanently seal them. A normal filling is then needed on top of the root filling to restore and seal the tooth. Sometimes the
treatment will involve two or more long appointments.
Does it hurt?
A local Anaesthetic is used and the whole procedure should feel little different to that of having a normal filling although the appointment will usually be longer. There will usually be some pain or discomfort for 3-4 days following the treatment. The tooth may feel slightly tender and “different” for a few weeks following treatment.
What if I don’t have the treatment?
The alternative to RCT is the extraction of the tooth. Once the pulp is damaged, it cannot heal without treatment and it is not recommended to leave an infected tooth in the mouth.
What will my tooth look like after treatment?
Sometimes a root treated tooth will darken after treatment. If any discolouration does take place, there are various cosmetic treatments available to restore the natural appearance of the tooth.
What if the infection comes back?
Root  canal  treatment  is  usually  successful  in  about  80%  of  cases, although this depends largely on the difficulty of the individual tooth. If there should be a recurrence of infection the treatment can usually be repeated. If a tooth has a particularly difficult shape, or a complication, it is possible to refer to a specialist who can use advanced techniques and  instruments  to  treat  your  tooth.  Sometimes  extraction  of  the tooth is the only option if treatment fails.
Can the treatment be done at Studental?

root_canal_therapy

RCT  is  routinely  offered  in  our  practice  for  most  teeth  and  is available on the National Health Service. However some teeth are more complicated to treat and require specialist attention to give a reasonable chance of success; in these cases referral to a specialist will be recommended. Specialist referral may be needed where the tooth roots are excessively curved or slender and for teeth that remain
infected despite having previously been root treated.
Sometimes  the  tooth  may  be  in  a  condition  where  RCT  is  not worthwhile;  for  instance  teeth  that  have  no  useful  function,  teeth badly  affected  by  gum  disease  and  teeth  that  cannot  be  reliably restored after RCT. If your oral condition is very poor and you have uncontrolled decay or periodontal problems, you will need to control these problems before embarking on root-treatment.
Are there any risks?
There  is  a  moderate  risk  of  pain  and  swelling  immediately , following treatment and for a few days afterwards. This is normally relieved by over-the-counter painkillers but can occasionally be more severe.
Sometimes there can be a spreading infection from the tooth, which may need antibiotics.
Root-canal instruments are very fragile- there is a possibility that one may break inside the tooth.
The root filling may sometimes extend beyond the tip of the root, or may not completely fill the root to the tip.
The  tooth  may  be “perforated”  (this  is  when  a  hole  is  made through the side of the tooth when searching for small canals)
Any  of  these  complications  may  compromise  the  prognosis  for the  tooth  and  delay  or  prevent  healing.  In  some  cases  a  serious complication may necessitate extraction of the tooth or referral to a specialist.
Will the tooth be safe after treatment?
Root  filled  teeth  are  weaker  and  more  brittle  than  live  teeth.  For this reason it is often advisable to restore the root-filled tooth with a  crown  or  onlay  to  reinforce  the  tooth. We  normally  wait  a  few months after treatment so that we can be sure that the root canal treatment is OK prior to assessing whether crowning is advisable .

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One comment

  1. I must say root canal treatment is good because it restores the teeth for an lifetime with the proper care, but regular dental exams are necessary to prevent further dental problems. The failure and success of root canal is totally depend on the method which they using.

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