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Earlier, if you had a tooth with a diseased nerve, you'd probably lose that tooth. Today,
with a special dental procedure called Root canal therapy you may save that tooth.
Your teeth have a core of blood vessels and nerves at their center. This living tissue
is called the pulp and is in a space called the root canal. Endodontic therapy
(Root Canal Treatment) is a sequence of treatment for the pulp of a tooth whose end
result is the elimination of infection and protection of the decontaminated tooth from
future microbial invasion.
Root canal treatment is necessary:
- When a cavity is allowed, through neglect, to reach all the way to this pulp.
- Sometimes deep restorations or trauma to a tooth may cause the nerve to be damaged
to the point it needs root canal therapy.
Common Symptoms requiring an R.C.T. :
- Severe tooth pain, typically relived by cold water and increases with intake of
hot liquids.
- Pain worsens when you lie down and reduces when you sit up.
- Pain while chewing.
- Tooth pain referred to ears and head.
- Tooth sensitivity on consuming sweets.
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The Sequence of Treatment |
| First Evaluation and endodontic tooth preparation |
- We will examine your tooth thoroughly and take relevant x-ray of the tooth
to check the tooth shape and root canals infection site
- Local anesthesia is administered at the infected site, with modern techniques
the administration of local anesthesia is virtually painless
- Then an opening will be made in the tooth (the access opening) with the help
of a dental drill to remove the decayed and broken tooth fragments.
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| Clean root canal and pulp chamber |
- Then with the help of excavators we will take out the diseased part of the pulp
tissue from the pulp chamber. Next step will be to take out the pulp tissue from
the root canals --- this will be done with the help of endodontic instruments
called as files .
- Canals will be cleaned and disinfected periodically and shaped using progressively
larger endodontic files.
- An x-ray will be taken with the file in the tooth to determine the length of the root.
- In some cases, medications may be placed to prevent infection.
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| Root Filling |
- After the root canal space is cleaned and shaped we will fill the space with
a biocompatible rubber like material called "gutta-percha". The gutta-percha
is placed with an adhesive cement to ensure complete sealing of root canals. In most
cases temporary filling is used to close the opening. Temporary filling will be
replaced with permanent filling before final restoration
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| Finally R.C.T |
- Treated tooth is restored with a crown
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