Root canal treatment is used to repair and preserve teeth that are severely damaged or infected. During the treatment procedure, the nerve and cellulose are removed and then cleaned and closed. Without treatment, the tissues surrounding the tooth will be infected and an abscess may form.
“Root canal” is a term used to describe the natural cavity in the center of the tooth. Pulp or pulp cavity contains a soft area of cellulose within the root canal, and it is a nerve.
The nerve of the tooth is vital to the health and functioning of the teeth before the tooth has fully grown. Then its only function-touch-to provide a feeling of cold and heat. The presence or absence of nerves does not affect the daily functioning of the tooth.
Related: Reminder After Root Canal Treatment
Why does tooth pulp need to be removed?
When the nerve tissue or pulp of the tooth is damaged, it breaks down, and the bacteria begin to multiply in the tooth cavity. Bacteria and rot can lead to infection or tooth abscess. An abscess occurs when the infection spreads to all the roots of the tooth. In addition to the abscess, root canal infections can cause:
- Swelling that extends to the face, neck, and head;
- Bone loss around the root tip;
- Destruction of tissues in the direction from the root (through the gum and cheek).
What damages the nerves of the tooth and pulp in the first place?
The nerve of the tooth and the pulp may become inflamed and infected as a result of deep caries, repetitive dental procedures on the tooth or large cracks in the seal, or facial injury.
What are the symptoms of the need for root canal treatment?
Sometimes there are no symptoms, but there are signs that may indicate the need for root canal treatment:
- A severe toothache, pain with chewing or pressure on the tooth;
- Long-term sensitivity of cold and hot food;
- Discoloration (darkening) of the tooth;
- Swelling and soreness of the nearest gum area;
- Persistent or recurring pimples on the gums.
How is the root canal treated?
Treatment requires one or more visits to the dentist and can be performed by the dentist or endodontist. Endodontist-a dentist who specializes in the causes, diagnosis, prevention, and treatment of diseases and injuries of the pulp or nerve of the tooth. The choice of a specialist to whom you need to apply to some extent depends on the complexity of the root canal treatment procedure, which is necessary in your case and the level of comfort of the General practice dentist in working on the tooth.
The first step in the procedure will be an x-ray to see the shape of the root canals and determine if there are any signs of infection in the surrounding bone. Your dentist or endodontist will use local anesthesia to numb the area near the tooth. Anesthesia may not be necessary because the nerve is dead, but most dentists use it to make the patient feel more relaxed and at ease.
Then a hole will be drilled in the tooth to access the channels. The pulp along with bacteria, rotten nerve tissue, and associated rot will be removed from the tooth. The cleaning process is carried out using the root channel files.
A series of these files with increasing diameter will be placed in the root canal and clean it so that there is no rot or dead tissue. Periodically, the tooth is washed with water and sodium hydrochloride to get rid of the contents.
Once the tooth is thoroughly cleaned, the canals will be sealed. Some dentists like to wait a week until the tooth is filled. For example, if there is an infection, the doctor will put the medicine in the tooth and close it with a temporary seal to disinfect it. In other cases, when additional disinfection is not required, the tooth can be sealed on the same day.
If you have medicine and a temporary seal, but at the next reception in the root canals will be placed gutta-percha, and the tooth will be sealed with a permanent seal.
The final step might involve additional restoration of the tooth. Because a tooth that needs root canal treatment often has a large decay. Therefore, inlay or crown can be used to fully restore the functionality of the tooth. Your dentist will discuss with you the need for any additional dental work.
How painful is root canal treatment?
The root canal treatment procedure has a reputation for being painful, but in fact, patients report that the procedure is no more painful than normal tooth filling.
What to expect after root canal treatment?
In the first few days after the treatment, the tooth can be sensitive due to the natural inflammation of the tissues, especially if there is pain or infection before the procedure. This sensitivity and discomfort can be managed without prescription painkillers such as ibuprofen or naproxen. Most patients will come back to their activities next day.
It is recommended to minimize the chewing function of this tooth until the complete treatment procedure, i.e. if you have a temporary filling, is completed. This is necessary to avoid re-infection, as well as to warn against the destruction of a fragile tooth before tooth restoration is completely over. As for oral care, it is necessary to use a toothbrush and floss as regularly as before.
Read more: https://ownbuzz.com/tooth-pain-after-root-canal-treatment/
How successful is root canal treatment?
Root canal treatment is very successful, the procedure has more than 95% success. Many teeth with sealed channels can last a lifetime.
Complications in root canal treatment
Despite all the efforts of the dentist to clean and close the tooth, a new infection may occur after treatment. Among the likely reasons for this are:
- More root canals than a normal tooth (one of them remains untreated);
- Undetected cracks in the root of the tooth;
- Defective and improper restoration of the tooth, which will allow bacteria to penetrate the tooth and cause
- The destruction of the internal sealing material over time, allowing the bacteria to infect the inside of the tooth again.
Sometimes repeated treatment can be hasty, and in other cases, to save the tooth, it must undergo endodontic surgery. The most common procedure of endodontic surgery is retrograde resection. This procedure relieves inflammation or infection in the bone area around the root of the tooth, which continues after endodontic treatment. In this procedure, the gum tissue is opened, infected tissues are removed, and sometimes the end of the root is removed. Sealing material is used to seal the root canal.
The cost of root canal treatment
The cost varies depending on how serious the problem is. The approximate cost of root canal treatment (not including restoration after the procedure) performed by a General practitioner may vary from 45-110 for the incisor to 85-224 dollar for the molar. Of course, the cost may vary depending on the price policy of the clinic, i.e., you can find both more expensive and cheaper.
Alternatives to root canal treatment
Preserving natural teeth is the best option if possible. Your natural teeth will allow you to eat a variety of foods necessary for proper nutrition.
The only alternative to the root canal treatment procedure is tooth extraction and its replacement with a bridge, implant or removable partial prosthesis to restore chewing function and prevent the shift of adjacent teeth. This alternative is not only more expensive than the treatment of the canal but also requires more time and additional procedures for adjacent teeth and supporting tissues.
Prevention of root canal infection
Since the particular causes of inflammation of the cellulose and nerve of the tooth, as well as its infection, is a deep decay of the tooth, the best prevention is regular visits to the dentist and proper oral care. And you can reduce the risk of sports injuries by wearing a mouth guard.