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Keeping the Core Safe
Root canal treatment is the most frequently performed treatment in the oral cavity. This may be done very often by everyone but doing it efficiently needs very high technical ability.
Dr. Srishti’s keen interest in endodontic therapy makes this treatment very efficient at Coral Dental.
Root Canal Therapy helps us to save teeth that might earlier have gone for removal. Removing a natural tooth is not preferred in today’s scenario as we consider each tooth as precious as a diamond and we need to use this set for the rest of our life.
What is Root Canal Therapy?
Our tooth consists of two parts – The Crown of the tooth (visible above the gum line) and the Root of the tooth (below the gum line).
Along with this our tooth also has layers – the topmost being Enamel, the second layer is Dentin and below the dentin lies our Pulp or the Nerve Tissue of the tooth. The Pulp tissue extends from the crown of the tooth to the end of the root in a continuous single or multiple branched canal space called as the root canal space/s or root canal/s.
As a decay develops in the crown of the tooth, it pierces the enamel layer, dentin layer and finally reaches the nerve or the pulp. Decay is an irreversible process.
By nature, our enamel is dead tissue and the most important layer of the tooth. But Decay in enamel does not cause any sensitivity or pain and patients often do not report to the clinic. Although regular checkup might help us to detect early enamel caries/decay and solve the issue with a simple filling.
When the decay penetrates into the second layer i.e. Dentin, is when the patient feels sensitivity to cold and as the decay approximates the pulp or the nerve, there is sensitivity to hot or pain.
Symptoms of thermal sensitivity or presence of pain are all due to the involvement of pulp and need a root canal treatment to clean the canal space and help us to save the tooth.
How the procedure is done at Coral Dental?
When the patient first reports to us, we assess the case and level of inflammation in the nerve with an electric pulp tester.
The procedure is carried out under Local Anesthesia and Rubber Dam Isolation.
Rubber Dam isolation aids in preventing the contamination of canal space with saliva. Also, it covers everything in the oral cavity i.e. tongue, cheek etc and we can easily visualize the tooth that we want to work on. Any risk of injury is prevented and the properties of the filling materials are better when saliva contamination is prevented.
The decay of the tooth is removed using micro-sized burs (aids in removing only the decayed tooth and prevent removal of the sound tooth) and the canals are accessed. This space is so tiny that it is difficult to visualize it clearly with the naked eye. Use of magnification at Coral Dental helps us to carry out this process with utmost precision.
Each tooth holds a treasure inside, meaning its extremely unique in anatomy and we need to understand the anatomy of this space well. Failure to recognize all canals or missing any canal could lead to post-operative discomfort to the patient. Once canals are accessed, canal shaping and cleaning are done with a range of endodontic files and use of high-quality irrigation solutions. These irrigation solutions help us reach the bends and loops in the canals that we can’t access with instrument alone. The most important step of endodontic therapy if quality irrigation, which is often not given its due. At coral dental, we make sure we use heated irrigants and activate them inside the canal using our high-end equipment. This will aid in complete removal of any content inside canal space. Once the space is clean of all dead nerve tissue, pus and debris, we seal these canals with thermoplasticized Gutta-percha. This technique uses warm Gutta-Percha (root canal filling material) which adapts itself to the shape of the canal thereby providing the best seal.
Once endodontic therapy is complete, we seal the crown of the tooth with a Dual Cure Resin filling material. The tooth is now ready to receive a prosthesis in the form of crown, onlay or veneer.
Do I need a crown after RCT?
It depends on the remaining tooth structure on what prosthesis we would want to place on the tooth. Sometimes due to decay, the structure of the tooth becomes too weak to tolerate the forces of chewing. If the crown is not placed, chances of the tooth breaking while chewing are high.
Is RCT painful?
Unlike the age-old notion, RCT is no longer a painful treatment. In most circumstances the patient has no sensation in the anaesthetized region and the Root Canal Treatment can be accomplished without any pain. With the advent of newer technology, better anaesthetics the treatment has become extremely comfortable.
What happens if I don’t get RCT done?
If you neglect the advised treatment, the decay will progress and create a cyst in the bone below the tooth apex. This can cause severe compression of any nearby nerve, loss of bone and tooth. This may or may not be accompanied by pain
Do I Need an RCT?
If you have discomfort, pain, sensitivity, food lodgement near a particular tooth you might need a root canal treatment. Sometimes in the absence of symptoms of pain or sensitivity, the radiograph/X-ray might show changes in the bone below the tooth that would also need Root Canal Treatment.
How long does the tooth remain numb?
Once we numb the tooth, the anaesthetic might take 2-4 hours to wear off.
Can you eat after an RCT is performed?
During an RCT, the tooth becomes tender to vertical pressure, it may not hurt but it might be advised to use the other side while your tooth is being treated to prevent dislodgement of temporary filling.
How many sittings does an RCT take?
While newer techniques are now available, it is often possible to finish the RCT in a single sitting. Single-visit root canals are extremely comfortable and the patient can get a permanent filling on the same day itself. Sometimes complex anatomy or presence of periapical infection may need an additional appointment/time.
What if between appointments if filling comes out?
Nowadays, single sitting root canals avoid the step of placing temporary fillings between two appointments. although if it is placed and it comes out, you can report it in the next appointment. Avoid chewing from that side to prevent food from getting lodged in the canal and contaminating the canal space.
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