ROOT CANAL TREATMENT

Root canal treatment or RCT as it is commonly known as, is performed to repair and save a badly infected tooth instead of removing it. The term “root canal” is derived from the cleaning of the canal inside a tooth’s root and it is carried out by removing the damaged area of tooth (the pulp), cleaning and disinfecting before filling and sealing it.

With advancement in dental science, RCT has become very convenient and very little pain, if any. It is fact it is now less painful than living with a decayed tooth. Alternative treatment options include tooth extraction and replacement with either dental implant or fixing bridge or removable partial denture.

Signs of RCT

  • Decayed tooth
  • Painful tooth
  • Cracked or dead tooth
  • Trauma exposing the pulp
  • Tooth with a deep cavity

Performed by an endodontist, RCT usually takes one or two sittings. At times, additional sitting(s) may be required because some teeth prove to be challenging to treat. First a dental X-ray is done to check the exact damage. Local anaesthesia is administered to make the area numb and then a rubber like sheet called a dental dam is put inside the mouth to keep the tooth clean and free of saliva.

After removing the decayed particles, an opening is made throw the crown of the tooth to gain access to the pulp chamber. Afterwards, infected pulp is removed using small dental instruments. After removing the infected pulp, canals are given proper shape and enlarged for the filling material. Irrigation process may be used to clean and flush up the debris from canal.

If required, in some cases, medication is put into the pulp chamber and root canal to clear any infection. In case the infection has spread beyond tooth then a course of antibiotic may be administered. Temporary filling is placed in the crown to protect the tooth from further decay for the patients requiring multiple visits. Patients are advised to avoid biting or chewing until the tooth is fully treated and restored.

In order to help the canals free of infection afterwards and fill the dead space, the canals are filled with rubber material called gutta-percha cones. The top is sealed to prevent filling material to ooze out. The filling made up of gutta-percha remains until the permanent filing or crown or cap is fixed, which makes it look like a natural tooth.

Advantages of RCT

In majority of the cases of tooth decay, RCT remains the most conservative, cost effective and better option simply for the fact it allowing saving the natural tooth. Unlike other methods like dental implants, removable partial dentures or bridges, RCT Is carried to restore the natural tooth while getting rid of decayed, infected particles.

Subsequently, Root Canal Treatment also prevents the bone loss while maintaining the stability of the adjacent tooth. Now, with advancement in dental science, the procedure has become more or less painless and the infected pulp tissues are removed easily.

After RCT, the restored tooth with a new crown looks aesthetically pleasing. If good oral hygiene is followed, then the restored tooth may even last for a lifetime.

Root Canel Treatment By laser (Painlees & Bloodless)

Introducing Laser Assisted Root Canal!

We now offer Laser assisted root canal dental procedure which is most modern, more comfortable and effective than conventional procedures. It fasten the dental procedure, minimizes the risk of infection, reduces bleeding and swelling, and makes treatment very comfortable that, sometimes, no anaesthesia is needed.

Why choose Laser Root Canal Treatment?

  • 99.7% Reduction in bacterial counts in the root canal approaches sterilization
  • Bacteria counts 2.86 X lower than most effective conventional treatment
  • Reduces risk of re-infection
  • Effective on most resistant root canal bacteria - E. faecalis
  • Minimally invasive technique conserves tooth structure
  • Only 2-3 minutes for disinfection saves a lot of time over usual treatment
  • Endodontic India, painless root canal India, root canal Punjab India Introducing One Hour Root Canal!
  • We pride ourselves in offering state-of-the-art root canal treatment to our patients.

We recommend single visit root canal treatment to our patients. Imagine ending the pain in your mouth in just a fraction of the time!
Root canal therapy has traditionally consisted of multiple visits to the dentist. However, with recent advances in dental research and dental instruments, we are now able to perform thorough root canal therapy more professionally in a single visit.

lady with teeth pain

High-Tech Root Canal Therapy

Healthy Tooth The way root canal therapy is performed today is different than those done a few years ago by traditional way. In old days dentist used to do root canals in five to six appointments, or by "touch or feel" because we could not see. Root canals can be done without pain, faster, and more accurately due to the latest technology available.

High Tech Root Canal Therapy

Non-surgical RCT

Root Canal Treatment is a procedure which involves the removal of the nerve inside of the tooth because nerve damaged irreversibly or infected. This is usually due to the entry of bacteria into the nerve part of the tooth called the dental pulp. ROOT CANAL is a commonly used term for endodontic therapy is called root canal in normal language or root canal therapy. The procedure helps you to keep your natural tooth, which is preferable to any type of replacement. Following root canal therapy, you then came back to your dentist to have your tooth fully restored.

Non surgical RCT

Procedure of Root Canal Therapy

• Step one: After the tooth is "numbed", a Small opening is made into the pulp chamber. The canals in the tooth are then negotiated and measured using a diagnostic xray. These canas are then prepeared by using a sequential series of hand files or rotary files.

• Temporary Filling Step two: The canals are filled with a rubber-like material called gutta-percha and the access opening is sealed with a temporary filling.

• Crown Step three: The permanent filling is done and the tooth is restored back . Generally crown is placed in order to protect the tooth. If the tooth does not have sufficient tooth structure, a post and core build-up will be placed prior to the crown.

Procedure of Root Canal Therapy
Root Canal Therapy STEPS

Non-Surgical Root Canal Retreatment

Retreatment is necessary when bacteria have re-entered the tooth. This is usually due to secondary decay or untreated canal areas. The patient may feel occurrence of swelling or pain in chewing.

What Happens During Root Canal Retreatment?

• Step one:
After the tooth is "numbed", the canal will be reopened to remove the previous root canal filling material. It may involve removal of crown, post and core material. In some cases we are able to make a Small hole in the existing restoration and work through that opening. The canals are then thoroughly cleansed and shaped again along their whole length.

• Step two:
The canals are refilled with gutta-percha and the access opening is sealed with a temporary filling.

• Step three: The tooth is restored within a couple of weeks. If your existing crown can be saved, then you will need to have it repaired only. If you do not have a crown, it will probably be recommended. The bone will heal with in some time because all the bacterial removed from canal.

Non Surgical Root Canal Retreatment
Root Canal Retreatment STEPS

What is an Apicoectomy?

An Apicoectomy, or Root-End Resection, is the removal of the root end and the surrounding infected tissue of an abscessed tooth. This procedure may be necessary in cases where inflammation and infection persists in the area around the root tip after root canal therapy or root canal retreatment

• Step one:
After the tooth is "numbed", the Gum is reflected (lifted) to uncover the underlying bone and the Root end of the tooth. End of root is rejected (removed) with all the surrounding infected tissue.

• Step two:
A root-end filling material is placed to seal the end of the root canal, the gum is placed back in its original position and suturing is done.

• Step three: After a few months, the bone around the root-tip has healed, and all symptoms are gone.

Apicoectomy
Apicoectomy steps
Apicoectomy steps


Hemisection

It involves removal of one-half of a tooth. The other half will be restored as a one-rooted tooth.

Root Amputation

Root amputation is procedure where one root in a multi-rooted tooth is removed.
This procedure can become an option for treatment in cases of persistent endodontic failure in ONLY one root of multi-rooted tooth which must be kept, or if there is major bone loss around one root of multi-rooted due to periodontal (gum) disease.

Non-Vital Bleaching In Root Canal Treated Tooth

Internal, or non-vital, bleaching is used to lighten a darkly discoloured root canal treated tooth . A chemical having oxidizing properties is placed within the coronal section of a tooth to remove tooth discoloration. It may be performed in the dental office using a method known as "chair side bleach." Another method is known as "walking bleach". In this procedure, bleach crystals are positioned inside the tooth, left for several days and then call patient again to the dental office to have the bleach crystals removed. Again, this procedure may be performed once or repeated again, depending upon the discoloration of the tooth.

Hemisection
Non Vital Bleaching In Root Canal Treated Tooth

Root canal Frequently Asked Questions (FAQ)

Under the tooth enamel, there is pulp chamber. Root canals are very small, thin passageways that stem off from the pulp chamber through the root tip. Depending on the tooth number of root canal varies from 1 to 4.
At times, the pulp within the tooth turns out to be contaminated by disease or damaged by a traumatic injury to the tooth. An infected and untreated root canal can allow bacteria in the mouth to enter the bloodstream and cause infections in other parts of the body. In addition to staying off potentially damaging infections in other parts of your body, root canal treatment can usually save your damaged tooth.
The procedure involves removal of diseased or damaged pulp inside the tooth, the cleaning, disinfection and reshaping of the inner canals underneath the tooth then preparation of the tooth for permanent filling, and in most cases, an artificial crown made of porcelain or gold are used to protect the tooth. This treatment helps you to preserve your own natural tooth.
Repairing the root canal is the way to save the entire tooth. The other option is to pull the tooth completely. However, leaving that space empty may generate many problems, like making chewing and biting more difficult. Teeth may also shift their position if missing teeth are not there to grasp the space created after tooth removal.

What is the Dental Pulp?

Dental pulp is usually identified as the "nerve" of the tooth. It is a soft connective tissue that is extremely vascularised (tiny blood and lymph vessels), and innervated (nerve fibres).The dental pulp is the neurovascular bunch at the middle of all tooth. It is positioned within the dentin of the tooth in the pulp chamber. Its core purpose is formative, nutritive and sensory.

What is an Endodontist?

A dental proficient in the treatment of diseases and damage to the dental pulp, root and adjacent tissues of the teeth.

Why does one need root canal treatment ?

• Root canal treatment is needed when a filling is not sufficient to cure the tooth and the infection has reached the nerve area of the tooth. The most familiar cause of pulp death is a broken tooth or a deep-seated cavity, which can expose the pulp to the bacteria found in your saliva.

What is Gutta-Percha?

Gutta-percha is the purified coagulated exudates from a tree, commonly called the "mazer wood" tree, of the Malaysian archipelagos. The material is like to that of the rubber tree, which is then processed to get the dental compound.

How Does the Dental Pulp Become Damaged or Infected?

The reason is bacterial contamination. The time frame for this to occur can differ considerably.

Is the Root Canal Procedure Painful?

Usually not. With current skill and local anesthetics, the procedure is usually much faster and more painless than it has ever been.

How Much Time Will A Root Canal Take?

Root canals can be done in one, two or multiple appointments. Now days single sitting root canal treatment is more comfortable and faster.

What is an Abscess?

It is the collection of the pus in a closed space.

Is There Always Pain in Abscessed Tooth ?

No. Sometimes there is no pain in a tooth with an abscess and the problem is accidentally diagnosed when investigation for something else is going on. The recommended treatment is a root canal.

Dental Pulp
Gutta Percha

What Happens If an Infected Dental Pulp is not treated?

The infection will continue its growth, extending from the margins of the dental pulp and involving the surrounding tissues for example the root, the bone, the gums etc. A continuing infection could easily involve facial spaces and the patient would then start observing swelling of the face. Such situation can sometimes pose a threat to the life.

Is There Any Discolouration Of Tooth After Root Canal Treatment?

No, with all the new materials and modern equipment used during the procedure, your tooth should not discolour after the treatment. If the tooth that has had a root canal and it has discoloured, then consult your dentist. It may be that germs (bacteria) have penetrated beneath the old filling.

Tips to follow after Root Canal Procedure
    Avoid hard, crunchy foods after the treatment.
  • • Take your prescriptions as directed
  • • Check the intensity of your pain levels.
  • • Keep the area clean: Your tooth may be very tender, hence be sure to not put too much pressure on it through grinding or clenching your jaw. Try not to chew from that side till root canal is fully completed.
  • • Consider getting a crown for your tooth: The tooth in which you had your root canal will remain more integral if a crown is placed upon it. Root canal treatment is usually attempted in a tooth which is grossly damaged and decayed. Further, after the root canal treatment, the tooth becomes brittle like glass due to the lack of blood and nerve supply. The tooth can fracture anytime under heavy masticatory forces. Hence it is mandatory to put a crown after root canal treatment in most of the cases to increase the longevity of the tooth and preventing it from breakage.

Do I Need to Take Antibiotics Every Time a Root Canal is Done?

Not always, It is usually determined by the dentist depending on the patient and the tooth. The toothache even when it is linked with a minor localized infection or abscess will not automatically require an antibiotic. As a high number of cases will respond favourably to the dental treatment, antibiotics are not prescribed on a preventive basis.

Will I Feel Anything After Root Canal Treatment?

In most cases the quantity and quality of pain will settle dramatically within the first 24-48 hours. Any sensitivity to cold, hot or even breathing air "in" will be disappeared after the first visit. However, you will experience mild to moderate pain that will last for some time after treatment. This pain is usually relieved by taking over the counter medications such as aspirin, combiflame,ketorol. General complaint of patient is tenderness to touch, bite, tapping or chewing on the tooth. It is suggested to avoid doing from any of the above until your tooth is permanently restored. You should practically give yourself 2-4 weeks to fully recover.

My Tooth No Longer Hurts After Treatment. May I Start Chewing On It?

It is not suggested to start chewing on the tooth right away after the root canal treatment. Chewing should be avoided on it until the crown of the tooth is properly restored (repaired) by your dentist. The earlier you see your dentist, the earlier you will be able to re-start normal function on the tooth.

How Long Should I Wait to See My Dentist After the Root Canal Treatment is Performed?

Visit your dentist when your treated tooth feels comfortable (about 2-4 weeks).

Can I Wait Longer Than Recommended to Get the Crown of the Tooth Permanently Repaired?

If the remaining tooth structure is not appropriately and permanently covered and protected, your tooth could fracture. If the damage is very widespread, extraction should be considered.

Why one should opt for RCT instead of going for an extraction?

There is nothing like your own natural tooth. One should try to preserve one’s own tooth.

Success Rate Of Root Canal Treatment ?

Root canal treatment has a high degree of success if done properly by a trained professional. The success of root canal therapy is dependent upon the technical skill of the doctor, as well as the follow up of the patient, to have the tooth instantly restored.

Numbness Will Go After How Much Time After Root Canal Treatment?

The numbness will last for several hours after your treatment. It is best to avoid chewing solid food until the local anaesthesia has completely disappeared to prevent accidentally biting your lip, cheek, or tongue. One can have liquids after the treatment.

Will I be competent to go back to job After Root Canal Treatment?

Sure. The majority patients go back to work following root canal treatment. They may keep a light timetable and set up to have a rest for the duration of the days that go after treatment.

Why Do I Even now Feel My Tooth if I Had Root Canal Therapy? I Thought My Tooth was lifeless?

A tooth that has had a root canal is not "dead". It is still believed a "live" or essential part of your body. The tooth is desensitized but is fully functional.

Reasons For root canal treatments failure:
  • • Imperfect Clean-up and Sealing
    For root canal therapy to be successful, the canals have to be carefully cleaned and sealed. Sporadically, the first endodontic therapy was not able to eliminate enough irritants within your tooth that it fails to repair or pain persists.
  • • More frequently, the canals are so thin, cynical, or rounded that the small instruments employed to clean and form them cannot wholly bypass throughout.
  • • Canals are so minute they are very tricky to locate and went unnoticed or overlooked throughout the initial procedure.
  • • Fresh Decay, conked out Restoration, or seeping out restoration
    These can expose the root canal filling material to bacteria and other irritants in the saliva, resulting a new infection in your tooth and an abscess at the ending of the root.
  • • Breakage
    Trauma may have brought about the root to fracture.