Dental surgery in Thailand
Dental health and root canal treatment
A root canal is the space within the root of a tooth. It is part of a naturally occurring space within a tooth
that consists of the pulp chamber. "Root canal" is the term used to describe the natural cavity within the
center of the tooth. The pulp or pulp chamber is the soft area within the root canal. The tooth's nerve lies
within the root canal.The dental pulp is the tissue which forms the dentin portion of the tooth. When the tiny
canals are infected by bacteria the pulp present inside the tooth is infected and the tooth pains.The
procedure of removal of this diseased pulp is known as root canal as the procedure undergoes a treatment
till the root canal of the tooth.
What is the Procedure of Tooth Canal?
A root canal requires one or more office visits depending on the situation and can be performed by a dentist or endodontist (An endodontist is a dentist who specializes in human dental pulp or the nerve of the tooth).
STEP 1 : X-ray to see the shape of the root canals and determine if there are any signs of infection in a surrounding bone.
STEP 2 : Your dentist or endodontist will then use local anesthesia to numb the area near the tooth. Anesthesia may not be necessary, since the nerve is dead, but to make the patient more relaxed and at ease most dentists still anesthetize the area.
STEP 3 : Your dentist will place a rubber dam (a sheet of rubber) around the tooth, to keep the area dry and free of saliva during treatment.
STEP 4 : An access hole will then be drilled into the tooth. The pulp along with bacteria, the decayed nerve tissue and related debris is removed from the tooth.
STEP 5 : Next the tooth is cleaned using root canal files. A series of these files of increasing diameter are each subsequently placed into the access hole and worked down the full length of the tooth to scrape and scrub the sides of the root canals. Water or sodium hypochlorite is used periodically to flush away the debris.
STEP 6 : Once the tooth is cleaned, it is sealed. Some dentists like to wait a week before sealing the tooth. Others may choose to seal the tooth the same day it is cleaned out. If the root canal is not completed on the same day, a temporary filling is placed in the exterior hole in the tooth to keep it uncontaminated between appointments.
STEP 7 : To fill the interior of the tooth, a sealer paste and a rubber compound called gutta percha is placed into the tooth's root canal. To fill the exterior access hole created at the beginning of treatment, a filling is placed.
STEP 8 : This step may involve further restoration of the tooth. Because a tooth that needs a root canal often is one that has a large filling or extensive decay or other weakness, a crown, crown and post or other restoration often needs to be placed on the tooth to protect it, prevent it from breaking and restore it to full function.
Is the Procedure Painful?
Root canal is a painful procedure as it has been reputed. But, most people report this procedure as no more painful than having a filling done.
What is the longivity of a Restored Tooth?
With proper care the restored tooth/teeth can last a lifetime, but tooth decay can still occur in the treated teeth so to prevent further problems good oral hygiene and regular dental exams are necessary.
But root-treated teeth can become brittle and are more prone to fracture as there is no longer a pulp keeping the tooth alive. This issue should be considered while deciding whether to crown or fill a tooth after root canal treatment.
Compare the new X-rays with those taken prior to treatment to see whether bone continues to be lost or is being regenerated. This determine the success or failure of root canal treatment.
What is the Recovery Period for tooth having Root Canal Treatment?
For the first few days after the treatment the tooth may feel sensitive due to natural tissue inflammation especially in those cases where their was pain or infection in the tooth.This sensitivity or discomfort usually can be controlled by some pain killer medicine. Mostly patients return to their normal activities the very next day.
As precausion you can minimize or avoid chewing on the tooth under repair until the permanent filling is in place and or it is crowned. This may prevent a fragile tooth from breaking before the tooth can be fully restored and can help avoid recontamination of the interior of the tooth. Brush and floss as you regularly do to maintain a sound oral health and visit your dentist at normally scheduled intervals.
How Successful is Root Canal Treatment?
Root canal treatment is reported as a highly successful treatment and has more than a 95% success rate. Mostly teeth fixed with a root canal can last a lifelong.
What can be the Complications of a Root Canal
New infections might emerge in the throughly cleaned and sealed tooth. The reasons for this may be...
How much will a Root Canal cost?
There are many factors that affect the cost of root canal treatment. It mostly depends on which tooth is involved and where you live. Generally, it is directly related to the chair time necessary to perform the treatment as well as to the costs of the staff, training, and technology that the dentist has available when performing the procedure. There are many factors that influence the amount of chair time...
What are the alternatives to a Root Canal Treatment?
If possible saving your natural teeth is the very best choice and the best option. With your natural teeth you can eat a wide range of foods which is necessary to maintain proper nutrition. The root canal procedure is the treatment which you choose.
Having the tooth extracted and replaced with a bridge, implant, or removable partial denture to restore chewing function and preventing the shifting of your adjacent teeth are some alternative to a root canal procedure. Compared to a a root canal procedure these alternatives are more expensive. They also require more treatment time and additional procedures are required for the adjacent teeth and supporting tissues.
How to Prevent Root Canal ?
Following good oral hygiene practices by brushing twice a day, flossing at least once a day, and scheduling regular dental visits may reduce the need for a root canal procedure. A sports-related injury which can cause a trauma can be reduced by wearing a mouth guard.