You may have heard the procedure root canal and instantly struck with imagery of a dentist pulling out some poor patients teeth. However, that image is dated misnomer. Root canals are characterized as a painful procedure, However most people report that the procedure is no more painful than receiving a tooth filling.
A Root canal is a treatment, performed by an orthodontist, to repair and save a tooth that has badly decade and/or became infected.
The root canal procedure is done when the root never of the tooth becomes infected, or the pulp becomes damaged. In the root canal procedure, the nerve and pulp are both removed, and the inside of the tooth is cleaned and sealed.
Dental Pulp is the soft area within the middle of the tooth. The nerves of the tooth lie within the roots canals called the legs of the tooth. The root canals travel from the tip of the root into the pulp chamer that contains blood vessels and connective tissue that sustains the tooth.
However, after the tooth has emerged from the gums, the nerves are not vital to the health of tooth and its ability to function. The only function is sensory, by providing heat or cold sensation. The presence or absence of these never will not affect the ability of the teeth to work properly.
When nerve tissue and/or pulp is damaged, the pulp begins to break down and bacteria multiply within the pulp chamber. The bacteria and decayed debris c cause infections and lead to abscessed teeth. An abscess is a puss filled pocket that forms at the bottom of the tooth root. An abscess tooth care also results in several issues.
1. Swelling can spread to other areas of the body, such as the face, neck and head.
2. Bone Loss around the tip of the root.
3. Drainage issues can extend out the root. A tear can occur on the side of the tooth Drainage into the gums in through or cheeks into the skin.
How is the Tooth;s Nerve and Pulp Damaged
Deep decay can irritate, inflame and infect a tooth’s nerve and pulp. Repeated dental procedure on one tooth, a crack or chip in tooth, large filling or trauma to the face can trigger damage.
Signs That You may need a Root Canal Treatment
1. A severe toothache with pain due to pressure or chewing.
2; prolonged sensitivity (Pain) due to temperature changes (hot or cold) or pain after the temperature change is gone.
3.Discoloration, including darkening of the tooth
4. Swelling and tenderness of nearby gums
5. A Recurring pimples on the gums near a particular tooth.
There are cases when there are no symptoms.
The Root Canal Procedure
The root canal procedure typically requires one or more visits to the dentist or endodontist. The endodontist is a dentist who specializes in disease and injuries of the human dental pulp and nerves of the tooth. He or she will diagnose, help with prevention and development treatment for patients. Depending on the degree of difficulty for a root canal, a general dentist may be able to work on on the tooth or he/she refers the patient to an endodontist.
Normally, the first step in the procedure is to take an X-ray of the tooth to see the shape and condition of the root canals and determine if and where the infection is for the surrounding bone. The dentist or endodontist will then use a local anesthesia to numb the feeling around the tooth. IN some cases, anestheai may not be necessary because the nerve may be dead, but most dentist still gives anesthesia to make the patient more relaxed.
An access hole is then drilled into the tooth. The pulp, bacteria, decayed nerve tissue and debris is removed form the tooth. The tooth is then cleaned out using root canal files. A series of files of increasing diameter are subsequently placed in the access hole to scrape and scrub both sides of the root canals. Sodium hypochlorite water is used to flush intermittently away debris.
Once the tooth is completely cleaned the-the tooth will be sealed. Some dentist will wait a week before sealing the tooth if there is any infection; the dentist may place medication inside to clear it up. Other dentists may seal it the same day. If the treatment is not completely, a temporary filling is put in the exterior hole in the two to keep out contaminants until the procedure is completed on the next appointment
The interior of the tooth sealer paste and a rubber compound called gutta percha are placed into the tooth root canal.
The final step of restoring tooth may be further restoration, such as adding a crown or a crown and post to protect the tooth from breaking since extensive decay weakened it. Your dentist will discuss further work that needs to be done.
After Root Canal Therapy
After a root canal, you should have your pain relieved. If the procedure is not complete and there is no permanent filling placed on the tooth, along with a crown. It is best to minimize chewing on the tooth under treatment. This would avoid getting the tooth recontaminated as well as prevent the fragile tooth from breaking before full restoration.
Allow a few days following the completion of the procedure to heal, your tool may feel sensitive due to natural tissues inflammation, specifically, if there was pain or function before the procedure. You can usually get over the counter pain medication such as ibuprofen or naproxen to alleviate the discomfort. Most patients can function the next day.
For oral care, you should brush and floss regularly, and see your dentist in normally schedule appointments. The final step in the root canal is restoration with a crown or a filling, so it should not be obvious to others that a root canal was done.
Root canals have 95% success rate, many teeth that are fixed within a root canal procedure can last a lifetime.
Root Canal Complications
Even with 95% success rate the dentist efforts to clean and seal the tooth, may later be comprised with new infections.
1, More root canals than expected, causing one to be left uncleaned.
2. A crack in the root of a tooth that is not detected.
3. Defective or inadequate dental restoration, which allows bacteria to come through the restoration into the interior of the tooth to recontaminate the area.
4. The inner sealing material breaks down allowing bacteria to recontaminate the inner aspect of the tooth.
Retreatment may be successful. However, endodontic surgery may be needed to save a tooth. The most common procedure is an apicoectomy or root-end resection. The surgery relieves the inflation or infection in the bony area around the tooth. The gum tissue is opened and infected tissues are removed and sometimes the very end of the root is removed. A small filling may be placed to seal the root canal.
The cost of a Root Canal
The cost of a root canal depends on how severe the damage is and which tooth is affected. Many dental insurance policies will cover an endodontic procedure. The estimate for root canal treatments that include a restoration before by a dentist can be $350 to $550 for an incisor tooth and $560 to $900 for a molar. The fees charged by endodontist can be 50% more.
Alternatives to Root Canals
Saving your natural teeth is always the bets option. It makes it possible to eat a wide variety of foods that are essential to your nutrition. The only alternative to root canal has the tooth extract. The tooth would be replaced with an implant, bridge or removable partial dental, that will allow you to chew and function while preventing other teeth, adjacent, from shifting, These are not only more expensive but require more treatment and additional procedures to adjust the supporting tissue and adjacent teeth.
Since root canals remove the tooth infected, deeply decade, nerve and inflamed pulp, dental procedures on the tooth and large filling, followed by good oral hygiene, with flossing and brushing twice a day, with antiseptic mouthwash may reduce the need for a root canal procedure.