Root Canal Treatment

If you have spontaneous tooth pain (especially at night); soreness or pain when chewing; too much sensitivity to hot or cold; if your tooth have changed its colour then you may need root canal treatment. These signs may be the indication of bacteria reached into the pulp of the tooth and caused inflammation.

Root canal treatment is designed to eliminate bacteria from the infected root canal, prevent reinfection of the tooth. For this purpose the inflamed pulp is removed and the inside of the tooth is carefully cleaned and disinfected, then filled and sealed.

If you need root canal treatment but neglect seeking help, bacteria not only infest your tooth but also spread to the bone surrounding the root tips. Furthermore bacterial toxins can activate embryologic tissues in the bone, causing cyst formation.

 

Root canal treatment is the last resort to save your tooth.

If you do not benefit from this treatment option,

you may have to say goodbye to your tooth.


How many visits does a root canal take?

In our clinic, root canal treatment is usually completed in one-session!

The treatment stages involve:

Firstly, access to the root canals is achieved. Inflamed and infected soft tissues within the canal are removed. Root canals are shaped and decontaminated. The canals are cleaned with both chemical disinfectants and mechanical washings. The canals are then sealed by a core material (often natural rubber-based gutta perka) together with a flowable material. After the completion of the root canal treatment, permanent filling is done.

Depending on the spread of infection, a root canal treatment may take up to 3 visits. If the canals are not filled in the same visit, a dressing is placed for about 1 week and covered with temporary filling. In the second session (rarely the third), canal shaping and cleaning procedures are repeated before root filling permanently.

Teeth requiring root canal treatment have often excessive substance loss due to a large decay. Crown fabrication may be needed to protect the tooth from chewing forces.

 

 

Do I feel pain during root canal treatment?

Most patients who refer to dental emergency clinics are those who need root canal treatment. The treatment involves removal of painful nerves together with infected pulp tissues. So the treatment saves you from pain instead of giving you pain!

Pain is not expected during treatment. There may be a slight feeling of discomfort afterwards, but this condition goes away within a few days. If discomfort occurs, chewing is not recommended for several days on the side of the affected tooth.

 

Do the teeth change its colour after root canal treatment?

Sometimes during the root canal treatment, there is bleeding inside the pulp chamber. If the blood leaks into the small tubules within the dentin, the tooth may stain internally. In such cases, bleaching can whiten the discoloration.

 

How successful is the root canal treatment?

The success of the treatment is quite high. However, the following factors negatively affect success:

  • Improperly performed technique in cleaning, shaping and sealing the canals can provide bacteria a niche to multiply within the canal, causing inflammation.
  • The root canals are tunnel-like structures that may have a complex anatomy. Curved, clogged, convoluted roots may complicate the treatment.
  • Some individuals, who have relieved their pain in the first visit, may fail to show up for the next visit. In this case, reinfection of the teeth is inevitable.
  • Over time bacteria repopulate the canals through micro leaks in individuals who neglect their oral care after the treatment.

 

In the event of failure, root canal treatment can be repeated. The old canal filling is removed; the canal is shaped, cleaned and refilled.

Sometimes the most appropriate solution may be surgical intervention. For example, if there is a broken tool in the canal or a cyst has occurred at the root end, inflammation around the root is cleaned and the tip of the root is removed by a procedure called apical resection. If the surgical intervention fails, then unfortunately the extraction of the tooth may be necessary.

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Root Canal Treatment

Why do canal treatment prices vary?

The difficulty of root canal treatment depends on a several factors including:

 

  • Whether the tooth has single or multiple canals
  • Whether the infection inside the roots has reached the bone
  • Whether the tooth has been treated before
  • The patient's age (children as opposed to adults)

As treatment becomes difficult, the use of additional materials comes up, which is reflected in the treatment fee.