Root Canal Treatment
a step closer to a beautiful smile

Root Canal Treatment

Root canal treatment is made to save the tooth and avoid the spread of infection. The inflamed or infected pulp is taken off from the tooth and the root canal is then cleansed of the bacteria. Once the bacteria seems to be removed, the root canal and pulp are completed employing a rubber filling, prior to being sealed.

The Root Canal

The pulp includes a path that runs down throughout the interior of the tooth and into your gum and jawbone, this route is actually a root canal. For some individuals, a single tooth may have two or more root canal. The phrase root canal is slightly misleading as it indicates that the pulp and the root canal of the tooth are empty. However, the pulp and the root canal consists of soft tissue that contains nerves and blood vessels.

If the pulp becomes infected by bacteria it will set out to die, which could boost the risk for loss of the tooth. Also there is a risk that the infection could spread down to the root canal, which may lead to the growth of a painful dental abscess (a pus-filled swelling). The infection can spread to gums (causing a perio-endo lesion) or the tissue and bones that support your teeth (periodontitis).

The framework of the tooth

  • A tooth is comprised of three parts:
    • The enamel, which is hard outer coating of a tooth,
    • The dentine, a softer, bone-like material that supports the enamel, and
    • The pulp, which is actually made of soft tissue (containing nerves and blood tissues) in the middle of the tooth.

Is root canal treatment painful?

Root canal treatment is commonly classified as being an aching process. The fact is, from the hands of a proper trained dentist, root canal treatment is relatively painless, and it should not be a unpleasant than having a filling done. Root Canal Treatments conducted at Teeth and more are in-line with best practice techniques using Protaper files, electronic apex locators and Sodium hypochlorite.

Root canal treatment is amongst the most challenging treatment for a dentist to perform. There are many challenges and possible reasons for problems when carrying out a root canal treatment, an close precision in measurements, suitable instrumentation and dampness (bacteria) control is extremely important to ensure a good result.
Root canal treatment can be very complicated and is a lengthy procedure, and in some difficult cases it is advisable to consult a specialist endodontist right away. The reason is , the first root canal treatment has the highest success rate, and if it is not done to a high recognized standard, there is a risk of its failure. In such a circumstance, there is a necessity for a re-root canal treatment. Unfortunately, the success of re-root canal treatments are far lower, hence it is essential to get it done correctly the first time.

At Teeth & More, Dr Singh who has several years of experience and has completed post graduate education solely in endodontics is available for more intricate root canal treatments.

Procedure

At At Teeth & More, we ensure that the chance of failure is minimised with the use of best practiced techniques and high tech equipment to discover the ends of the roots, ensuring the filling reaches the entire length of the root canal. We have also put in specially designed fibre optic lights that the dental professional could use with their magnifying surgical loupes, for a much clearer and magnified vision of the extremely small root canal openings.

We then isolate the tooth usually with a rubber dam to ensure that the field is kept as sterile as possible and new bacteria contamination of the tooth by saliva is avoided. Maintaining a moisture-free, sterile environment when performing a root canal treatment is important as this prevents any bacteria in the mouth from entering the canals.

We anaesthetize the tooth fully to assure the procedure is performed comfortably.

Then we isolate the tooth usually with a rubber dam to ensure that the sector is kept as sterile as it can be and new bacteria contamination of the tooth by saliva is avoided. Maintaining a moisture free, sterile environment when conducting a root canal treatment is significant as this puts a stop to any bacteria in the mouth from entering the canals.

We use advanced flexible titanium Protaper files to be certain that the canals are shaped efficiently. We only use our files once, so as to minimise the possibility of fracture and minimize the chance of cross infection. We use modern day electronic apex locators to ascertain the length of canals accurately and to lessen the number of radiographs and so radiographic dosage. We thoroughly clean the canals with powerful disinfectants similar to sodium hypochlorite occasionally iodine to get rid of any remaining bacteria in the canals.

Additionally we use highly rated, costly and modern equipment when placing the filling material, sometimes - the hot shot and hot tip from smart endodontics.

The HotShot is a cordless backfill obturation device that fills the canals. The thin and flexible needles provide comfortable access to even very thin canals, ensuring fuller obturation lowering the risk of re-infection.

The HotTip is a cordless warm vertical compaction device, and is supplied in a variety of sizesto hold different sized canals.

Utilisation of this equipment reduces chair time for the patient and allows the dentist to carry the treatment effortlessly and easily. You may experience some post-operative pain which often settles down with pain medication.

ProcedurePoints to consider when you are thinking about RCT

  • The use of low dose digital radiographs for diagnosis and post operative evaluation
  • The use of isolation techniques including rubber dam for a more sterile working environment increasing success rates
  • The use of Electronic Apex locators, for better measurement accuracy of the canal length
  • The use of local anaesthesia for full painless treatment
  • Full costs explained, without any nasty hidden extra charges
  • The use of modern Protaper files to ensure that the canals are shaped efficiently
  • Will files be thrown away or kept solely for you to avoid risk of cross infection
  • Use of powerful disinfectants to improve success results
  • Can warm obturation equipment be used to maximally fill canals where necessary
  • The use of low dose digital radiographs for diagnosis and post operative evaluation
  • The use of isolation techniques including rubber dam for a more sterile working environment increasing success rates

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