Root Canal Treatment

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What is RCT or Root Canal Treatment?

Whenever we think of a dentist, one of the first things that comes to mind is ‘toothache’ and ‘root canal’. Infact, a large majority of the people fear root canal treatment as they believe it is a painful procedure.

Root canal treatment process

But, how many of us really know and understand what a root canal is how and why a root canal treatment is performed?

Did you know that our tooth is made up of 3 layers?

  • Outer enamel.
  • Middle dentine.
  • Inner pulp.

It is this pulp layer that keeps our tooth alive as it contains blood vessels and nerves.

When tooth decay begins, it slowly eats away the enamel, dentine and if left untreated, then reaches the pulp.

The treatment for tooth decay depends upon the extent of its spread:

  • When the decay is limited to the enamel and dentine layers, it can be treated by a filling.
  • However, when the decay reaches the pulp layer, it needs root canal treatment. The decay reaching the pulp is one of the main reasons for tooth pain and pulp infection.

Root Canal Treatment is a multi-step procedure that involves:

  • Removal of the infected and inflamed pulp
  • Cleaning the root canals and disinfecting them
  • Filling the canals with an inert material and sealing them
  • A post root canal crown or cap

When Do You Need a Root Canal Treatment?

Now that we know why a root canal procedure is done, the next question that comes to mind is when do you need one?
Are there any signs and symptoms that indicate one may require a root canal treatment?
when-do-you-need-root-canal-treatment
Yes, there are some common situations that demand a root canal treatment and these are:
  • Teeth with deep decay
  • Broken or cracked teeth
  • Teeth with gum diseases
  • Failed dental fillings
  • Teeth that have suffered a trauma
Symptoms that most people are likely to experience that may indicate the need for a root canal treatment:
  • Tooth ache: This is one of the first reasons why you would visit a dentist and the pain can range from mild to severe. The tooth ache can increase on changing position, especially while lying down or biting onto something using that particular tooth.
  • Sensitivity: In normal cases, the enamel layer covers the inner two layers and we therefore, do not experience any sensitivity. However, when the dentin and pulp layers are exposed, you might experience increased sensitivity to air, hot foods, sour foods and sweet foods.
  • In many cases, the tooth pain might be mild and most patients tend to ignore it. However, even though the pain subsides, the infection can still spread to tissues around the decayed tooth, resulting in a swelling.
A large number of patients who report to the dentist with a swelling are treated by root canal procedure.

Procedure of a Root Canal Treatment

Root canal treatment procedure

When you hear the word ‘root canal treatment’, apart from pain, another question that comes to mind is “How many visits does a root canal take?

Well as mentioned earlier on, root canal treatment is a multi-step procedure and it usually takes 1-2 sittings, but can take longer based on the condition of the tooth and the level of infection.

Here is what a root canal treatment procedure entails:

  • X-ray
    X-ray is indispensable for a root canal procedure and is the first step as well. In order to determine the cause of your pain and the extent of decay, one of the first things your dentist does is take an x-ray of the affected tooth.

    After an x-ray is taken, in most cases, the next step is to inject a local anaesthetic to ensure you have a painless procedure. In some cases, however, since the patient is asymptomatic or the tooth is completely dead and painless, local anaesthesia may be omitted.

  • Removal or decay and preparing the cavity
    The next step in root canal treatment is the removal of all the decay that can be seen and preparing a cavity in the tooth to access the inner pulp easily.

  • Removal of infected pulp, drainage of any pus from underneath the tooth
    Once straight-line access has been obtained, the infected and inflamed pulp is removed completely.

    In some cases, the pulp may have disintegrated and only specks of it remain, which can be washed out by using a saline solution in the canals.

    In cases where there is pus accumulation beneath the root, accessing and removing the pulp facilitates drainage of pus and provides immediate relief to the patient.

  • Cleaning, disinfecting and preparing the canals
    Once the pulp has been removed and the canals are disinfected with saline solution, the canals are cleaned and shaped to be able to accommodate the filling material.

  • Sealing the canals with inert material and a sealant
    In ideal cases, the canals can be sealed with the inert rubber-based material in the same sitting itself. Such a root canal treatment is called as single-sitting root canal.

    However, in practise, most cases require a gap of 3-5 days before the canals can be permanently sealed. In the interim, the dentist places a calcium-based medication to allow the inflamed tissues to heal.

    Once the canals are ready to be sealed, rubber-based cones are placed into the canals and sealed. These cones are inert in nature and do not dissolve in saliva or blood and thereby, prevent re-infection of the tooth.

  • Post-root canal filling and crown
    Once the canals have been sealed, it is time to restore the decayed crown portion of your tooth with tooth filling material. After this, the tooth crown is shaped for the placement of a cap that will strengthen the tooth.

How Painful is the Rct of teeth?

Root channel methods have the notoriety of being difficult. All things considered, the vast majority report that the method itself is not any more agonizing than having a filling put. In this case, endodontists offer anesthesia in the area to numb it and perform the rct of teeth calmly and patiently. Usually patients don’t experience pain during the treatment but once the rct of teeth is done, after the injection starts losing it affects pain starts occurring.

Is throbbing pain after root canal normal?

Pain and Discomfort after the root canal treatment is normal for a few days. As our body heals, the area around the tooth can feel a bit sore and tender, which is why it is normal to experience mild to moderate pain for a few days after root canal treatment.

Remedies to follow after the root canal treatment-

Once the Root canal treatment is done there are a few things to follow and they are:

  • Avoid eating hard food for a few days.
  • Try eating soft food like ice-cream, soups and fruit juices
  • Start brushing your teeth twice a day
  • Start reducing the amount of sugary food in your daily diet.

However, if the root canal treatment pain is intense or if the pain persists or if there is a swelling, then consult your dentist immediately.

Is Crown necessary after root canal?

In this process, a large part of the tooth’s original structure is removed or cut, it has to be reinforced with a Cap or Crown. The dentist cuts the tooth structure after completion of the root canal treatment to form a seat for the cap or the crown. The tooth structure is removed with dental bur. It is a painless process.

What are the different types of crowns for teeth?

The patient can choose the type of crown that he or she wants after the root canal treatment. There are different types of crowns depending on the material that is used for making the crown. The most common crown that is used is a Porcelain fused to metal crown (PFM). A PFM crown is one of the cheapest alternatives after metal crown but it looks similar to the natural tooth due to the white color of the porcelain coating on the metal tooth structure. However, Zirconia crowns are best suited in most cases since zirconia has the best aesthetics as well as strength combination which will be the perfect replacement for the natural tooth. A root canal treatment with a Zirconia Cap on top of it is the perfect solution for a patient who is diagnosed with a cavity that requires a root canal treatment.

How much should root canal and crown cost?

For treatment cost, numerous aspects are to be considered. Even so, It can be tough to estimate any price without some fundamental details. Sabka Dentist has got enlisted some of the prevalent factors that can help to determine the ideal Root Canal Treatment cost. These are listed below:


Choice of your Dental Surgeon (Novice/Specialist):

The key aspect of the tooth root canal cost highly depends on choosing the right dental surgeon for the root canal treatment. If you are approaching a surgeon who has practiced dental treatment only for a year, the costs will likely be significantly less. However, in case you are visiting a medical specialist who is serving as a dental surgeon with a significant amount of experience (let’s say much more than a decade), he will charge you more for the root canal treatment. Price often depends on the experience and skill of the surgeon.


X-Rays and Consultation Charges:

Consultation fees also can vary based on the doctor’s working experience, skills and the location where the clinic is situated. The root canal cap cost in India can be different in comparison to the cities like Mumbai / Delhi. The cost for the X-rays can also add up to the total cost of root canal treatment.


Anaesthesia and other required medications:

Anaesthesia numbs the region of treatment, as well as this price associated with it often depends upon how many times the anaesthesia is administered for the procedure.


Location Of the Treatment(Front or Back):

Root canal treatment done on the tooth in the front portion of the mouth (front teeth) will cost you much less because it consists of 1 or 2 roots, whereas it will charge you much more if it’s performed on the tooth in the back of the mouth (bicuspid and molar) because it contains much more roots/canals.


Level of damage:

This is also a prime aspect which can determine the root canal treatment cost. If the damage is less, the price for the root canal treatment would also be less.

Alternatives to a Root Canal treatment

Sparing your regular teeth is the absolute best alternative, if conceivable. Your normal teeth permit you to eat a wide assortment of nourishments important to keep up appropriate sustenance. The root canal treatment is the right decision.

The main option in contrast to a root trench strategy is having the tooth extricated and supplanted with an extension, embed, or removable fractional dental replacement to reestablish biting capacity and keep contiguous teeth from moving. These options in addition to the fact that more are costly than a root trench system require greater treatment time and extra methods to adjoining teeth and supporting tissues.

Who is the best dentist in Mumbai for root canal treatment?

Root Canal Treatment is a very basic treatment for any dentist to do. Most dentists can do the root canal treatment easily and effectively. However, there are Root Canal Treatment specialists who are called endodontists (specialists in performing Root Canal Treatments). These are also available at all Sabka Dentist Clinics in Mumbai, Pune, Bangalore, Ahmedabad, and Surat. Root canal specialists visit the Sabka Dentist Clinics when a patient wants to get Root Canal Treatment. For more details, contact Sabka Dentist.
importance of Root canal treatment

What should you know about getting Root Canal Treatment  at Sabka Dentist?

Sabka Dentist is amongst the best dental clinics in India which specializes in carrying out many dental treatments, such as root canal treatment. The clinic was initially founded in October 2010 with only one clinic at Vile Parle. However, right now Sabka Dentist has more than 100 clinics across different cities in India – namely Mumbai, Pune, Ahmedabad, Surat, Bangalore, Navi Mumbai, and even Thane.

Root canal treatment is amongst the most efficient treatment procedures which can reduce dental ache and also save a very decayed tooth. In this process, the dental surgeons remove affected nerves and also pulp of the tooth carefully and then simply seal this. If this problem remains untreated, then there are possibilities that the neighbouring teeth could also get infected. Sabka Dentist has got the qualified as well as an experienced group of dental practitioners who are invested in offering the best services and spread smiles across India. This might be the only cause that you can find Sabka Dentist on the top of the list of dental hospitals that provide root canal treatment.

How Root Canal Treatment is executed at Sabka Dentist?

Tooth root canal treatment is executed in three steps, and many of the dental surgeons perform this process in three different sessions. But due to the specialised root canal dentists, staff and also superior services available at Sabka Dentist, this RCT treatment procedure can b e completed in just a single session.

The dentist first administers local anaesthesia to your treatment area to lower root canal treatment pain as well as make the spot numb. Then a tiny hole is created on the surface of the tooth to remove the affected nerves and dead pulp. Next, the root canal dentists at SabkaDentist clean and reshape the particular decontaminated hollow area. This hollow empty canal will be lastly filled up with a dental filling to seal off the tooth root canal completely, thus completing the root canal treatment. Immediately after this, the tooth is absolutely dead and has no sensation. Finally, in order to safeguard this lifeless brittle tooth, a crown might be placed on the dead tooth in order to ensure that the patient can make use of the tooth just like before.

The root canal treatment price widely varies individually for each person depending on the seriousness of the condition. But Sabka Dentist offers some of the best root canal treatment costs in India. Thus, the next time if you are planning to have an RCT treatment, think about Sabka Dentist as your first choice to solve your dental complications and keep smiling.

Expert's Opinions

  • Dr. Zita Antao Dental Director of Sabka dentist says "Root canal helps the tooth look and perform normally. Many patients hesitate to take treatment. But if you don’t get the root canal treatment the tooth eventually falls out."
  • Dr. Jena Shah BDS, Dental Director for Audit and Compliance at Sabka Dentist says "Root canal save your tooth structure and a crown will strengthen the structure."
  • Dr. Manan Dhulia Dental Director of Sabka dentist advises "keeping the teeth clean as the large cavity damages the tooth structure."

References

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FREQUENTLY ASKED QUESTIONS

What should you know about pulp and root canal treatment?

One must first understand the anatomy of a tooth for understanding root canal treatment. Outer enamel layer encloses hard layer called dentin and soft tissue pulp. Pulp is the soft tissue that contains blood vessels and nerves. Pulp is housed within the pulp chamber and root canals of a tooth. In root canal treatment, pulp along with its nerve supply is removed. However, a tooth’s nerve is not vitally important to a tooth’s health and function as its only function is sensory i.e. to provide the sensation of heat or cold. The presence or absence of a nerve will not affect the day-to-day functioning of the tooth. However, after treatment the tooth is less viable and thus more susceptible to fracture.

Is a tooth dead after this treatment?

Since pulp is removed, the tooth becomes non-vital/dead after root canal treatment.

What happens during root canal treatment?

  • Anesthesia: The dentist starts by administering local anesthesia to numb the affected tooth.
  • Isolation: After that, the dentist might isolate this tooth with rubber dam or cotton rolls to keep it clean and dry during the procedure.
  • Access Opening: A dental handpiece will then be used to gain access to the inside of tooth ( pulp chamber). The root canals will be located and working length will be determined with help of 8 or 10 endodontic K – files.
  • Biochemical Preparation and Irrigation: A series of files are used to clear the pulp debris and shape the canals. Along with it, irrigation will be done to wash away any remaining pulp. An antimicrobial solution is also used to kill any remaining bacteria and reduce the risk for further infection.
  • Obturation: The canals are then filled and sealed with a rubber-like biocompatible material called gutta percha. The opening in the tooth may be closed with a filling, while you wait for the permanent crown.
  • Capping: After a week, the dentist will finish the treatment by placing a permanent crown or similar type of restoration.

What happens when you don’t get your carious tooth treated?

If you delay recommended root canal treatment, it will only worsen the tooth infection. Medications will only provide temporary relief. Periapical abscess can occur if the bacterial infection occurs in soft dead pulp of the tooth. Symptoms of periapical abscess include pain, swelling (at the base of tooth, gums, and/or cheek) and suppuration. If the infection becomes severe such that furcation gets involved, the only alternative then is extraction/removal of tooth.

How to get rid of tooth pain?

Over-the-counter prescription analgesics, eugenol ingredient of cloves and lukewarm salt water can help to alleviate pain. But, a visit to the dentist will help to identify and treat the cause of pain.

How painful is this treatment?

Root canal treatment pain is normal which is mild. But, it is temporary and root canal treatment is actually meant to relieve the pain of decayed or traumatized tooth.

Can this treatment hurt years later?

In case of failure of root canal treatment or dislodged crown restoration, re-infection can result in symptoms of pain and swelling.

Which is better – Root canal Treatment or Extraction?

It is always better to save the natural tooth with root canal treatment. Extracting and then replacing a tooth results in more treatments procedures that could even impact the neighboring teeth and the supporting gums.

What care should be taken after root canal treatment?

One must maintain good oral hygiene practice after completion of root canal treatment. An X-ray may be needed post treatment to ensure that obturation treatment is done properly and all the signs of infection are absent. The tooth may feel sensitive for the first few days after the treatment, especially if there was pain or infection before the procedure. There can be transient discomfort, which can be relieved with prescribed medications. The treated tooth can feel different from other teeth temporarily after the treatment. However, if severe pain or pressure manifests, visit the dentist. Also, consume soft food after root canal treatment. Avoid hard or hot foods that might hurt your teeth. It is suggested to not eat for few hours until the numbness in your mouth wears off, so that you don’t bite your cheek or tongue. With good care and attention, a diseased tooth treated with root canal treatment can last a lifetime!

What are the symptoms of failed root canal treatment?

  • Sensitivity to pressure/ Tenderness
  • Swelling/ Abscess/Gum boil/Sinus Tract
  • Rot canl treatment pain
  • Thermal sensitivity (to hot or cold stimulus)
  • Having above symptoms does not always indicate endodontic failure. Thus, a visit to the dentist can help to identify the cause of symptoms.

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