In the earlier days when the patients have
tooth ache, they visit dentist for its examination. However with the
advancement in dentistry a more predictable and painless treatment has come,
known as Root Canal Treatment. Therefore various reasons for toothache like
trauma to tooth, dental caries, tooth fracture, periodontitis etc. Amongst
these reasons for tooth ache, dental caries is the most common for toothache.
In the initial stages of dental caries when
it is not involving pulp i.e. dental caries is restricted to enamel and
dentine, removing caries and filling with composite, amalgam or Glc will solve
the problem. However when the dental caries reaches or involve dental pulp then
mere just filling with restorative material will not solve the problem and then
more elaborative treatment is required that is Root Canal Treatment.
In this treatment dentist under local
anesthesia [L.A] perform through shaping and cleaning of canals with
hand/rotary needles and then fill the canal with medicated pastes to remove the
infection from root canal.
Once the tooth is totally free from
infection, then the root canals are filled with Gutta-percha & sealer.
After filling the root canals tooth is restored with permanent filling material
i.e. composite or Amalgam. However, in some of the cases when the tooth is
grossly destructed i.e. major part of tooth is missing then mere filling is not
sufficient and the additional procedure of Post and Core is required to build
tooth structure.
After filling restorative material in the
tooth it is advisable to put crown to prevent fracture of tooth. For crown
there are various options for the patients like All-metal, Metal-ceramic, E-Max
& Zirconia. Now a day's tooth colour crown are more popular I.e. Emax &
Zirconia.
It has been seen that many of patients
instead of going for Root Canal Treatment opt for medicines I.e. Antibiotics and pain killer for weeks together to
reduce/relieve pain. This kind of practice to reduce pain is not good for
important parts of body i.e. Kidney and liver.
It has been seen threat some of the time if
infection in the root canal do not go away in spite of best medicated filling
& treatment the apicoectomy i.e. Apical surgery, a procedure where root
tips is removed and a filling placed is done. Like any other procedures in root
canal treatment also some of the procedural errors may happen i.e. perforation,
fracture of instruments, ledge formation, over and under instrumentation.
However a good operators can handle
these errors in a proper way.
This treatment can be done by the general
dentist, however in difficult cases an Endodontists specialist in root canal
treatment are better capable of handling
difficulty situation. After Root Canal Treatment tooth function like other
healthy tooth in the mouth for lifetime. The patient can enjoy drinking hot
& cold, chew hard & soft food with that tooth. It is important to
remember that dental caries can happen even root canal treated tooth, so good
oral hygiene and regular dental checkups are necessary to prevent any future
problems to happen.
In the follow up examination take an X-ray
and compare it with previous X-ray those taken prior & during treatment. By
comparing dentist concludes that bone underneath the tooth is regenerating or
getting further loss.
So, next time please visit your dentist for
regular check-up and get Root Canal Treatment done if it is required instead
for extraction.
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