Overview of Root Canal Treatment By Dr. Ajwani’s Family & Cosmetic Dental Centre

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Overview of Root Canal Treatment(RCT)
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Root Canal Treatment(RCT)

• A root canal is the space within the root of a
  tooth.
• It is part of a naturally occurring space within
  a tooth that consists of the pulp chamber (within
  the coronal part of the tooth), the main
  canal(s), and more intricate anatomical branches
  that may connect the root canals to each other or
  to the surface of the root.
• The smaller branches are most frequently found
  near the root end (apex) but may be encountered
  anywhere along the root length.
• There may be one or two main canals within each
  root.
• Some teeth have more variable internal anatomy
  than others.
• This space is filled with a highly vascularized,
  loose connective tissue, the dental pulp.
• The dental pulp is the tissue which forms the
  dentin portion of the tooth.
• The formation of secondary teeth (adult teeth) is
  completed by 1-2 years after eruption into the
  mouth. Once the tooth has reached its final size
  and shape, the dental pulp's original function
  ceases for all practical purposes. It takes on a
  secondary role as a sensory organ.

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Facts About Root Canal Treatment(RCT)

• Q. What Are the Goals of Root Canal Treatment?
• Ans. As an alternative to an extraction, the
  goals of root canal treatment are to save the
  tooth and allow it to be retained in the mouth
  for many years in a state of health, function,
  and comfort. Root canal treatment is directed
  towards removing diseased tissue from the inside
  of the tooth and subsequently filling and sealing
  the root canal space in order to minimize the
  possibility of future re-infection.
• Q. Why Is Root Canal Treatment Called Endodontic
  Treatment?
• Ans. Endodontic is a word composed of two Greek
  words, "endo" meaning "inside," and "odont"
  meaning "tooth." Endodontics is that branch of
  dentistry that deals with the diagnosis,
  prevention, and treatment of diseases that arise
  from the soft tissues inside the tooth. These
  tissues are referred to as the dental pulp and
  they occupy the root canal space. Thus,
  endodontic treatment is also called root canal
  treatment.

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• Q. If a Tooth Has Had Root Canal Treatment, Is It
  a Dead Tooth?
• Ans. Root canal treatment does not kill a tooth.
  Even though root canal treatment removes the pulp
  tissue from inside the tooth, the tooth is by no
  means "dead." Following successful endodontic
  treatment, the tooth continues to receive its
  blood supply and nourishment from the surrounding
  tissues and the supporting bone. The body's
  immune system continues to recognize an
  endodontically treated tooth as viable and
  healthy, just as it recognizes any other normal
  non-treated tooth. An endodontically treated
  tooth generally requires a protective crown and,
  once this restoration has been completed, the
  tooth continues to function as an integral
  component of the dental arch. A tooth that has
  had root canal treatment and has been properly
  restored is no more susceptible to fracture,
  decay, or gum disease than any other tooth.

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Fundamentals For A Root Canal Therapy

• RCT is one name that gives many patients shivers
  when told about it. However, in reality, it is
  not that bad. In fact, it is an instant pain
  reliever and the best treatment to retain the
  original teeth. A Root canal treated tooth serves
  its purpose and function just as a healthy
  tooth. 
• A root canal is a capillary, which runs from the
  base of the root of the tooth to the middle of
  the crown (the visible part of the tooth). The
  root canal carries the pulp (a network of blood
  and nerve cells), which brings the tooth to life.
• The nerve of the tooth gets damaged due to many
  reasons. One of the main causes is cavity in the
  tooth that grows deeper and touches the nerve.
  Since the cavity is filled with bacteria, the
  root canal gets inflamed and causes pain. Other
  reasons that may damage the teeth are accidental
  cracks or infection from gums reaching to the
  base of roots. In such cases, root canal
  treatments can easily stabilise the position.

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• There are two ways to get relief from the pain
  perform the root canal therapy, or pull the
  tooth, clean the gum below, and replace the tooth
  with a denture or bridge. We advise removing
  teeth as a last resort natural teeth are the ones
  best suited for the mouth.
• It's important to have root canal therapy done
  quickly. The bacteria will travel down the canal
  to the root and into the jawbone. If this
  happens, the pain of your toothache will spread
  to your jaw. Even more important, the infection
  can cause your jawbone to deteriorate and weaken
  the structure that holds your teeth.
• The best way to avoid root canals is to take good
  daily care of your teeth to prevent the growth
  and spread of bacteria. Brushing and flossing are
  important. Just as important are regular trips to
  the dentist, to check for the first sign of decay
  or cracks that could eventually lead to an
  infected tooth. In this case, an ounce of
  prevention really is worth a pound of cure!

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Root Canal Treatment From Start to Finish
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1. A Deep Infection

• Root canal treatment is needed when the tooth's
  root becomes infected or inflamed through injury
  or advanced decay.

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2. A Route to the Root

• The tooth is anesthetized. An opening is made
  through the crown of the tooth to the pulp
  chamber.

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3. Removing the Infected/Inflamed Tissue

• Special files are used to clean the infection and
  unhealthy pulp out of the canals. Irrigation is
  used to help clean the main canal (called lateral
  canals).

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4. Filling the Canals

• The canals are filled with a permanent material,
  often gutta-percha. This helps to keep the canals
  free of infection or contamination.

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5. Rebuilding the Tooth

• A temporary filling material is placed on top of
  the gutta-percha to seal the opening until the
  tooth is ready to be prepared for a crown. A
  crown, sometimes called a cap, is made to look
  like a natural tooth, and is placed on top.

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6. Extra Support

• In some cases, a post is placed to give the crown
  extra support.

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7. The Crowning Touch

• The crown is cemented into place.

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Symptoms Of Endodontic Disease

• Severe tooth pain, typically relieved by cold
  water and increases with the intake of hot
  liquids.
• Pain worsens when you lie down and reduces when
  you sit up.
• Pain stays for a long time after consuming cold
  things.
• Swelling around the tooth.
• Constant tooth pain
• Pain when chewing.
• Tooth pain referred to head and ears as well.
• Tooth sensitivity on consuming sweets.
• If you have any of the above stated symptoms, it
  would be advisable that you visit your dentist,
  since he is the best person to judge whether you
  have a root canal disease or not, as some of
  these symptoms may be due to other problems as
  well.

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Why May Endodontic Disease Cause Swelling?

• When the pulp tissue becomes severely diseased
  and necrotic, the resultant infection can spread
  from inside the tooth into the adjacent bone and
  soft tissues. As a result, swelling can occur in
  the tissues immediately surrounding the tooth. If
  this situation is not treated and the disease
  process is not kept under control by the body's
  defences, the infection can begin to spread into
  other tissue spaces, such as those around the eye
  or in the neck. In some situations, this can
  become a serious medical emergency

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Contact Details

• HEAD OFFICEA-5 Sukhwani Park, North Main Road,
  Koregaon Park, Pune- 411001. Landmark Next to
  AXIS BANK BUILDING
• BRANCH OFFICE Talegaon
• ASSOCIATE OFFICE Goregaon East, Bombay

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