In a layman’s term, a root canal can be described as a dental procedure that is performed to preserve a tooth that is at risk of being lost due to deep decay, infection, or another form of trauma. Its anatomy can be very complex. Root canal treatment can also be called endodontic therapy in its dental terms. It is the removal of the infection from contents within the tooth and its roots. As a result, space, where the infection from contents is removed, is filled with an inert material to prevent the infection. The root canal thoroughly disinfects the tooth’s inner space. This treatment enables a tooth to remain intact to serve and function its purpose in the mouth despite the fact that it lost its vitality. A tooth’s vitality is its ability to sense pain, pressure, or temperature.
A pulp chamber under the root canal system exists within each tooth that houses the vital contents or the pulp of blood vessels, nerves, and connective tissues. The pulp chamber is located within the visible Crown portion of the tooth and is wide and is a wide hollow space. The pulp chamber further connects to the narrow Canal spaces which are found within the truth portions of the tooth.
Incisors usually have at least one canal as they are single-rooted teeth while molars have at least one canal in each root as they are multi-rooted teeth.
What causes damage to the pulp in the teeth?
- Deep tooth decay which has reached the nerve
- Dental procedures repeatedly on the same tooth
- Chip or cracks on a tooth
- Large fillings
- Trauma to the face
Symptoms that you need a root canal includes:
- A crack or chip in the tooth
- Pimples on the gums that won’t go away
- Severe pain during biting or chewing food
- The sensitivity of the tooth to hot or cold temperatures after the substance has been removed and the sensation lasts for a long time
Root Canal Procedure
The steps for root canal treatment begin after a proper diagnosis is made for tooth pain or toothache. This diagnosis also involves a discussion with the patient regarding the signs and symptoms. X rays, dental examinations, and some tests are performed in the mouth. Based on all the information gathered from the test a determination for Root Canal Therapy is made if the tooth has irreversible inflammation of the pulp or is necrotic or dying.
Irreversible inflammation of the pulp or the pulpitis is a condition where the tooth pulp is inflamed from an injury and perhaps won’t recover. A dying or necrotic tooth is a condition where the pulp has lost its vital blood supply and nerve function.
This treatment can be performed under local anesthesia. A rubber dam is placed in the mouth prior to treatment to isolate the tooth that is to be treated and to protect other parts of the mouth during treatment.
How long does a root canal take?
Usually, the treatment steps for a front tooth may take an hour. The treatment steps for a molar root will typically take an hour and a half. The timing basically depends upon the complexity of the tooth that is being treated, access to the tooth, and lastly the skill of the dentist.
Some discomfort can be present during recovery once the anesthesia wears off after the procedure. If swelling or inflammation was initially present it would surely cause you discomfort. Mostly there is only mild discomfort and resolves in a few days after the treatment. This post root canal discomfort can be easily managed with over-the-counter medications such as ibuprofen like Advil and Panadol. Additionally, until all the tenderness is gone it is important that you avoid chewing on the tooth, this will help promote healing of the surrounding tissues.
The recent root canal treated teeth are more brittle and prone to fracture or chipping. For this reason, a dental crown is needed to protect the treated teeth which undergo heavy chewing forces. This particularly applies to the bicuspid and molars or the posterior teeth which are in the back of the mouth. The incisors and canines or the anterior teeth which are in the front of the mouth, do not withstand the same amount of biting forces and do not usually require a dental crown for reinforcement.
Side effects and Dangers
It is not possible to guarantee that the dead tissue or the infective pulp can be removed completely. This can be said so because the tooth structure contains microtubules through which the infections travel in your system. It is also not possible to get all microscope crevices and tissues of the tooth structure even with the dentist’s tools.
Damage the side canals
Basically, the root canal treatment removes the infection which causes the toothache and replaces it with filling material. You might think that removing the infected pulp will solve your problems but that is not the case. There are many side canals that your dentist does not touch during the procedure. When the root of the tooth is removed these untouched side canals die and rot and rot. And with their rotting and decay, the breeding of infection and bacteria is attracted.
Leakage of infection
As mentioned above it is not possible to completely remove the infected Area on the bacteria during the procedure this means that a part of the infection will remain inside the tooth. Also, it is not possible to secure the decaying tooth with the filter substance permanently. As a result, the bacteria start surviving on the dead tissues as it is cut off from oxygen and all blood supplies. However, during a period of time, these bacteria begin to spread and leaks out to the rest of the body.
Why get a Root Canal?
It is a commonly asked question, “Is endodontic treatment necessary?” Or “What are the consequences if you don’t treat a root canal?” It is obvious that your teeth cannot heal all by themselves. So to answer the above-stated questions, if the root canal is left untreated, the infection can lead to:
- An abscess at the root of the tooth
- Underlying bone tissue deteriorating
- Severe pain
Delaying the treatment for too long may make it impossible for your dentist to save the tooth. The infection may also spread to the neighboring teeth, which will lead to:
- Blood poisoning
- High fever
- Severe Illness
- Swelling of neck and face
Who can perform the treatment?
Sometimes the root canal treatment is carried out by a general dentist. However, you will be advised to seek out the services of a specialist endodontist given the high degree of specialization involved in the kind of procedure.
Signs and symptoms of root canal failure
Once adequate time has passed after the root canal therapy has been completed which has allowed the tooth to recover from all the infection or the inflammation the tooth should be back to normal function. Sensitivity to hot or cold swelling for pain from chewing are the signs and symptoms of a failed Root Canal Therapy. To determine the treatment to resolve these signs and symptoms it is important that you follow up with your dentist or endodontist.
Can children and pregnant women have a root canal?
In children, the primary or the baby teeth with a deep cavity or a trauma that adversely affects the truth may require immediate treatment similar to a root canal. However, the anatomy of the primary teeth is far more different from those of the secondary or the adult teeth therefore the treatment is different and simplified. A pulpotomy is performed which removes the pulp from the pulp chamber of the baby or the primary tooth. The tooth is filled with the filling and a medical paste is applied to the chamber.
Pregnant women can have a Root Canal Therapy if really necessary. A lead apron for X-ray procedures is crucial for the safety of the mother and the foetus and it is also the standard protocol. The over-the-counter pain medications are usually limited to Panadol all as it helps manage the pain while a woman is pregnant. it is important to consult with the Obstetrician in high-risk pregnancies to determine the safest option for the treatment.
Root Canal Cost
The cost of a Root Canal Therapy depends on several factors like the amount of canal that needs to be filled or if you require a crown. An average cost of Root Canal Therapy without a Crown ranges between $900-$1500 depending on the tooth.
Prodental clinic is an accredited dental practice that offers you this procedure at an affordable rate. We know and understand the dangers and dress of a root canal which is why we have invested in modern techniques and the latest technologies for this particular procedure. We are focused on providing our patients with a safe procedure that has the minimal dress and side effects because we value our patient’s health and wellbeing. We have the best dentist who specializes in root canal treatment.
Make an appointment with Prodental Clinic today and say goodbye to decaying teeth swelling and the severe pain in your tooth.