At Summirow Dental Hospital, we believe that even severely infected teeth can often be saved with timely and proper treatment. One of our recent patients visited us with intense pain in the lower front tooth (tooth number 33, lower left canine). The discomfort had become severe enough to interfere with daily activities such as eating and speaking.
After a thorough clinical examination and an IOPA (Intraoral Periapical) X-ray, we diagnosed a periapical infection, indicating that the infection had spread to the root tip of the tooth. Instead of extracting the tooth, we recommended Root Canal Treatment (RCT) to eliminate the infection and preserve the natural tooth.
The patient visited our clinic with:
The patient wanted a permanent solution that would relieve the pain while saving the natural tooth.
A detailed clinical examination was followed by an IOPA X-ray, which revealed:
Since the infection was localized and the tooth structure was adequate, Root Canal Treatment was considered the best option.
Step 1: Access Opening and Drainage of Infection
After administering local anesthesia, the tooth was isolated, and an access cavity was prepared to reach the infected pulp chamber.
As soon as the canal was opened, pus was discharged from the root canal, confirming the presence of an active infection. Draining the pus immediately reduced pressure inside the tooth and provided significant relief from pain.
Step 2: Thorough Cleaning and Irrigation
The infected pulp tissue was completely removed, and the canal was cleaned using specialized endodontic instruments.
The canal was repeatedly irrigated with disinfecting solutions to:
Proper irrigation is one of the most important steps for achieving long-term success in Root Canal Treatment.
Step 3: Calcium Hydroxide Medication
Since there was significant infection around the root tip, Calcium Hydroxide was placed inside the canal as an intracanal medicament.
Calcium Hydroxide helps by:
The temporary restoration was placed, and the patient was recalled after 10 days.
When the patient returned after 10 days:
These findings confirmed that healing was progressing successfully.
Once the canal was confirmed to be infection-free and dry, it was permanently sealed using biocompatible root canal filling materials.
Proper obturation prevents bacteria from re-entering the canal and ensures long-term success of the treatment.
After completing the Root Canal Treatment, a permanent filling was placed to restore the tooth.
Since root canal-treated teeth become more brittle over time, we recommended a dental crown to provide:
The crown was fabricated and cemented with precision, restoring both function and aesthetics.
The treatment was completed successfully.
The patient experienced:
The patient was extremely happy with the treatment and appreciated being able to save the natural tooth instead of having it extracted.
Many people ignore dental pain until swelling or infection develops.
However, delaying treatment can lead to:
Seeking treatment early greatly increases the chances of saving the natural tooth with Root Canal Treatment.
If you notice any of these symptoms, consult your dentist as soon as possible.
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