Articles on endodontics

Understanding Root Canal Treatment Better!

Dr. Jayanto Mukherji, Dentist
The very word "Root Canal treatment" invokes images of pain, discomfort and long drawn out procedures in the minds of most people. However, most of these fears and misconceptions are unfounded and not relevant in the modern day scenario. As with any field of medicine, with advancements in science, technology and materials, there's been a vast improvement and turnaround in simplifying erstwhile complex procedures.The author will attempt to address and answer a few common questions which most people have, and often get confused when faced with the information:WHAT IS ROOT CANAL TREATMENT?:  To understand this question better, one must attempt to understand the basic anatomy of the tooth. The tooth comprises of an extremely hard outer layer, mostly without nerve end innervation, called as Enamel. Enamel is the thickest at the cusp, the chewing table of the tooth, at approximately 2-3mm. It thins out near the neck of the tooth near the gum line. The enamel layer covers the bulk of the tooth structure, called the Dentin, which houses the nerve endings from the pulp of the tooth, and a combination of organic and inorganic tissues. The whole complex covers the vital heart of the tooth, which is called as the Pulp, and in the truest sense its the heart of the tooth, comprising all the vital cells, nerve supply and blood supply to the tooth. The Root portion of the tooth, which lies in bone, is not covered by enamel, but by a layer called Cementum.Root canal treatment is recommended when the pulp of the tooth gets compromised, either by way of infection arising from decay in the tooth, or when trauma to the tooth results in devitalization  or death of the delicate pulp tissue. Contrary to popular opinion, decay can affect teeth at ANY stage of life and not only adults! In fact, people look aghast when root canal treatment is indicated for children. Saving the milk teeth is as important for the growth of the jaws in children, as it is for the functional efficiency in an adult. Premature removal of the milk teeth often upsets the whole alignment of the permanent teeth,and thus compromising growth.ROOT CANAL TREATMENT IS VERY PAINFUL AND TIME-CONSUMING: Again, a far cry from the truth. In the olden times, when techniques were not as refined, as also the instrumentation, Root canal treatment used to be a struggle both for the patient as well as the doctors. With the introduction of the "Crown-down" technique, and rotary files, The back fill technique for final fillings, better quality and biocompatible sealants, the treatment time gets considerably shortened. Modern and vastly improved  local anaesthetics , make the treatment seamless and virtually painless. As a matter of fact, it is extremely unlikely that you will feel any pain during the procedure! Magnification by use of loupes or Operating microscopes open up a whole new visual fields for the doctors, thereby making the outcome much more predictable.ROOT CANAL TREATMENT IS VERY EXPENSIVE, WHY CAN'T I EXTRACT THE TOOTH?: Yes, like any other specialized treatment or procedure, Root canal treatment, when done by a trained specialist, is expensive since it involves skill, time , state of the art materials and technology and above all, knowledge!  Extraction is always the last resort for the conservative dental surgeon, since its always easy to destroy, rather than conserve. Extraction of salvageable teeth will invariably have cascading detrimental effects on the masticatory system. DO ALL ROOT CANAL TREATED TEETH NEED POSTS/ CROWNS?  As a rule, most root canal treatments are rendered for teeth which have decayed, thereby causing extensive loss of tooth structure. In order to restore such teeth structurally sound enough to withstand chewing forces, a Post and core, followed by a crown or onlay, restores the tooth to near normal function. Having said that, advances in adhesive dentistry, has precluded the inevitable crown, in select cases,and based on operator skills. WHAT IS THE LIFE OF A ROOT FILLED TOOTH? For any treatment rendered, there is a finite life for the restoration. However, the serviceability and longevity of the restored tooth dramatically improves when proper attention and home care is bestowed on it! A large part of the success of ANY treatment rests in the hands of the person who has undergone the treatment. Root canal treated teeth can decay too, only difference being the absence of pain, since the nerve or pulp is removed. So, proper oral hygiene habits, effective brushing and flossing, and more importantly, regular follow-up visits are imperative to ensure longevity of the treatment. There is an idiom "You will never realize the value of what you have, till you lose it" ! The same applies to any part of the body, and overall health! Every tooth in our mouth plays an important role in our overall well being, and should never be sacrificed at the altar of The Extraction God, unless absolutely inevitable! 

Root Canal Treatment: Myths vs Facts and Who Should Do It?

Dr. Sanket Sheth, Dentist
Myth #1—Root canal treatment is painfulTruth—Root canal treatment doesn't cause pain, it relieves it.The perception of root canals being painful began decades ago but with modern technologies and anesthetics, root canal treatment today is no more uncomfortable than having a filling placed. In fact, a recent survey showed that patients who have experienced root canal treatment are six times more likely to describe it as "painless" than patients who have not had root canal treatment.Most patients see their dentist or endodontist when they have a severe toothache. The toothache can be caused by damaged tissues in the tooth. Root canal treatment removes this damaged tissue from the tooth, thereby relieving the pain you feel.Myth #2—Root canal treatment causes illnessThe myth: Patients searching the Internet for information on root canals may find sites claiming that teeth receiving root canal (endodontic) treatment contribute to the occurrence of illness and disease in the body. This false claim is based on long-debunked and poorly designed research performed nearly a century ago by Dr. Weston A. Price, at a time before medicine understood the causes of many diseases. In the 1920s, Dr. Price advocated tooth extraction—the most traumatic dental procedure—over endodontic treatment. This resulted in a frightening era of tooth extraction both for treatment of systemic disease and as a prophylactic measure against future illness. The truth: There is no valid, scientific evidence linking root canal-treated teeth and disease elsewhere in the body. A root canal is a safe and effective procedure. When a severe infection in a tooth requires endodontic treatment, that treatment is designed to eliminate bacteria from the infected root canal, prevent reinfection of the tooth and save the natural tooth. The presence of bacteria in teeth and the mouth has been an accepted fact for many years. But the presence of bacteria does not constitute "infection" and is not necessarily a threat to a person's health. Bacteria are present in the mouth and teeth at all times, even in teeth that have never had a cavity or other trauma. Research shows that the healthy immune system takes care of bacteria in a matter of minutes.Tooth extraction is a traumatic procedure and is known to cause a significantly higher incidence of bacteria entering the bloodstream; endodontic treatment confined to the root canal system produces much less trauma and a much lower incidence and magnitude of bacteria entering the blood stream.There is no adequate replacement for the natural tooth - it should be saved whenever possible. Root canal treatment, along with appropriate restoration, is a cost effective way to treat infected teeth because it is usually less expensive than extraction and placement of an implant. In most cases, endodontic treatment allows patients to keep their natural teeth for a lifetime.Myth #3—A good alternative to root canal treatment is extraction (pulling the tooth).Truth—Saving your natural teeth, if possible, is the very best option.Nothing can completely replace your natural tooth. An artificial tooth can sometimes cause you to avoid certain foods. Keeping your own teeth is important so that you can continue to enjoy the wide variety of foods necessary to maintain the proper nutrient balance in your diet. If your dentist recommends extraction, ask whether root canal treatment is an option.Endodontic treatment, along with appropriate restoration, is a cost-effective way to treat teeth with damaged pulp and is usually less expensive than extraction and placement of a bridge or an implant.Endodontic treatment also has a very high success rate. Many root canal-treated teeth last a lifetime.Placement of a bridge or an implant will require significantly more time in treatment and may result in further procedures to adjacent teeth and supporting tissues.Millions of healthy endodontically treated teeth serve patients all over the world, years and years after treatment. Those healthy teeth are helping patients chew efficiently, maintain the natural appearance of their smiles and enhance their enjoyment of life. Through endodontic treatment, endodontists and dentists worldwide enable patients to keep their natural teeth for a lifetime.Why Choose an Endodontist (Root canal Specialist)?Endodontists (Root canal Specialists) are specialists in saving teeth, committed to helping you maintain your natural smile for a lifetime. They have at least two years of additional education to become experts in performing root canal treatment and diagnosing and treating tooth pain.If you are experiencing tooth pain, you can choose to see an endodontist. Learn more about dental symptoms and use the Find an Endodontist (Root canal Specialists) search engine to find a specialist near youYour general dentist may have referred you to an endodontist to assure you receive the highest quality care. Learn more about the treatments and procedures that may be discussed and how the endodontist partners with your general dentist

When Do You Need R. C. t.?

Dr. Kiruthika Asokan, Dentist
Has your dentist or endodontist told you that you need root canal treatment? If so, you're not alone. Millions of teeth are treated and saved each year with root canal, or endodontic, treatment.Inside the tooth, under the white enamel and a hard layer called the dentin,  soft tissue called the pulp. The pulp contains blood vessels, nerves and connective tissue, and helps to grow the root of your tooth during development. In a fully developed tooth, the tooth can survive without the pulp because the tooth continues to be nourished by the tissues surrounding it. You can expect a comfortable experience during and after your appointment.Saving the natural tooth with root canal treatment has many advantages:Efficient chewingNormal biting force and sensationNatural appearanceProtects other teeth from excessive wear or strain                                                                                                                                                Endodontic treatment is necessary when the pulp, the soft tissue inside the root canal, becomes inflamed or infected. The inflammation or infection can have a variety of causes: deep decay, repeated dental procedures on the tooth, or a crack or chip in the tooth. In addition, an injury to a tooth may cause pulp damage even if the tooth has no visible chips or cracks. If pulp inflammation or infection is left untreated, it can cause pain or lead to an abscess.       The endodontist removes the inflamed or infected pulp, carefully cleans and shapes the inside of the root canal, then fills and seals the space. Afterwards, you will return to your dentist, who will place a crown or other restoration on the tooth to protect and restore it to full function. After restoration, the tooth continues to function like any other tooth.

Root Canal Treatment Saves Tooth

Dr. Amit Berani, Dentist
Are you in immense need to treat your aching tooth? Has your endodontist suggested you root canal treatment for the same? Don’t worry you’re not alone. Dentists save millions of teeth by each year by endodontic treatment. Here is how root canal therapy can relieve your tooth pain and bring an attractive smile on your face.Eradicating Decayed PulpInside the tooth there is a soft tissue called the pulp which helps to grow the root of your tooth. Bust when your tooth is fully developed it can survive without the pulp. The tooth gets its nourishment by the tissues surrounding it. But when this pulp becomes inflamed or infected, root canal therapy comes into picture. Root canal deals with eradicating this decayed pulp from inside your tooth.What If Ignored?The pulp infection can be caused due to deep decay, faulty crowns or a crack in the tooth, repeated dental procedures etc. If pulp inflammation is left untreated, it can lead to dental abscess or unbearable pain.How To Save The Tooth?Endodontic treatment includes the removal of infected pulp. After cleaning and disinfecting your tooth a rubber-like material called gutta-percha is used to fill and seal the cavity in your tooth. At last this sealing is covered with a crown or filling for protection. Soon after this restoration, the tooth continues to function like any other tooth.Root canal therapy not only saves your tooth but also offers the following advantages: Efficient chewingNormal biting force and sensationNatural appearanceProtects other teeth from excessive wear or strain

Painless, Single Visit, Automated Root Canal Treatment In Just 30 Minutes

Dr. Priya Prabhakar, Dentist
Why would I need a Root Canal Treatment?Endodontic treatment is necessary when the pulp, the soft tissue inside the root canal, becomes inflamed or infected.The inflammation or infection can have a variety of causes:Deep decayRepeated dental procedures on the toothCrack or chip in the toothAn injury to a toothIf pulp inflammation or infection is left untreated, it can cause pain or lead to an abscess.What are the signs of needing Root Canal Treatment?Signs to look for include pain, prolonged sensitivity to heat or cold, tenderness to touch and chewing, and discoloration of the tooth. Sometimes, however, there are no symptoms.How does Root Canal Treatment save the tooth?The endodontist removes the inflamed or infected pulp, carefully cleans and shapes the inside of the canal, then fills and seals the space. Afterwards, we will place a crown or other restoration on the tooth to protect and restore it to full function. After restoration, the tooth continues to function like any other tooth.Salient Features of Automated Root Canal Treatment:Single VisitLess treatment timeLess discomfortBetter result than Manual RCTNo difference in treatment cost.Though the number of visits for the root canal treatment is decided by the clinical condition of the particular tooth involved, more than 90% of the cases can be done in single visit using Automated RCT.Automation makes it possible to complete the treatment in amazingly less time when compared to manual RCT and also provides an excellent outcome and less discomfort post operatively.How It Works:Specially designed Nickel Titanium instruments are used instead of conventional hand instruments made of stainless Steel. These instruments clean the root canal completely without damaging the roots.Advantage - AutomationAutomated root canal treatment is a boon for old people who prefer a safe and quicker treatment. Though the instruments are imported, the cost of the automated RCT is the same as that of manual RCT.

Everything You Need to Know About Root Canal Treatment

Dr. R. Rajkumar, Dentist
ROOT CANAL TREATMENTWhat is a Root Canal?To know about a root canal we have to understand the basic structure of the tooth.The portion of the tooth seen in the oral cavity is called the crown of the tooth and portion which is anchored within the jaw bone is called the root. Depending on the size location and function a tooth may have one or more roots. The tooth has this inner core of soft tissue called pulp. The pulp comprises of all the nerves and blood vessels, which keep the tooth alive. In the crown, the pulp is present within a chamber called pulp chamber and it extends into the root via a narrow tapering canal called root canal. The blood vessels and nerves, which travel through this canal, leave the tooth through a small opening present in the lower end of the tooth ultimately joining with the other major blood vessels and nerves running within the jawbone.How does the pulp get infected?Sometimes the pulp inside your tooth becomes inflamed or infected. This can be caused by deep decay, repeated dental procedures on the tooth, a crack or chip in the tooth, or a blow to the tooth .The most common cause is tooth decay.What happens when a pulp gets infected?Tooth decay if left untreated spreads into the substance of the tooth ultimately infecting the pulp. Once the pulp becomes infected with more bacteria than it can handle, it begins to degenerate. As with any infection there is formation of pus, which tends to get accumulated at the tip of the roots within the jawbone, forming a "pus-pocket" called an abscess. This abscess not only causes pain and swelling but also affects the jawbone.  What is a root canal treatment?Root canal is the treatment in which the infected pulp is removed from the tooth and the space occupied by it is cleaned and filled with a special filling material. Even though the pulp has been removed from the inside of the tooth, the tooth is still embedded in a living jaw structure. The root canal tooth will not feel hot or cold. However the tooth would still retain normal sensation to touch or pressure.Why is a root canal treatment done?For years, teeth with diseased or injured pulps were removed to prevent or to treat the consequences mentioned above. Today, root canal treatment has given dentists a safe way to save teeth. Based on the results obtained so far it is safe to say that more than 90% of endodontic cases respond to root canal treatment. If carried out.How is the root canal treatment done?Contrary to popular belief root canal treatment is not painful .It is carried out under local anesthesia which makes the tooth numb. Only after the dentist has confirmed that the patient has no pain will he /she begin the treatment. The duration of the treatment depends on the amount of infection present. The treatment can be completed in a single appointment or may require more than three appointments.Root canal treatment has three steps:1. Access opening:This is the first step where an opening is created in order to reach the infected pulp area using a dental drill. After the access is gained, the infected contents of the pulp chamber are carefully removed using special instruments. An anterior tooth has only root where as a posterior tooth may have more than three roots. There fore it is necessary to remove the infected pulp from all the root canals present in a single tooth.2. Biomechanical preparation:In this step the hollow space which once contained the infected pulp is cleaned and shaped. Cleaning is usually done with the help of saline water and thin dental files. These files are moved along the surface of the root canal making it large and smooth. This procedure not only removes traces of bacteria from the root canal, but also makes the root canal more receptive to the filling that is to follow.3. Obturation:Once the canals have been cleaned with the files, the canals are filled with a special filling material. The purpose of this filling material is to seal the canals and prevent future infections inside the tooth.

Why Is Root Canal Treatment a Better Option Than Tooth Removal?

Dr. Syed Shibli Quazi, Dentist
Whenever there is a  serious tooth infection, there are two treatment options available: endodontic treatment (root canal) or tooth extraction. Dental professionals agree that a root canal is the better choice for overall dental health.Many patients with severe toothache often ask me to remove their tooth or get it extracted without knowing the side effects of the same. Although tooth extraction may seem to be a simpler choice, it can actually lead to complications in the long run. When a tooth is missing, the teeth next to it may shift their places to fill the newly-empty spot. If the surrounding teeth shift, it may lead to crooked teeth or a bad bite, and it can increase the patient’s risk of developing problems in the temporo mandibular joint, which can lead to difficulty in biting and chewing (as well as persistent problems including headaches, jaw clicking/ sticking/popping, ear pain, dizziness, ringing in the ears, etc.). Teeth that have shifted from their original positions may become loose more easily, and they tend to be more susceptible to dental problems.In order to avoid these complications, most dentists advise that any tooth that has been removed should be replaced. Replacing a tooth that has been extracted with an artificial tooth may require a dental bridge or an implant. Consequently, the real alternative to a root canal treatment is a tooth extraction followed by replacing the lost tooth with a dental bridge, implant, or a removable partial denture (all of which are much more expensive than a root canal).If  you as a  patient have been given a choice, it is always better to retain your  natural teeth by a root canal treatment .The simple reason being that  there is no point replacing your natural teeth by artificial ones, knowing the risks involved in extraction. Of course there are a few risks involved in root canal and I would suggest you to get a consultation bya n Endodontist, and if your endodontist suggests you a root canal you may go ahead saving your natural tooth. Endodontic treatment (root canal) has a well-established success rate, and treated teeth can be maintained for years after the initial treatment. Research has proven that poor oral health and tooth loss may lead to serious medical conditions. Because of this connection, it is important to take the correct measures to prevent tooth loss since it can help maintain better overall health. In the debate over whether a root canal or tooth extraction is the best choice, the winner seems clear –root canals are the best.

4 Great Tips to Tackle Tooth Pain at Home

Dr. Sudhakar, Dentist
Home Remedies to Prevent Tooth Pain1. Clove Oil  -  Clove is considered one of the best remedies to get relief from wisdom tooth pain. Take some clove oil and apply it on the affected area. Repeat the same process 2 to 3 times a day. You may dilute clove oil with some amount of olive oil, if you find it too strong.    Alternatively, place 2 or 3 cloves directly in your mouth close to the painful area.2.  Gargle with Salt Water - Take a cup of warm water and add one teaspoon of salt in it. Gargle with this prepared solution a couple of times during the day. Salt water is very useful in curing inflamed gums.     Or else, mix pepper and salt in equal amount; add some drops of water to form a fine paste. Now, apply it to the aching tooth. Leave the mixture for a few minutes. Repeat the same process 2 to 3 times a day until your pain is completely gone.3.  GarlicDue to its antibiotic and antioxidant properties, garlic is widely used to relieve tooth pain. Crush a few garlic cloves and hold it next to your painful tooth. Or else, chew 1 or 2 garlic cloves to get rid of  teeth pain.    Instead, prepare a paste by mixing 2 crushed garlic cloves with black salt. Apply, and let it stand for some time and then spew out.4.  AlmondsAlmonds has unique alkalinity to counter the acidic nature of the decay effect which is very useful in preventing Decay in child.Crushed almonds with clove and salt in warm water gives you a immediate relief from Tooth ache

Root Canal Treatment

Dr. Ashish Vaish, Dentist
Now days Toothache is common problem....                                                                                                                                 By the Root canal treatment we can save your natural tooth as well as relief from toothache        Root Canal Treatment is the most commonly done procedure in a dental clinic. It is generally indicated when the nerves and blood vessels present in the soft and innermost portion of the tooth called as Pulp are affected or infected. The most common causes for it are deep cavities extending to the pulp, traumatic fracture of teeth leading to exposure of the pulp or abcess formation under teeth as a result of trauma, biteproblems or dental cavities.                   Signs you need Root canal treatment-                                                                                                                                            1-tooth become extra senstive to cold & hot                                                                                                                               2-pressure on tooth causes great pain                                                                                                                                             3-frequent tooth & gum pain                                                                                                                                                             4-A large,visible cavity compromises the intrgrity of the tooth                                                                                             5 -Pus drains in to your mouth                                                                                                                                                           6-There is foul taste or odor near the afficted tooth even after brusging                                                                           7- Any kind of fracture tooth