Articles on pulp canal obliteration

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.

Can a Root Canal Actually Be Painless? Shocking Facts Revealed

Dr. Diksha Tahilramani Batra, Dentist
How scared are you of root canals? What if we tell you... You no longer need to be?Root canals are easily one of the most dreaded treatments in the world. I have seen patients compare the anxiety they feel before a root canal to things like open heart surgery and labour. The last thing you want to hear on a dental chair is the diagnosis that you need a root canal. The horror stories surrounding this dental treatment range from gruesome to excruciating.This article is an attempt to dispel the mystery and pain associated with root canals and show you how far we have come from the horrors to the sophistication of the latest technology.From Painful to PleasingWhat are root canals really ?In its simplest sense a root canal is a deep filling done by cleaning the infection from the third and innermost layer of the tooth which is made up of nerves and blood vessels.Our tooth is made up of 3 layers –the first 2 are hard and confined layers called enamel and dentin –when decay affects these it is very slow to spread and easy to remove and fill within one short session.The third layer may take 1-3 sessions to clean as the infection may have spread or collected in the supporting tooth structures.Why are root canals considered painful?The 3rd layer of our tooth is a nerve chamber containing soft nerves and blood vessels in communication with the rest of our body.This is the place that communicates pain to our brain and this is why when decay or bacteria hit this soft deeper layer we experience sharp shooting pain.Top 3 reasons why root canals used to be painfulImproper or inadequate anesthesia to numb the inflamed nerveMechanical instrumentation –to manually pull out the nerve which we now dissolve and clean with automated machinesLack of the right medications to use –within the tooth.What happens to root canal infections if left untreated ?If this pain is suppressed with medication and not treated it can lead to an infection spreading within the bone which may later lead to a swelling with pus etc.If this infection is left within it can eat into the supporting bone and eventually infect or affect the adjacent teeth as well. 

Rct / Root Canal Treatment Is Painless and Can Save Your Tooth

Dr. Swasti Jain, Dentist
WHAT IS RCT?It is a procedure where a badly decayed or fractured or dead tooth is saved by removing its soft part (pulp) from the crown & the root of the tooth. Pulp is located in the core of the crown & root of the tooth. It is like mummifying a dead tooth to preserve it.WHAT ARE THE INDICATIONS OF RCT?Decayed toothPainful toothNon-vital or dead toothTrauma exposing the pulpGrossly attrided toothIntentional RCTHOW RCT IS DONE?1. A Deep InfectionRoot canal treatment is needed when an injury ora large cavity exposes the tooth's pulp and the root becomes infected or inflamed.2. Route to reach the pulp of the tooth The dentist may numb the tooth if it is painful. An opening is made through the crown of the tooth to the pulp chamber.3. Removing the Infected/Inflamed Tissue Special files are used to clean the infection and unhealthy pulp is removed out of the canals. Then they shape the canals for the filling material. Irrigation is used to help clean the canals and remove debris.4. Filling the Canals The canals are filled with a permanent inert rubber material called gutta-percha cones. This helps to keep the canals free of infection or contamination & fills the dead space.5. Rebuilding the tooth A temporary filling material is placed on top of the gutta-percha to seal the opening. The filling remains until the tooth receives a permanent filling or a crown. A crown, sometimes called a cap is placed over the top of the tooth. It looks like a natural tooth.6. Extra Support In some cases, a post is placed into the root next to the gutta-percha. This gives the crown more support.7. The Crowning/capping of the root canal treated tooth To prevent the root canal treated tooth from fracture, an artificial hollow dental crown is constructed & cemented over it.WHAT ARE THE ADVANTAGES OF RCT OVER OTHER TREATMENT PROCEDURES?In case of deeply carious tooth the only treatment options are removal of tooth or the root canal treatment (RCT). However root canal treatment (RCT) is very conservative procedure which saves the natural tooth.Subsequently root canal treatment (RCT) prevents the bone loss and maintains the stability of the adjacent tooth.Most of the time the pain is related to the pulp tissue only and the procedure is more or less painless.As compared to other teeth replacement procedures after extraction, saving the natural tooth by root canal treatment (RCT) is quite cost effective & better option.

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.

Root Canal Treatment

Dr. Aman Arora, Dentist
How a tooth decays? Enamel is the hardest outer layer of a tooth. Dentin is the next softer layer beneath the enamel. Beneath the dentin is the pulp which contains nerve and blood vessels.If the tooth is not cleaned well, bacteria accumulates on tooth surface , produce acid  which  demineralize  the enamel. This leads to cavity / decay/caries formation. This cavity has to be cleaned and filled by a dentist. If its not treated, the decay reaches into the dentin , the softer  layer . This  might lead to sensitivity to cold.If left untreated, the decay spreads deeper into  the pulp  which leads to pain. At this stage Root Canal Treatment(R.C.T) has to be done.Some indications of  Root Canal Treatment may be:Spontaneous pain or throbbing.Pain while biting or chewing.Severe decay up till the nerve / pulp chamber or injury that causes an abscess (infection) in the bone surrounding the tooth.Prolonged sensitivity/pain to heat or cold temperatures (after the hot or cold has been removed).Discoloration (a darkening) of the tooth.Swelling and tenderness in the nearby gums.A persistent or recurring pimple on the gumsTreatment procedure for R.C.T.Step 1After the tooth is anesthetized, an opening is made through the  crown into the  pulp chamber.Step 2 The lengths of the roots' canals are determined.Step 3 Unhealthy pulp is removed. Canals are cleaned, enlarged and shaped  using  progressively larger endodontic files.Step 4 Canals are filled and sealed. Access opening is filled with a restorative material.Step 5  For further protection, a Crown is given for the 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

The Root Cause: How's and Why's of Root Canal Treatment

Dr. Ragini Parmar, Dentist
Don’t let your teeth die out on you while you are alive. Go ahead in life with a bright smile and healthy teeth!Root for it!You have been sleepless the whole night with that horrible toothache. You visit one of the best dentists in Mumbai and she throws a bombshell on your head! It’s not just a cavity that requires a filling but it’s a root canal!Shivers up your spine?Relax, it’s not as bad as it seems. A root canal is a simple and painless procedure - at the centre of every tooth are soft thread-like tissues, which contain blood vessels and other connective tissue. The pulp is lodged at the centre of the tooth. It is through the blood vessels that the pulp receives nutrition. If left untreated, pus collects forming an abscess, which would then affect the adjoining teeth causing pain and destroying the bone surrounding the tooth. Root canal treatment will repair and save the tooth from further decay.Root Canal ProcedureRoot canal is the process removing the damaged and infected nerve/ pulp located inside the tooth. The treatment is performed under a local anesthetic ensuring that the procedure is painless. The remaining stub of the tooth is then covered with a cap. The cap is customized for optimum compatibility with the rest of the teeth.Causes of Pulp DamageThe pulp could get damaged in many ways. Some of the reasons are:Irritation, inflammation and infection of the tooth’s nerve and pulpA deep cavity with bacterial invasionEating something really hard like popcorn seeds, ice, or breaking nuts with your teeth can cause trauma to your teeth resulting in a cracked or chipped toothAny form of trauma like a blow on the face, or a fall can damage the pulp or the nerve of the tooth foreverSymptomsThe symptoms of a deep infection stem from trauma caused to the tooth. If you have the following symptoms, it sure is time to pay a visit to your dentist:Tooth sensitivity to hot or cold drinks or foodSwelling of the gumTooth discolorationTooth acheAcute PainChronic PainDiscomfort or pain on chewing from a particular side of the mouthCombination of the above mentioned symptomsPrecautions & Post CareDo follow these steps after a root canal. Some of these pointers can be incorporated to prevent cavities as well:Avoid eating hard crunchy foodBrush your teeth twice a dayFloss after every mealAvoid eating on the side where the root canal has been done – chew on the opposite side of the mouthRinse your mouth with salt and water for two daysAvoid drinking alcohol and smokingFollow any other instructions and medicines your doctor might prescribeIt is very important to visit your dentist on a regular basis. Early treatment of cavities helps in avoiding further tooth destruction. After all, prevention is better than cure. So avoid trying to crack the hard nuts with your teeth – the hammer will suffice!

Why Did My Dentist Recommend a Root Canal?

Dr. Rajat Sachdeva, Dentist
Why Did My Dentist Recommend a Root Canal?Inside the tooth, under the white enamel and a hard layer called the dentin, is a 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.A root canal is a procedure that is recommended by your dentist in order to repair & save a badly damaged or infected tooth. This procedure involves removal of inflamed or infected pulp, careful cleaning & disinfecting it & then filling & sealing it with a material called gutta percha. The causes that affect pulp are a deep cavity approaching pulp, repetitive trauma to the tooth, a cracked tooth, faulty restoration.A root canal is essentially a term that refers to the natural cavity that occurs within the core of a tooth. The nerve i.e. the pulp which is removed in the root canal treatment has no role in health & function of a tooth. It's only core function is to provide sensitivity towards hot & cold.Why is root canal treatment recommended?Pain: A toothache is the most common symptom of needing a root canal. The tooth may start to hurt spontaneously, in the middle of the night, or sometimes when the patient isn't even using the affected tooth to eat or drink. The pain can progress to a very severe generalised headache that may cause the person to even forget what initially caused the pain. If the tooth is dead and has become abscessed, the patient will feel pain when he or she chews food or puts pressure on the tooth.An Abscess:  may or may not produce swelling or bleeding around the tooth, and sometimes it causes significant swelling of the cheek, jaw, or throat. If this swelling is noticed, treatment needs are urgent.It is very important when feeling some pain around a tooth, to get a thorough examination with pulp vitality testing by a licensed dentist for a proper diagnosis.What to expect during a root canal procedure?X-ray: If a dentist suspects you may need a root canal, he will first take x-rays to be certain of decay location.Anaesthesia: Procedure is initiated with the administration of local anaesthesia to the affected tooth.Pulpectomy: an opening is made & the diseased tooth pulp is removed.Filling: The roots that have been opened to get rid of the diseased pulp are filled with gutta-percha material & sealed off with cement.Why Root Canal?Saving the natural tooth with root canal treatment has many advantages:Efficient chewingNormal biting force and sensationNatural appearanceProtects other teeth from excessive wear or strainModern endodontic treatment is very similar to having a routine filling and usually can be completed in one or two appointments, depending on the condition of your tooth and your personal circumstances.

What Is Root Canal Treatment?

Dr. Sumit Dubey, Dentist
As we all know that tooth pain is a nightmare for many of us. Immediate dental intervention with prophylactic preventive medicinal coverage aids in healing and faster recovery. In this procedure there is removal of the infected soft tissue (dental pulp) within the tooth and it is replaced with an artificial inert bio-compatible filling material. This procedure basically saves the tooth, eliminates tooth pain and increase the longevity of the tooth/ teeth.Why the Procedure is PerformedThe procedure is performed when the infection in a tooth has progressed so much that it effects the nerves of the tooth, which finally results in to intermittent / continuous tooth pain and or a dental abscess.  It is sometimes related to tooth pain/infection/ swelling / inflammation/ pain while only chewing. Root canal treatment can save the tooth. If no treatment is provided, then the tooth further decays, which finally leads to loss of the tooth. Loss of the tooth leads to imbalance bite/occlusion and changes the angulation of other teeth. ProcedureDental RVG Digital X Ray is taken for final confirmation of lesion/ abscess / pulp exposure. Consent Form followed by  Local Anesthesia sensitivity testComplete Infection Control Protocol is achieved with sterilized instruments and preventive measures.Application for topical anesthetic agent followed by a nerve block. Dental Drill is used to remove the infected portion of the tooth and continue drilling till it exposes the pulp. The infected pulp is then removed with Endodontic hand/ rotary files. The canals are enlarged, shaped and cleaned. Healing medicines is placed into the area to make sure all the germs are removed and prevention of further infection.Initially root canal tooth area is sealed with temporary material later replaced by permanent restoration. Dental X Ray confirms the final sealing of canal.  Subsequently a permanent crown is advised.You maybe given antibiotics to prevent further infection. 

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!