The word - root canal or RCT is the most know and most feared treatment among most patients. The pain/discomfort of an RCT is so well known that hardly anybody is willing to undergo the procedure without a great deal of convincing.
However an RCT is life saving - for your tooth of course. Basically an RCT allows you to retain a tooth in your mouth and serve you for a good many more years. The only other alternative to treating a tooth indicated for an RCT is to remove (extract) it. Many patients think (erroneously) that removing a tooth is the easy and cheaper way out. However not only are they wrong about it being the shortcut - it generally turns out to be more expensive too.
A natural tooth is a natural tooth - ask anyone who has had to live with artificial teeth. Therefore every extra bit of effort that is taken to save a natural tooth is worth it. If your tooth is indicated for an RCT - get it done Today.
Root canal is a treatment to repair and save a badly damaged or infected tooth instead of removing it. The procedure involves removing the damaged area of the tooth (the pulp) and cleaning and disinfecting it, then filling and sealing it. The common causes affecting the pulp are a cracked tooth, a deep cavity, repeated dental treatment to the tooth or trauma to it. The term "root canal" comes from cleaning of the canals inside the tooth's root.
Decades ago, root canal treatments were painful. With dental advances and local anesthetics, most people have little if any pain with a root canal today.
UNDERSTANDING THE RCT
Root canal treatment consists of a number of steps that take place over several office visits, depending on the situation. These steps are:
The endodontist examines and x-rays the tooth, then local anesthesia is administered to the affected tooth.
A dental dam is usually placed over the affected tooth to isolate it and keep it free from saliva.
The endodontist makes an opening through the back of a front tooth or the crown of a molar or pre-molar to remove the diseased pulp, called a pulpectomy.
Next, the pulp chamber and root canals are cleaned and shaped in preparation for a filling.
The endodontist fills the root canal with gutta percha material.
If more than one visit is needed, a temporary filling is placed in the crown opening to protect the tooth between dental visits. The temporary filling is removed and the pulp chamber and root canal are permanently filled with gutta percha into each of the canals and is sealed in place with cement. Sometimes a metal or plastic rod is placed in the canal for structural support. In the final step, a crown is usually placed over the tooth to restore its natural shape and appearance. If the tooth is broken, a post may be required to build it up prior to placing a crown.
IT’S A PAINLESS TREATMENT
Many people worry that a root canal will be painful, something that was true in the past. Today, with advanced anesthesia options and surgical techniques - a root canal is as comfortable as getting a filling. An infected tooth (pre-root canal), is usually what causes tooth pain, and a root canal is the solution to this problem. In fact, infected tooth pulp can cause a tooth abscess and can destroy the bone surrounding the tooth.
UNDERSTANDING RCT OUCOMES
A RCT treated and restored tooth can last a lifetime with proper care. Root canals have a high success rate and are significantly less expensive than the alternative, tooth extraction and replacement with a bridge or implant.
But tooth decay can still occur in treated teeth, so good oral hygiene and regular dental exams are necessary to prevent further problems.
To determine the success or failure of root canal treatment, dentists typically compare new X-rays with those taken prior to treatment. This comparison will show whether bone continues to be lost or is being regenerated.
Sometimes root canals are not successful because an infection develops inside the tooth, or the original infection was not fully removed. In these cases, an apicoectomy, a procedure where the infection and the root tip are removed and a filling placed, is done. Other times a second root canal is recommended.