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Root Canal Treatment

Stop infections and

fix tooth pain!

Root canals are probably the most notorious procedure in dentistry, but also the most misunderstood. While many people view them as “scary,” the truth is that a root canal is an effective treatment to stop pain and save your tooth.

So what is a root canal? When a tooth becomes infected, it’s usually related to the nerves in the root of your tooth. These infected nerves need to be removed. Left untreated, an infection can turn into an abscess, which is a much more serious problem that leads to missing teeth and bone loss in your jaw.

Our Dental Clinic is the trusted place to get a root canal in Dhule. With state-of-the-art technology and years of experience, your root canal treatment will be easier and more comfortable than you ever thought. We’ll make sure of it.

Get rid of the dental pain & save your natural tooth with our painless root canal treatment. Consult our experts today!

What is a Root Canal Treatment, and How does it work?

The crown and root are the two sections of a tooth. Enamel, dentin, and pulp make up the crown. Cementum, dentin, and root canals packed with pulpal tissue make up the root.

When an infection penetrates a tooth, it travels through the enamel, dentin, and pulp. Then, the infection spreads from the pulp to the root canals and into the bone beneath the tooth.

The dentist removes all infections in the pulp during the root canal procedure. Then, the dentist fills the tooth with a permanent restoration and seals the sterile, cleaned area in the pulp. The dentist should perform a root canal with extreme caution and bacteria-free tools.

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Patient and Dentist

Single visit root canal

The RCT is a multiple sitting procedure that requires the patient to visit the dentist’s clinic two or three times, depending on the treatment approach. Single sitting root canal treatment is a revolutionary advancement in dentistry that allows patients to complete their RCT procedure in only one sitting in specific cases without long standing infection and abscess.

Single sitting RCT Procedure :

Following procedure is followed in single sitting RCT: 

  • An x-ray imaging is taken of the affected tooth to discover the extent of infection. Local anesthesia is given for a painless experience to the patient.

  • A cavity is created through the top of the tooth to create access to the pulp chamber and root canal. All the infected tooth materials are removed to create clear access.

  • The pulp chamber, along with the infected root canals is thoroughly cleaned out using  advanced instruments.

  • The canals are then shaped and cleaned again. The dentist then fills it with a filling material & Voila..its done!

  • Later it requires a crown on the treated tooth to add strength and eliminate the possibility of fracture of the treated tooth.

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Girl Brushing Dad's Teeth

Re-root canal Treatment

The root canal retreatment procedure is similar to the root canal treatment procedure, but has a few extra steps and usually requires two visits. The first visit consists of removal of all root canal filling materials and placement of an antibacterial paste called calcium hydroxide. The tooth is then closed with a temporary filling material. This antibiotic medicament is left in the tooth for some time to reduce the number of bacteria and give the tooth the best chances of healing.

On the second visit, the calcium hydroxide paste is removed, the canals are once again thoroughly cleaned and shaped, and a new root canal filling is placed. Finally, a temporary filling is placed to close the opening in your tooth. Your dentist will remove this temporary filling at the time the tooth is restored. Following root canal retreatment your tooth is susceptible to fracturing, or to infection due to loss of the temporary filling. Therefore, it is imperative that you return to your dentist in a timely manner in order to restore the tooth to its full functionality.

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Dentist Appointment

Surgical endodontics

The most common endodontic surgery is called root-end resection or apicoectomy. After profound local anesthesia is achieved, a small incision is made near the gum-line and the gum tissue is temporarily moved in order to gain access to the inflamed or infected area. The tip of the root is removed, cleaned with an ultrasonic instrument, and a root-end filling is placed to seal the canal. Finally, a few stitches are placed to allow the gum tissue to properly heal.

A follow-up appointment is required to remove the sutures and evaluate healing. Over a period of months, the bone heals around the end of the root.

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Child Brushing Teeth 2

Cracked Tooth treatment

Cracked / Fractured Teeth

Whether your tooth cracks from an injury, clenching and grinding, or general wear and tear, you can experience a variety of symptoms ranging from erratic pain when you chew your food to sudden pain when your tooth is exposed to very hot or cold temperatures. In many cases, the pain may come and go and your dentist may have difficulty locating the tooth causing the discomfort.

As endodontists, we specialize in saving cracked teeth and will cater treatment to the type, location, and extent of the crack.

Listed below are categories of longitudinal fractures and their treatment recommendations:

Craze Lines

Craze lines are surface cracks of the enamel (the outer hard layer of tooth structure).  Most adult teeth have these craze lines and no treatment is necessary as they typically pose no problems.

Fractured Cusp

When a part of the chewing surface of the tooth, called a cusp, is weakened by a crack it will often break off or be removed by the dentist (or endodontist).  Many times a crown is all that is required to restore the tooth.  Depending on the depth of the fracture and the presenting symptoms, a root canal may be required prior to returning to your dentist for a crown.

Cracked Tooth

A “cracked tooth” can be difficult to diagnose.  The fracture line usually starts from the middle of the chewing surface of the tooth and extends inward toward the pulp (or “nerve” of the tooth).  Because this frequently involves injury to the pulp tissue, a root canal is often required before the tooth is restored with a crown.  If the crack is extensive the tooth may need to be extracted (removed).  Often it isn’t until the root canal is initiated that we know the true extent of certain types of cracks and whether the tooth can be saved.

If the tooth can be saved with root canal treatment, it is critical to return to your dentist to restore the tooth with a crown as soon as possible.  The purpose of the crown is to minimize the chances of further extent of the fracture.

Split Tooth

A split tooth is a cracked tooth that has extended to the point where there are separate segments (a.k.a., a complete fracture).  A split tooth cannot be saved and requires extraction.

Vertical Root Fracture

Vertical root fractures start in the root of the tooth and extend toward the chewing surface of the tooth.  They are usually painless and often discovered when the surrounding bone and gum become inflamed.  Treatment usually involves extraction of the tooth.  However, endodontic microsurgery can sometimes remove the portion of the root containing the fracture.

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Tooth

Re-implantation

A tooth avulsion happens when you lose your permanent tooth. Accidents and injuries can knock out a tooth. You must seek immediate treatment to save your tooth. You can first reinsert your tooth yourself or save it in liquid. Then you should seek help from a dentist for further treatment.

Most often, you’ll see a dentist if you have a tooth knocked out. How your dentist treats an avulsed tooth depends on whether you could reinsert the tooth yourself or keep it moist. If you put your tooth back into the socket before seeing your dentist, the dentist will:

  1. Make sure you have positioned your tooth correctly.

  2. Splint your implanted tooth to the surrounding teeth for seven to 10 days. If the bone around your tooth has also fractured, your provider may leave the splint for at least six weeks.

  3. Evaluate the pulp condition and schedule a root canal if necessary (removal of the soft center of your tooth) within two weeks.

If you stored your tooth in a moist liquid, your dentist will:

  1. Gently rinse your tooth if needed, usually with saline.

  2. Give local anesthesia (numbing medication).

  3. Reinsert your tooth.

  4. Splint your implanted tooth.

  5. Schedule a root canal.

Your dentist may prescribe an antibiotic for a few days. They will also make sure your tetanus shot is up to date. You may be at risk for tetanus if your tooth was exposed to dirt. If you couldn’t store your tooth in a moist liquid, your dentist may still reimplant it. For the best chance of success, they can usually only reinsert a tooth within an hour of loss. If your tooth dries out too much, the periodontal ligament (the joint that attaches the root of your tooth to your bone) may die. If this happens, the tooth may be lost and you may want to replace it with something like a partial denturebridge or dental implant at a later date.

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FAQs

What is endodontic (root canal) treatment?
The dental pulp, the soft tissue inside the tooth commonly called “the nerve”, is made up of connective tissue, nerves, and blood vessels.  The main function of the pulp is forming the hard structure of the roots during tooth development.  In the fully matured tooth, this tissue is not necessary for the tooth’s health and survival.  When the pulp becomes inflamed or infected it is necessary to remove it with endodontic treatment. A common misconception is that we are taking the roots out of the tooth, which is not the case.  The best way to think of root canal treatment is that we are cleaning the natural canal system of the tooth and placing a filling to seal the canal(s).

Why do I need a root canal?
The most common reasons the dental pulp may become inflamed or infected are:  tooth decay, restorative dental procedures, traumatic injury to a tooth, and a crack or fractured tooth.  An endodontic (root canal) procedure will remove the infected or inflamed pulp and alleviate dental pain and/or infection. In many cases this is the best way to save your tooth and keep it healthy.

 

What are the signs that I might need endodontic treatment?
The most common symptoms include pain, lingering hot or cold sensitivity, tenderness when biting, and swelling.  However, often when root canal treatment is necessary there are no symptoms.  Your Endodontist is an expert at diagnosing dental pain and infections, and decide with you if an endodontic procedure is right for you.

How will endodontic treatment save my tooth?
Endodontic treatment involves removal of the inflamed or infected pulp, cleaning and shaping of the root canal, and then sealing the canal with a filling material.  This removes the source of the infection or inflammation and allows the tooth and surrounding tissues to heal.  Once root canal treatment is complete you will return to your dentist who will restore the tooth by placing a crown or other restoration.  This is necessary to provide stability to the root canal treated tooth and restore the tooth to its proper function.  Although there is no guarantee that an endodontic procedure will preserve your tooth, advances in the field of endodontics is making it possible to save teeth that in the past would have been lost.

Will I feel pain during the procedure?
We are committed to making your endondotic procedure as comfortable for you as possible.  We use modern “numbing” techniques with profound local anesthetics.  We also offer nitrous oxide (a.k.a. “laughing gas”) inhalation sedation as an adjunct for your comfort if you so choose.  Oral sedation by taking a pill prior to the procedure (i.e., Halcion, Valium, or other benzodiazepine) may also be an option to reduce anxiety.

 Will I feel pain after the procedure?
Post-operative sensitivity is common following an endodontic procedure, which usually lasts a few days.  Your doctor will discuss the best pain management protocol which may include over-the-counter and/or prescription medications.  You will be provided with our 24 hour answering service number if you have any concerns or questions that require immediate attention.

How long does the procedure take?
Most root canal procedures are completed in one hour.  Subsequent visits may be necessary for certain types of  long standing infections or for root canal retreatment procedures.  If endodontic microsurgery (apicoectomy) is the treatment of choice, a consultation appointment with your endodontist is necessary before the actual procedure is scheduled.

Why is there a temporary filling on my tooth after the root canal?
When the root canal treatment is completed, a temporary material is placed on the chewing surface of your tooth.  This protects the permanent root canal filling in the roots.  Your general dentist will place a permanent restoration (usually a crown) over the tooth, which provides stability for normal chewing function.  This is important, as a root canal treated tooth is susceptible to fractures resulting in tooth loss.  It is important to return to your dentist for the permanent restoration as soon as possible.

Are there any follow-up appointments after the procedure is finished?
Once your endodontic treatment is completed we want to verify that your tooth is healing normally.  This visit consists of an x-ray and a quick visit with you.  Our typical follow-up schedule is at the six-month and one-year points.  Our office will send a notice by mail at that time to remind you can call and schedule the appointment.

Why do I need so many x-rays?
Radiographs (x-rays) are required before treatment begins to accurately assess your dental situation.  Even if you bring an x-ray or one is sent from your dentist’s office, we must take our own pre-operative images.  During treatment the endodontist may need to take additional images to ensure precision.  Finally, we will also take post-operative radiographs to evaluate the completed endodontic treatment.  Copies of these images will be sent to your dentist along with a treatment report.

Because we are equipped with digital radiography, radiation exposure is reduced by 80% compared with the standard film x-rays; therefore, exposure is minimal even when multiple images are necessary.

Why does my root canal need to be retreated?
A root canal retreatment may be necessary if a previously root canal treated tooth does not heal or if a recurrent infection is evident.  Root canal treatment has a very high rate of success, but as with other medical or dental procedures, infection or inflammation may persist or recur.  Your Endodontist may be able to provide insight into potential causes and how they may be corrected.  A root canal retreatment procedure may be the best option to preserve your tooth.

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