OVERVIEW
Root canal treatment (Endodontic treatment) aims to remove all infection and infected debris from a tooth and is a skilled procedure. It can sometimes take several visits to complete. It involves cleaning, disinfecting and filling the roots of the tooth. If endodontic treatment is not carried out, the tooth may then need to be extracted.
There are several reasons that a tooth can require endodontic treatment, and it is as a result of the nerve or pulp of the tooth becoming inflamed or infected. This includes:
WHAT CAN YOU EXPECT?
During your consultation or check-up, your dentist will inform you whether or not this treatment is necessary, and talk you through any questions you may have.
Endodontic treatment is a complex and highly skilled procedure. It is usually done over a number of appointments. At each appointment the tooth will first be numbed using local anaesthetic – this is done as comfortably as possible and we try and ensure it is pain free.
On the first appointment, access is made to the infected nerve tissue within the tooth. Time is then taken to carefully clean and disinfect the entire root canal system within the tooth, and remove any inflamed pulp or nerve tissue, and ant debris. At the end of the appointment, a temporary filling will be placed.
On the second appointment, the temporary filling is removed and the dentist will ensure the whole tooth has been cleaned effectively. They will then proceed to fill the root canal system with specially designed filling material and seal the top of the tooth with a filling. Several x-rays will be taken through the procedure to ensure it is as successful as possible.
This will be discussed with you prior to starting any treatment, but most teeth require a strong covering as endodontic treatment can weaken the tooth as it is effectively hollowed out. These teeth often require a crown, which can be thought of like a helmet, to protect the tooth.
Afterwards you can sometimes experience some discomfort, as you would after any slightly invasive procedure, but this should be easily managed with pain relief and should subside after a couple of days.
QUESTIONS ABOUT
If you experience any of these symptoms you should seek dental help:
It is a common misconception that root canal treatment is painful. In fact, if it is done at the appropriate time and in the correct way, it should be pain free. Afterwards you can sometimes experience some discomfort, as you would after any slightly invasive procedure, but this should be easily managed with pain relief and should subside after a couple of days.
Root canal treatment carries a success rate of about 85%. In those cases where it doesn’t work, it sometimes needs to be re-done (re-root canal treatment), or the teeth may need to be removed, in which case replacement options will be discussed.
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