Natural teeth should stay in the mouth for a lifetime. If your tooth is traumatized or decayed, it can be saved with root canal treatment (endodontic treatment). We’ve answered some of the frequently asked questions about endodontic treatment to explain why and when you might need this procedure and how a problem tooth can be saved.
What is root canal treatment?
It is the removal of dental pulp. After removal, the root canal is occluded with materials separating it from the surrounding tissues. Years ago, damaged or painful teeth were extracted. Today, if the pulp of one of your teeth becomes infected, the tooth can be saved with root canal treatment.
What is dental pulp?
dental pulp; It is the soft tissue inside the tooth that contains blood vessels, nerves and connective tissue. It is located in a canal that runs through the middle of dentin, a hard tissue that supports the enamel of the tooth. The crown (the area visible above the gingiva (impladent)) contains the pulp chamber. The pulp extends from this chamber to the root canal and the root tip inside the jawbone. Teeth have only one pulp chamber. But it can have more than one root and many canals.
What happens if the pulp becomes sick?
If it cannot repair itself, it will lose its vitality. The most common causes of pulp death are tooth fracture, deep caries, extensive restorations or trauma. All of these prepare the environment for bacteria to enter the pulp. If there is night pain in deep caries, if there is pain that starts with heat, if cold relieves the pain, it is likely that root canal treatment will be necessary.
Why is pulp removal necessary?
If the damaged or diseased pulp is not removed, the tissues surrounding the root of the tooth may become infected. An abscess may form, causing pain and swelling. Even if there is no pain, some residues from bacteria can damage the bone that connects the tooth to the jaw. This causes some systemic diseases. If left untreated, the tooth may need to be extracted.
Why don’t you pull the tooth?
Losing a natural tooth has many disadvantages. If a tooth is extracted and no replacement is performed, neighboring teeth may begin to slip from their normal positions. This causes the teeth to bend, which reduces the effectiveness of biting and chewing. Bent and clenched teeth are prone to gum disease because they are more difficult to clean than regular rows of teeth. Renewal of teeth with an implant or bridge is more expensive than endodontic treatment and involves wider applications in adjacent teeth. A natural tooth is always better than an artificial tooth.
How long does a root canal treated tooth stay in the mouth?
A root canal-treated tooth can serve for years like an untreated adjacent tooth. Root canal treated teeth, like any other tooth, may decay, fracture lines may form on them and may be periodontally problematic. Oral hygiene and regular dental check-ups will help keep your teeth healthy, with or without root canal treatment.
What is done in the treatment?
Treatment consists of one or more appointments. Endodontic treatment has steps.
1- First of all, a local anesthesia will be applied to make you more comfortable during the treatment. An opening is made from the crown of the tooth towards the pulp chamber.
2- The pulp and its residues are carefully removed from the pulp chamber and root canals. Each root canal is cleaned and shaped to be filled.
3- Medicines can be placed in the pulp chamber and root canals to eliminate bacteria.
4- To the space prepared in the crown; A temporary filling is placed to prevent saliva from entering. Antibiotics may be given if the infection is present and has spread beyond the root tips.
5- In the next stage of the treatment, the temporary filling is removed. Root canals are filled and sealed with a biocompatible material.
6- In the final stage, the tooth is restored with a crown or filling. If an endodontist has done your root canal treatment, they may refer you to your regular dentist for final restoration.