It is a treatment method applied in cases where the nerve (pulp) in the inner part of the tooth is damaged or dies due to caries or trauma.
It is the process of removing the nerves in the tooth, shaping the canals in the tooth roots and purifying them from microorganisms, and then filling the enlarged canals. Then, restorations such as filling, porcelain crown inlay, etc., according to the loss of substance on the upper part of the tooth, are made and the aesthetic and functional continuity of the tooth is ensured.
Why is root canal treatment done?
It is done in order to ensure that all parts of the painful, inflamed, and badly damaged teeth that can be lost due to caries or trauma are cleaned and kept in the mouth for a long time, and to prevent further treatments that will force you both financially and morally that may occur due to tooth loss.
The tooth that is left with root canal treatment in the mouth will continue to help chewing as a dead tooth in that area, but at least as your own tooth, in this way, it will also prevent the melting of the jawbones, while the bone in that area remains active.
What causes toothache?
When the tooth decays, the hard tissues of the tooth (enamel-dentin) begin to deteriorate. When this decay begins to approach the pulp, that is, the living tissue, which consists of vessels and nerves in the tooth, the acids formed by the bacteria that cause caries begin to affect the pulp.
At this stage, the teeth begin to experience sensitivity in the heat or pain, especially at night. If left untreated, the acids secreted by these bacteria kill the pulp. As a result, toxins (poisons) emerging as a result of the death of the pulp leak out from the narrow hole at the root tip and spread to the jawbone.
This creates an inflammatory tissue called abscess in the jawbone and may cause the loss of the supporting tissues of the tooth. Swelling on the face and extra oral fistulas may be seen in the future. Although extraction is a cheaper treatment method, the loss of a healthy tooth creates a gap that is difficult to fill, this gap is a more expensive and difficult treatment by making a bridge or implant. If you have the opportunity to choose, it will always be to your advantage not to lose your tooth.
Sometimes it may not be possible to save teeth that have been left untreated for a long time with root canal treatment. Then the tooth may need to be extracted. In order not to lose our teeth as much as possible, we need to do the best oral care and visit the dentist every 6 months.
How long is the life of the tooth treated with root canal?
Root canal treatment is a treatment to prevent tooth extraction and gives the last chance to the tooth. As a result of a root canal treatment performed under appropriate conditions, the tooth can function in the mouth for a lifetime. However, teeth with root canal treatment may be more fragile than natural teeth.
Is there a risk of root canal treatment?
The success of a root canal treatment done properly and according to the rules is over 90% – 95% on average. In the event that the root canal tool breaks during the treatment or the root canals cannot be completely cleaned (root occlusion, etc.), the root canal treatment is tried again and if it is not successful, the tooth is tried to be saved by surgical methods.
How is root canal treatment done and how long does it take?
By anesthetizing the patient, the caries is cleaned and a cavity is opened inside the tooth. The pulp chamber is reached and various procedures are applied to clean the bacteria by entering the canals from this part of the tooth with special tools and disinfected.
Afterwards, the pulp chamber and canals are filled with various drugs depending on the situation and closed with a temporary filling. This process may take several sessions. In some cases, root canal treatment can be performed in a single session, while in abscessed and inflamed teeth, this situation is tried to be overcome by dressings, so the treatment is prolonged. After the tooth is healed, the canal filling is finished. How long this period will be depends on the condition of your tooth.
Things to consider during root canal treatment
Do not use your teeth to chew hard foods between root canal treatment sessions. Your tooth may break because you have a temporary filling in your tooth.
You may have pain complaints between sessions, consult your doctor for dressing.
You may experience swelling in your face between sessions. There is nothing to worry about, this is a reaction caused by microorganisms and can be corrected with dressings. Inform your physician.
What happens after root canal treatment?
After your root canal treatment is finished, you may complain of pain when you press on your tooth, as the inflammation in the natural tissues will last for a few days. During this period, you should not load into that area. After a while, your complaint will pass, if necessary, you can use the painkiller recommended by your doctor. If this situation does not pass and continues to increase, consult your doctor about this.
Since the teeth undergoing root canal treatment lose their vitality, their flexibility decreases. Therefore, after risk of breakage is very high. Please consider your dentist’s recommendations for the most appropriate restoration that will allow you to use this tooth for a long time. If there is not much material loss, normal filling is required on your tooth whose root canals are filled, and if there is excess material loss, a porcelain filling (inlay) is required to support the remaining tooth walls and prevent them from breaking in the future. If you have no tooth wall left, it is best to make a post that supports your root canal and put a crown on it.