WHAT IS ROOT CANAL TREATMENT?
Root canal treatment is the process where the pulp tissue, which is the nerve and vascular bundle, is completely removed and the resulting cavity is filled with a canal filling material in order to fix the damage that is caused by various factors (e.g. caries, trauma, etc.).
Root canal system can sometimes be quite complex and conventional systems are not always sufficient to completely remove the remaining nerve tissue.
Studies have shown that CT examination and root canal procedures implemented using high-tech equipment with sonic and ultrasonic properties are more successful in such cases.
DOES ROOT CANAL TREATMENT CAUSE PAIN DURING AND AFTER TREATMENT?
Root canal treatment is completely painless because teeth are numbed during treatment. Since there are no tooth nerves, there will be no post-treatment pain except for the first couple of weeks. The tooth will continue to heal during the first few weeks (usually after 3-4 days) and exerting pressure on the tooth may cause only a slight pain that will eventually disappear over time.
HOW LONG DOES ROOT CANAL TREATMENT LAST?
The period of root canal treatment can vary to a great degree.
Treatment duration is affected by a variety of factors i.e. length of the roots, root canal widths, and presence of inflammation in tissues that surround the root. While some teeth can be treated in a single session while some may need wound dressing for a few sessions before completion of the procedure.
STAGES AND METHOD OF ROOT CANAL TREATMENT
The main purpose of root canal treatment is to remove the nerves, to minimize microbial activity in the root canals and to fill them in a leak-proof manner. The individual steps of the procedure are:
1- Removal of caries
2- Opening the entrance cavity (gap)
3- Removal of nerve tissue and root canal expansion
4- Rinsing of root canals by means of canal disinfecting solutions
5- Drying of root canals
6- Filling root canals with filler material
7- Restoration of tooth after root canal treatment
1- REMOVAL OF CARIES
The first step in root canal treatment should be the complete removal of caries tissue in order to prevent reentrance of bacteria into the root canals.
Remaining caries tissues increase the risk of re-infection of the treated tooth afterwards, which in turn would require root canal treatment to be repeated.
2- OPENING AN ENTRANCE CAVITY
Correct opening of the entrance cavity is of major importance to ensure proper and easier access to the root canal orifice.
3- NERVE TISSUE REMOVAL AND ROOT CANAL EXPANSION
Complete nerve tissue removal is essential for a successful root canal procedure. Removal of all nerves in canals with a complex anatomy is a highly challenging task. Correct expansion is important for better rinsing and leak-proof canal filling.
Over expansion of canals increases the risk of broken roots while too small an expansion may cause insufficient rinsing.
4- RINSING ROOT CANALS WITH DISINFECTING SOLUTIONS
A successful root canal treatment requires the minimization of bacterial count inside the canal. To achieve this, the entire canal must be sufficiently rinsed using canal disinfecting solutions. In order to increase the efficacy of intra-canal disinfectants, certain methods incl. heating and activation of the solution with sonic and ultrasonic devices are employed.
5- DRYING OF ROOT CANALS
The canal must be dried thoroughly since damp root canals would affect the tightness of the root canal filler.
6- FILLING ROOT CANALS WITH FILLER MATERIAL
Microbial activity inside the canals is minimized after rinsing and expansion of the canals. One of the most important treatment steps is to fill the canals tightly in order to prevent bacteria from re-entering the canal. Canal filler materials include Gutta percha MTA canal sealers.
7- RESTORATION AFTER ROOT CANAL TREATMENT
Teeth that underwent root canal treatment can be restored using with composite filling, amalgam filling, porcelain veneers, inlays and onlays. Studies have shown that failed restoration is among the most important causes of unsuccessful root canal treatments.
WHEN CAN PATIENTS EAT AFTER ROOT CANAL TREATMENT?
Root canal treatment has no impact on eating. Food can be eaten after numbness has resolved. For the first couple days, there may be pain when applying pressure on the tooth while eating. In this case, chewing with the opposite side is recommended.
ROOT CANAL TREATMENT PRICING?
Pricing of root canal treatment is based on several factors such as the number of root canals, inflammation in surrounding tissues, and the number of sessions requiring wound dressing. Each dental clinic implements their own pricing policy. Click the link for the current price list of the Turkish Dentists Association.