A dental operation that is used to extract diseased pulp tissue from the inside of a tooth is a root canal. In the inner part of the tooth, the narrow channels under the pulp chamber are hollowed out and cleaned, and flexible nickel titanium files are filed into the roots. Root canal therapy restores an average of 17 million teeth each year and saves them. It sounds better than a tooth extraction, doesn’t it? Keep your tooth and stop the pain.

Three main components make up a tooth: a strong protective shell known as enamel, a softer and more sensitive middle layer known as dentin, and an inner layer of soft tissue known as dental pulp. Dental pulp is made up of nerve tissue, blood vessels and lymph tissue, and is known to be the essential part of a tooth. If the dental pulp is too traumatized, the tooth begins to die and root canal treatment is often needed to avoid or remove infection and prevent tooth loss, whether by exposure to oral bacteria from deep dental caries, a fracture in the tooth that reaches the pulp or a forceful blow to the face.

A root canal operation includes disinfection of the tooth and elimination of all debris from the coronal pulp chamber and its related canals (nerve tissue, lymph tissue, blood tissue, bacteria and infection). When the canals of an infected tooth are properly washed and formed, they are filled with materials intended to prevent the recurrence of pain and infection. It is vital that at the tip of the root a seal is formed, otherwise the risk of failure is dramatically increased. Any leakage into the root canal is in danger of failure.

Infection Signs

Some symptoms may suggest that you have an infected tooth or nerve and may need a root canal as a result. Such signs include:

• Minimal to extreme distress.
• Discoloration of the tooth.
• Swelling in the underlying gum tissue and discomfort.
• Visible symptoms of infection from a radiograph.
• Important or extreme sensitivity to temperature.
• The failure to bite down.

In such situations, we typically recommend a root canal to save the affected tooth and preserve its functionality.

Why are the toothaches associated with this so painful?

The root canals house nerve fibres, blood, and lymph tissues. A pulp chamber that funnels into those canals is located within each tooth.

For many causes, a tooth may become inflamed or contaminated, including extreme tooth decay, a crack or chip in the tooth, or trauma. Bacterial leakage into the dental pulp can be fostered by failing restorations such as dental fillings and dental crowns. The dental pulp starts to die once infected, and the inflammatory responses of the body set it up. There can be considerable pain from the combination of infection and inflammation. A toothache is the end result.

How does Root Canal work?

You may be prescribed antibiotic treatment for a number of days before the root canal procedure is performed during the first dental visit. Your dentist will isolate the tooth using a rubber dam at the beginning of the procedure and anaesthetize the tooth sufficiently to prevent pain while performing the procedure.

A drill is then used to access the tooth’s pulp chamber and related canals. The dentist will delicately (but thoroughly) cleanse the length of the canals and tip (or apex) of the root using lightweight nickel titanium pin-like files to fully eliminate any signs of bacteria or debris. In order to minimize damage or trauma to the surrounding ligaments and bone, this process is done with a great deal of care.

We may use additional instruments to measure the root to achieve this. These tools can include digital X-rays taken during the cleaning process, an apex locator that acts as an electrical probe to locate the root tip, and a magnification microscope that can magnify up to 32 times.

Afterwards, the we will clean and seal the tooth. In order to fill the canal with a material called gutta-percha, some dentists and endodontists use a special form of heat gun. Gutta-percha is a normal, biocompatible, anti-bacterial material that, within about 15 minutes, expands and seals the hollow region. In order to seal the tooth with a resin material, other dentists and endodontists can use the bonding process. Then the dentist fills the entry hole of the canal with a temporary or permanent filling.

On occasion, in order to allow time for healing, a temporary filling is inserted in the hole used to enter the root canals. Once the tooth is deemed to be properly healed and the root canal is considered a success, a permanent restoration is put in place (such as a dental filling, post or crown). You may receive medicine during the interim to treat the soreness and pain that may result from the procedure.

Advantages of getting Treated at Bliss Dental Clinic in Bandra, Mumbai

Revolutionary advances in care have been driven by the technology of today’s dental instruments. In order to find the narrow canals that house pulp tissue, for instance, endodontists and dentists of the past had to feel their way through the anatomy of the tooth. The use of a microscope today enables dentists to navigate through even the most complex anatomy easily.

Ultrasonic needle: In the past, the removal of broken files from the roots was extremely difficult, occasionally resulting in tooth loss being treated. Today, to send a pulse down the canal to a damaged file for its removal, an ultrasonic needle may be used.

Water Laser: In endodontics, the use of the laser just begins to crest. Using a water laser with a bleaching solution, the endodontist or dentist may disinfect the tooth. In this new area, laser dentistry technology is still developing, but the use of the water laser holds promise.

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