Root Canals

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 Root Canal Treatment (RCT)

Root canal treatment (also called a root canal) is done when decay will likely damage or has already killed a tooth. During a root canal, a dentist or endodontist removes the pulp from the center of a tooth and fills the pulp cavity. This can prevent the development of a painful infection in the pulp that may spread to other teeth. A root canal can also treat an infection that has developed into an abscessed tooth. This procedure can relieve toothache, stop infection, and promote healing.

How to perform a root canal?

  • First, the dentist will numb your gums with a substance that feels like jelly. After your gums are numb, the dentist will inject a local anesthetic that will completely numb the teeth, gums, tongue, and skin in that area. Sometimes nitrous oxide gas will be used to reduce pain and help you relax.
  • The dentist may separate the decayed tooth from the other teeth with a small sheet of rubber on a metal frame(rubber dam). This protective rubber sheet also helps stop liquid and tooth chips from entering your mouth and throat.
  • The dentist will use a drill and other tools to remove the pulp from the tooth and will fill the inside part of the tooth below the gum line with medicines, temporary filling materials, and a final root canal filling. 
  • After the root canal, a permanent filling or crown (cap) is often needed. If a crown is needed, the dentist removes the decay and then makes an impression of the tooth. A technician uses the impression to make a crown that perfectly matches the drilled tooth. 
  • The tooth may be fitted with a temporary crown until the permanent crown is made and cemented into place.


How does endodontic treatment save the tooth?
During root canal treatment, the inflamed or infected pulp is removed and the inside of the tooth is carefully cleaned and disinfected, then filled and sealed with a rubber-like material called gutta-percha. Afterwards, the tooth is restored with a crown or filling for protection. After restoration, the tooth continues to function like any other tooth.
Contrary to jokes about the matter, modern root canal treatment is very similar to having a routine filling and usually can be completed in one or two appointments, depending on the condition of your tooth and your personal circumstances. You can expect a comfortable experience during and after your appointment.
Saving the natural tooth with root canal treatment has many advantages:
*Efficient chewing
*Normal biting force and sensation
*Natural appearance
*Protects other teeth from excessive wear or strain
Endodontic treatment helps you maintain your natural smile, continue eating the foods you love and limits the need for ongoing dental work. With proper care, most teeth that have had root canal treatment can last as long as other natural teeth and often for a lifetime.

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What To Expect After the procedure:
After a root canal, your lips and gums may remain numb for a few hours until the anesthetic wears off. Later you may have throbbing pain, which you can treat with antibiotics and pain medicines, such as ibuprofen, acetaminophen, or a stronger prescription painkiller. Be safe with medicines. Read and follow all instructions on the label. The pain usually lasts only a day or two. 
Why It Is Done
A root canal is needed when tooth decay is likely to cause permanent damage to the pulp or has already done so.
How Well It Works
A root canal removes the pulp inside the tooth and replaces it with filling material. It can effectively treat or prevent an infection.

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Risks!

If you have an infected tooth, bacteria from the mouth can enter the bloodstream and cause infections in other parts of the body. People who have a hard time fighting off infections may need to take antibiotics before and after a root canal. Such people include those who have artificial heart valves or were born with heart defects. 

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What To Think About
Because a root canal removes the pulp inside the tooth, the tooth becomes more fragile and may break more easily if it is not covered with a crown or cap . Crowns that seal the top of the tooth and strengthen the Root Canal Tooth.

A root canal needs to be done as soon as possible to avoid a severe infection, which can damage the bone surrounding the root of the tooth and infect other teeth. 

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