Root Canal Treatment
Root Canal Treatment
Root canal treatment is the process of removing the tooth’s pulp, a tiny thread-like tissue in the center of the tooth. After the removal of damaged, diseased or dead pulp, the space is cleaned, shaped and filled. Cracked tooth, deep cavities and injuries may result in pulp damage. If the infected pulp is left untreated, it can form pus around the root tip in the jawbone resulting in abscess. An abscess can destroy the bone surrounding the tooth and result in pain.
Diagnosis and Root Canal Treatment Procedure
Endodontist will examine your teeth and takes X-ray to determine the position of tooth decay. Local anesthesia is given to the affected tooth. Root canal treatment is not painful than a filling. Initially, an opening is made through the back of a front tooth or the crown of a molar or pre-molar. Then, the diseased pulp is removed and the pulp chamber, root canals are cleaned, widened and shaped to be filled.
In some cases, a temporary filling is placed in the crown opening to protect the tooth. Later temporary filling is removed and the pulp chamber and root canal is permanently filled. Then, a tapered, rubbery material called gutta-percha is inserted into each of the canals and is often sealed with cement. In few cases, a metal or plastic rod is placed in the canal for structural support. At last, a crown is placed over the surface of the tooth to restore its shape and appearance. If the tooth is broken down, a post is required before placing a crown.
Why Root Canal treatment?
Root Canal treatment lasts lifetime when proper care is taken. Tooth decay can still develop in treated teeth; therefore good hygiene should be maintained to prevent further dental issues.
Your dentists will compare new X-rays with the earlier ones to determine if the root canal treatment is success or failure. With this, dentists will be able to know whether the bone continues to lose or regenerate.
Highly experienced dentists at Vijay dental hospital will check your medical history and present condition to perform root canal treatment. Based on your condition, you will be given various options to proceed with your dental treatment.
Laser Root Canal Treatment
Laser Root Canal Treatment
We all know that dental procedures are not painful and can give a comfort feeling to patients. But sometimes, these procedures are unpleasant and result in severe pain. Root canal is one of such painful procedure, which will be performed on the soft inner tissue of a tooth-known as pulp to remove the decayed or damaged part. The best way to relieve the pain and cause is through endodontics or root canal therapy.
Root canal procedure involves removing the diseased tissues from within a tooth and its roots, followed by disinfection. Dentists will insert filling material known as gutta percha, a natural occurring type of latex substance taken from tropical trees, into the canal to restore the natural tooth structure as long as possible. Although root canal procedures are successful, there are some cases in which the treatment does not yield expected outputs. In few cases, patient need to remove the tooth and replaced with an implant or bridge.
Laser technology changes the way you experience root canal therapy. Laser root canal therapy makes use a parallel beam of intense light to clean root canals. Laser therapy melts away debris comprising of bacteria and infection, known as smear layer of the root and cleans the root neatly when compared with traditional treatments. Laser dentistry can remove the infection within less time and pain.
Laser technology also minimizes possible risks from the root canal procedure. No need to worry about break off or getting stuck in the canal. The treatment can be carried out with minimal bleeding and can be used with minimal or no local anesthesia. Post-operative problems of conventional root canal treatment are practically eliminated-the laser reduces inflammation, swelling and discomfort in patient. In some cases, your dentist may combine both the laser and traditional hand pieces for optimal effects.
Re Root Canal Therapy
Re Root Canal Therapy
In few cases, root canal therapy fails to produce results as expected. After treatment, the patient might experience some problems or the treated tooth might not heal as expected. In such cases Re-root canal therapy is done.
Root canal retreatment removes the previous crown and packing material, cleanses root canals and the re-packs and re-crowns the tooth. Put simply, root canal re-treatment is similar to the actual procedure. The success rate of root canal retreatment is 75%.
Root canal treatments and retreatments is a good alternative to tooth extraction. If the tooth has a good bone support, a solid surface and healthy gums, then the tooth can be retreated instead of extracting. Root canal retreatment is less expensive when compared to other treatment procedures.
Why root canal retreatment?
The following are a few reasons why root canal therapy fails:
- Cracked crown leaking filling material
- Curved or narrow canals not treated properly
- Restorative devices are not placed immediate after the treatment
- New tooth decay
- New fracture in the treated tooth
- If saliva enters the restorative structure
- Complex canal structures
Root canal retreatment procedure
Root canal retreatment procedure involves isolation of an affected tooth with a rubber dam. The dam protects the tooth during treatment from bacteria and saliva. The first step is to remove the placed crown and post. Followed by filling material and obstructions that block the root canals will be removed. All these will be removed using an ultrasonic handpiece. Tiny instruments are used to clean and reshape the root canals. X-rays will be taken to ensure the roots are properly cleaned.
If your dentist is confident that the root canals are cleaned completely, gutta-percha is inserted in that space. This rubbery material seals the canals to prevent accumulation of bacteria. At last, a temporary crown or filling is applied to tooth. Finally, a color matched permanent crown will be placed.
Apicoectomy
Apicoectomy
A root end surgery, known as apicoectomy, retrograde root canal treatment or root-end filling is an endodontic surgical procedure in which the root tip of tooth is removed and a root end cavity is prepared and filled with a biocompatible material. Usually, a microscope is used to carry out the procedure.
Apicoectomy is required when a root canal therapy is failed and a re-treatment is not successful or not advised. In simple terms, when an infection develops or consists after root canal treatment, or retreatment, Apicoectomy is performed. During root canal treatment, the canals are cleaned and any infected tissues are removed. But sometimes, even after root canal treatment, infected debris will remain the branches and cause re-infection. In Apicoectomy, the root tip or apex is removed along with the infected tissues. Later, a filling is placed to seal the end of the root.
Apicoectomy is not similar to a root resection, wherein entire root is removed rather than just the tip.
Initially, you will have a consultation with our dentists. Generally, endodontists will carry out this procedure. Dentists may take X-rays and will give an antimicrobial mouth rinse and anti-inflammatory medication prior to surgery. If you have high blood pressure or epinephrine in local anesthetics, let your dentist know at the time of consultation. The epinephrine will constrict your blood vessels to prevent bleeding near the area. Sometimes, you may feel your heart beat rate speed up after you receive the local anesthetic, but this will subside within few minutes.
Apicoectomy Procedure
The Endodontist will cut and lift the gum from the tooth so as to make the root easily accessible. The infected tissue will be removed with the few millimeters of the root tip. Dentist will use a dye that highlights cracks and fractures in the tooth. In case of tooth crack or fracture, it should be extracted and the apicoectomy cannot be performed.
In order to complete the apicoectomy, 3 to 4 millimeters of the tooth’s canal is cleaned and sealed. The cleaning is done with the help of microscope using ultrasonic instruments. Surgical microscope increases the chances of success because the light and magnification enables the endodontist to see the area better. Most procedures take between 30 to 90 minutes, based on the location of the tooth and complexity of the root structure.
If you are looking for the best Endodontist in Hyderabad, consult doctors of Vijay Dental hospital to get the best results.