Root Canal Treatment
Why is root canal treatment necessary?
When the inside of the tooth becomes infected, it is necessary to remove the nerve or pulp contained within the inner part of the tooth in order to save the tooth and stop the infection from spreading.
Infection and inflammation in the middle of the tooth can occur because of decay that spreads through the tooth, a crack or chip, or after multiple dental procedures on that tooth. If the infection is left untreated, it often results in pain and can lead to the formation of an abscess or systemic spread of infection to other areas of the body.
Root Canal Treatment X Dental Designs Clinic
The Dental Designs Difference
Use of Magnification up to 15x
When we do dental treatement, we are working with very tiny objects. An average tooth is 7-15mm wide. The root canals in the tooth are about 0.1-0.4mm wide, comparable to the size of a pin head.
For such precision work, instead of using our normal vision, we use a specialised dental microscope that goes up to 15 times magnification. This allows us to work with more accuracy on the tiny root canals in the tooth.
Rotary Instruments – For more effective removal of infection
Traditionally, root canal treatment is performed using hand files, whereby the infected part of the root canal is removed by small picks. This takes a very long time, and has a greater chance of human error. At Dental Designs Clinic, we utilise rotary endodontic instruments from Germany and the USA that efficiently and effectively clean out the root canals. This also means less time in the dental chair.
What Happens During the Root Canal Treatment?
What happens during the root canal treatment?
After numbing the area, we access the pulp chamber and canals. The infected pulp is removed and the internal area is disinfected, including the canal(s) all the way to the root end(s). Each tooth can have different shapes and numbers of canals, and it takes time to locate and clean each canal individually. Medication is placed into the root canal system to target the infection within the root system. At the next appointment, we will fill those canals and the pulp chamber with an inert, biocompatible material, and seal it permanently with adhesive cement. The access hole will have a temporary filling to seal off the area after each visit, until the completion of the root canal procedure, where a permanent restoration such as a crown is normally required.
Why do I need to have a crown after my root canal treatment?
Usually when the tooth needs a root canal, it is already badly broken down and can already have internal cracks. Root canal treatment involves removing the pulp and infected tissues from the inside of your tooth and the roots, which makes the tooth more brittle and prone to fracture. In such cases, we do strongly recommend a crown to be done on completion of your root canal treatment as an unprotected tooth can break any time.
Frequently Asked Questions on Root Canal Treatment
Root Canal vs Tooth Extraction
A root canal treatment allows you to keep your original tooth and avoid extraction, so we will always try our best to help you to keep the tooth whenever possible.
In some cases, if the tooth is severely weakened, the tooth may not be able to withstand further treatment or has a poor chance of lasting many years even with treatment. In such cases, you may want to choose tooth extraction. You can replace the tooth with a dental prostheses which is permanently fixed and appears just like a natural tooth, such as bridges, implants. You can also choose a removable option like dentures.
I have no pain, do I still need root canal treatment?
A tooth may be infected but not causing any pain. This is because the body’s immune system has localised the infection. However, in many cases, the infection eventually worsens and starts to cause severe pain. This happens without any warning, and it is impossible to predict when the infection will cause pain. Therefore, if an infection is detected on your x-ray or by examining the tooth, it is always best to have the root canal treatment done before the situation gets worse.
I’m afraid of pain, Are root canal treatments painful?
The root canal treatment is typically no more uncomfortable than having a normal filling. The local area will be numbed during the treatment, giving you a pain-free experience while the work is done. Sometimes, if the infection is severe, it may block the tooth from becoming fully numb. Any discomfort after the procedure can usually be relieved with over-the-counter pain medication or anti-inflammatories like Panadol or ibuprofen.
Is Root Canal Expensive? How much does root canal treatment cost?
Teeth in the front of the mouth have one root and generally one canal; back teeth have two or three roots and generally three or four canals. However, each individual tooth has a unique anatomy and can have different numbers of canals. Costs vary according to the number of root canals the tooth has and the difficulty involved in treating the tooth.
What other alternatives are there to root canal treatment?
We could remove the whole tooth, but it’s always better to try to save it — especially since root canal treatment is a highly predictable procedure and has a very high success rate (over 90%). Saving the tooth will prevent other issues due to having a missing tooth, such as bite problems from teeth shifting position, difficulty eating, and loss of jawbone volume and density.