single sitting root canal treatment 

Everyone must have undergone a root canal treatment at least once in their lifetime. Call it the negligence towards oral health or simply the consumption of processed foods that have made us suffice to this treatment now and then. No matter how aware we are of the traditional multi-seating root canal treatment, very few of us have been introduced to the new and improved method of single sitting root canal treatment.

The history of single sitting root canal treatment goes back to 100 years before.

For the ones who are yet to have an insight into this game-changing treatment, this is what you have to know about it.

What is a single sitting RCT treatment?

Dental procedures are the work of precision. Root canal treatment requires multiple sittings because, in some instances, the teeth may accumulate pus and infection, which needs to be removed thoroughly for the patient to recover. This requires time and effort and an immense amount of diligence. When there is no pus or infection accumulation, the tooth can be readily treated in a single sitting root canal treatment.

The concept of RCT in a single sitting comes down from the theory of entombing. This is based on removing an adequate amount of microorganisms by cleaning and shaping the root canals. The remnants of microorganisms are entombed by the obturation process so that they do not have any possibility of survival.

A successful root canal treatment depends upon a variety of factors. These include;

  • Proper evaluation.
  • Good skills in accomplishing the RCT.
  • The condition of the pulp chamber.

A single sitting RCT has gained much prevalence in recent years. Although its advent was 100 years ago, today’s survey shows that the single sitting RCT gives a 90% success rate.

What happens during the procedure?

The procedure involves the same traditional method of the multiple RCT setting steps.

  • It begins with getting access to the pulp chamber through the root canals.
  • Files and other rotary instruments help to remove the undesired substances that cause pain to the tooth.
  • Frequent washings are done to clean the canal from any residual debris or dental shavings.
  • The clean and empty canals are sealed with the biocompatible material called gutta-percha.
  • The primary filling is replaced with a permanent one within a few days.
  • The ultimate step is to guard the tooth by the dental crown.

How long does the root canal treatment take?

The span of timing for the treatment may differ for each patient since every tooth has a different number of root canals. Thus locating them, cleaning, shaping, and evacuating them from the unnecessary germs will vary in duration. For example, anterior teeth have only one root canal, whereas the molars can possess 3-4 channels each. The period solely depends upon the tooth that has been affected and needs the RCT. In an estimation, a single root canal sitting takes 60 to 90 minutes to complete the entire procedure.

What happens after the procedure?

Sensitivity and pain are typical posts a root canal treatment. This generally happens due to the probing of the instruments in and around the tooth’s soft tissues. The condition recedes with time but if in case, the pain is unbearable, reach out to your dentist to know if there is any cause of secondary infection. Minor pain can be well treated with medications and home therapies.

Single-visit RCT advantages-

Enlisted under are the bullet marked points which you should consider before choosing the single sitting RCT. Thus, the benefits involved are;

  • There is a reduced chance of flare-up and contamination.
  • There is a cut down in the patient’s appointment time as the visits are not multiple.
  • The treatment is feasible, especially for physically disabled patients who do not have to return to the clinic for a follow-up appointment.
  • Reduced operator and patient fatigue.

Who is a perfect candidate for single sitting root canal treatment?

Oliet’s criteria give us an overview of who can opt for a single sitting RCT.

The Oliet criteria involve the following points;

  • The tooth to be worked upon should be free from any exudates, blood, or pus.
  • It should be free from anatomical obstacles like pulp calcifications. 
  • Root canals should be easily accessible so that the procedure can be carried out without hindrance.
  • There should be patient acceptance.
  • The time taken to complete the entire procedure should not take more than one sitting.

Single sitting RCT is an answer for people who cannot devote much time to visiting dental clinics. The pain in such treatment is minor, and the time taken is less. No wonder this procedure has evolved remarkably with time, and more and more people are vouching for its benefits. However, there are a few points you should remember before undergoing the treatment.

Listed below are the contraindications which need to be taken care of before you opt for this treatment;

  • If you have significant pain or infection, do not go for a single sitting RCT.
  • In case of acute periapical abscess.
  • Teeth where re-RCT should be done.
  • People suffering from temporomandibular joint problems.
  • Teeth having anatomic anomalies.

At the end of the day, you can sit back and relax because your dentist will give you the best suitable treatment according to your needs and satisfaction. Remember that dental visits are a must; this cannot be compensated at any cost, and so is the same in the case with your oral hygiene. Maintaining these two factors can help you abstain from many oral issues.

If you are in the midst of excruciating pain, a fallen off tooth, or simply require a cosmetic teeth makeover; you can always contact the multi-purpose dental clinic Cosmodontist, which houses the answer to all your problems under the same roof. Contact now at +8368774211 to bid farewell to your oral issues and bring back a  sparkling smile to your face.

RCT treatment

RCT treatment

Most people indicate that toothache is the most unbearable, dramatic, and undoubtedly the worst pain they have ever dealt with… After labor pain, of course!

The excruciating pain that numbs your nerves makes you unable to talk and just rush to the dentist.

Mostly in such instances, the dentist will perform a root canal treatment for you. After the procedure is over, you head back home, relaxed and assured that the pain would not return. You promise yourself regular dental checkups to never face such blinding pain again.

But slowly and steadily, the pain surfaces again. The same trauma, and again you visit your dentist, more discouraged this time.

Is it a stage of recovering from root canal treatment?

You question him, how is this possible?

Well, there are a multitude of reasons for that!

Firstly dental pain is a typical onset after an RCT treatment. Minor sensitivity and discomfort is not an unusual incident. However, if the pain resides for more than a week, then you have a reason to worry about it.

The ‘return of your pain’ may be due to a variety of reasons.

Post-operative pain can be irksome for both the patient and the dentist.

The goal of endodontic treatment is to seal the tooth to avoid the entry of bacteria. Pain and flare-up ( inflammation after an endodontic procedure) are commonly experienced in many patients.

However, severe pain after root canal treatment can be a sign that all is not right.

The integral part of endodontic treatment is the prevention and management of any post-operative pain.

Studies reveal that the frequency of severe pain after RCT ranges from 1.4% to 16%. It may go up to even 50%

Fact- The degree of preoperative pain majorly dictates the occurrence of your post-operative pain!

Reasons for severe pain after root canal treatment

Tooth pain after root canal treatment can further be subcategorized into;

  1. Chemical factors-
  • Overextended filling material

Overfilling the material in the canal induces irritation to the tissue. It also hinders the repair of the periapical tissue( tissue surrounding the apex of the tooth).

Another problem caused by overextended filling is when it hits the opposite tooth with constant force. In this case, your dentist has to remove the ‘high points’ of the tooth.

  • Irrigants-

The standard irrigant used by dentists during an RCT treatment is sodium hypochlorite. It has antimicrobial properties that help in cleansing and disinfecting the root canal. In rare cases, the solution may leak out and reach your root tip, causing you pain.

  • Intracranial medicaments-

There has been worldwide use of calcium hydroxide as a medicament during endodontic treatment. Calcium hydroxide has the caliber to inactivate the bacteria that is infesting in your root canals.

However, the researchers now believe that patients given calcium hydroxide during the treatment show aggravated pain levels after the procedure.

  1. Mechanical factors

  • Missed canal

The canals present in the tooth are incredibly minute. They can be challenging to detect, especially the ones of the molars.

There is a possibility that the dentist may overlook one of these infected canals, leaving behind a few nerves or a pocket for the bacteria to enter.

After the procedure, you might feel sensitivity to hot and cold as it was preoperatively( if nerve endings are left behind). In case of bacterial infection, there will be sensitivity to pressure.

  • Infection in lateral or accessory canals

The curved and narrow canals that branch out of the primary root canal are the accessory or the lateral root canals. During the procedure of RCT, these canals are challenging to detect due to their minute and complicated network of branches. If your dentist suspects an accessory canal, he may go for a more detailed CBCT test instead of the standard X-ray to detect the presence of these canals.

If the infected accessory canals are overlooked and not cleaned, this may cause postoperative pain.

  • Extrusion of debris

Endodontic instrumentation can cause extrusion of debris in the apical region(dental shavings, microorganisms that get accumulated in the root apex during the shaping of the canal).

Studies revealed the real cause of the inflammatory reaction is due to the instrument design and the type of movement done.

  • Infection in root canal

At times, the filling might leak, allowing the bacteria in your saliva to infest on the edges of the filling. When the bacteria makes its way inside the root canal, an impending pain is caused within a few days after the procedure.

  • Cement or air present in the root tip

Due to overfilling of the material, the cement may ooze out of the root tip.

If before the RCT treatment, the root tip was not infected, the settling of the cement now will cause pain.

In rare cases, air may be forced down into the root tip, causing pain and pressure.

  • Over instrumentation

Inflammation may occur as a result of the root canal files. If the dentist pokes the area way beyond the tip of the tooth or if the file breaks and gets lodged in the canal, this can be a cause of pain.

Also, if the surrounding tissues are traumatized with the use of the instruments, an inflammatory reaction is a common sign. A good dentist, however, does everything in his control to prevent this situation.

  • Improper removal of pulp

A standard root canal is 15 mm to 25 mm in length. But, some canals may be as deep as 30 mm. Reaching to such levels can be really difficult and needs the help of special instrumentation. If your canal is treated short of its actual length, then the diseased pulp is not entirely removed, and since the sealant is applied directly over it, this might be why few patients register pain.

  1. Microbial factors

Microorganisms are regarded as the most common cause of pain after an RCT treatment because flare-ups mainly occur in necrosed tissues rather than in vital cases.

Few other factors responsible for pain are

  • Gender

Women are considered to suffer from post-endodontic pain more than men. Studies show that female patients are more sensitive in receiving a root canal treatment. The reason is due to the difference in fluctuating hormones like cortisol, serotonin.

  • Type of teeth

The incidence of pain after RCT is higher in mandibular( lower jaw teeth) than maxillary teeth( upper jaw teeth).

This happens as the mandible has a lower density trabecular( interconnecting plates found in spongy bones) pattern, causing reduced blood flow, more localization of infection, and delayed healing patterns.

  • Negligence of patients

It is of immense importance that proper oral hygiene is maintained after an RCT treatment. All the advice given by the dentist has to be followed precisely. If oral health is not maintained, there is a chance of postoperative pain due to bacterial infection again.

Another potential cause of pain is when there is a crack in the RCT tooth. After the procedure, the tooth in which the RCT has been done is quite brittle as the blood supply to the tooth has been filled in. If caution is not taken and there is a forceful impact on the tooth, then a crack may develop.

  • Talk to your dentist!

Facing the same dilemma of pain postoperatively can be very apprehensive. It is essential on your part to maintain good oral hygiene and follow all the said advice of your dentist.

When it comes to the mechanical fault of a dentist, you can now put all your worries aside because, at Cosmodontist, we make sure that you do not have to face the same pain again.

To get rid of your pre or post-operative pain. Call us right away at +8368774211!

RCT Treatment

RCT- The best way to save your tooth!

Awareness is the key to progression.’ The general outlook of every individual today is that they are either too caught up in their work or reluctant to visit their dentist every 6 months. But, the truth be told, this is a highly derelict step that one can take for himself.  

From time and again, the banner of awareness for dental health care and hygiene has been put up. Free dental camps are organized to get a complete diagnosis done to help maintain good oral hygiene. However, people have still turned a ‘bind eye’ to the dangers that a minor toothache can cause. Yes, the teeth are present in a very small area in our body. Moreover, ‘a problem area,’ in one of those teeth, becomes even more meager, for our attention to getting drawn there. But, gear up; it is time that you yet again know what an aggravating toothache brings for you.

Did you ever feel the excruciating pain that runs from the sides of your jaw, all over, reaching to your head? The radiating, throbbing pain!  That is just the ‘real beginning’ to it. A tooth pain that is ignored for a long time tends to spread the infection to the jaw bone or even the brain! So, let’s face it, a minor toothache has the potency to make you undergo surgery, which of course, will not be a pocket-friendly step for you( the trauma of surgery kept aside).

What can be done then? Well, it is as simple as it sounds, visit your dentist to avoid the spread of infection up to that extent.. 

Understand your tooth-

The teeth comprise majorly of three layers… The enamel, dentin, and pulp. If infected, the bacteria in the teeth slowly sloughs away the enamel. You may not feel any pain at this step; after all, the enamel is the hardest substance in the body! But, as everything grows, the bacteria, too, proliferates into the dentin. This is when we experience what we commonly term as tooth sensitivity. Small problem! So we subside it and carry on with the everyday work. But, stop and take a look into it. Your tooth has been infected, and it has been washed away from its primary protective layer. Now is the time to talk to your dentist. When the bacterial attack is at the dentin level, we go for a restoration, i.e., excavating the bacteria out and then sealing it with restorative material like amalgam or composite.  

Sadly, most people do not take this step. They forbid themselves from going to a dentist which ultimately,  results in the growth of the bacteria deeper into the pulp.

 Did you know, pulp consists of nerve endings and blood vessels making it a vital part? 

The leaching of the bacteria to this layer now causes acute or chronic pain in patients, depending upon the time the bacteria has been infesting upon your tooth. Not only pain but sensitivity to both hot and cold water. Gradually, the pain gets to a level where it cannot be endured. Patients now go and knock on the door of a dentist. Yes, already enough damage has been done, but unaware of that, few patients worsen the situation by opting for an extraction. Well, that is a different picture altogether. But, before going there, let’s ‘fill your ears’ with the benefits of root canal treatment( suggested by dentists and the preferred treatment for you).

What is root canal treatment? 

Rct or root canal treatment is when the tooth is excavated, taking out the debris, bacteria, the infected pulp through the help of different sized files and then finally sealing it with cement to restrict the entry of bacteria again. 

Fact: Microscope is used at times during Rct. This is done to see the complex anatomy of root canal opening.

Rct is that intricate as a procedure. This does not make the work of the dentists any easy, but it is recommended only for the betterment of the patient!

So next time your dentist suggests RCT treatment, know that you need it.

Afraid of RCT instruments?

To access root canals, to work precisely on small areas, dentists use tools that are efficient to function minutely. 

Often, hesitation towards dental treatment may come from the drilling noise of the aerator or the sharp instruments. 

The instruments are made in such a way that they work at micron levels. Since the canal openings are very tiny, the tools required to access them have to be precise. This time before panicking, seeing the tools, know that they are manufactured to clean and shape your root canals!

The list of instruments used in RCT are:

  • Explorer– Root canal explorer is used to explore the tooth and to find the orifices.
  • Excavator– To take out dead tissues from inside the tooth.
  • Endodontic burs– To open the inside of the tooth so that the canal can be reached.
  • Files– It helps to open and widen the canals 
  • Reamers– It helps to remove the cement, gutta-percha during the treatment. 
  • Barbed broach– The majority of dead tissues are removed with the help of a barbed broach.
  • Drills– It opens the canal more expansively and is used mainly for the molars. 
  • Ball burnisher– Helps to seal the cement.

Root canal treatment steps-

The root canal procedure takes place by,

  • Preparing the area-

Local anesthesia is not always required when the pulp is wholly necrosed. But whatsoever, it is an important step. Anesthesia is contraindicated in acute inflammation and when the pH of the soft tissue is acidic.

After anesthetizing the area, the tooth is isolated with the help of a dental dam.

  • Accessing and cleaning the roots-

An access opening is made on the tooth, and also the flattening of the occlusal surface is done, just in case to avoid trauma( occlusal flattening is done only in a few cases).

  • Shaping the canals-

The orifices of the canal are located using 6,8,10,15 numbers of files in increasing order. As the files are already tapered, an automatic conical-shaped canal is made during the root canal preparation. 

Radiographic images are obtained at every step to prevent the perforation of the canal and see the depth of the file that has gone inside the canal. Once the file reaches the apex, the preparation is complete.

Barbed broach is used to take out the necrotic tissues of the pulp.

Irrigation of saline and sodium hypochlorite is frequently done, almost at every step, to keep the canals clean.

  • Filling the canals-

The cement, gutta-percha, is made to snugly fit the canals which have been freshly prepared. 

Fun Fact- Gutta-percha is extensively used to fill root canals. In dentistry, this cement has established itself as a gold standard. Many materials have been tested to work as endodontic filling, but none accomplished the task as efficiently.

  • Filling to the access hole-

A ball burnisher is taken and made red hot before sealing the gutta-percha into the canal

The patient is called for the next appointment, where a permanent sealant is provided.

Also, measurements for the crown are taken, which are placed over the tooth, for more extended durability.

Rct is a multiple sitting procedure, but nowadays, single sitting painless Rct is gaining much recognition.

However, patients have always been inclined towards extraction more than Rct.

Is it the correct decision or not?

Let’s break down the reality to you!

What is a better option? RCT or extraction?

People have this preconceived notion that Rct is a painful procedure. Now, reluctance has to have a direction, right? Not knowing is one thing, but wrong assumptions can have terrible consequences. Many times, patients report a dreading toothache and want to get the tooth removed. However, the truth is that Rct is a way better option than extraction. Dentists these days have gone about saying to ‘save a tooth.’ Why? Because, what can be anything better than your natural teeth? There is no perfect replacement for it! Dentists make their patients conscious of this fact every time!

Fact or Myth?

Rct is painful! 

This claim is downright false. Root canal treatment images, ads, anything can make you assume that the procedure is painful. But, this is untrue. Rct is done under the effect of anesthesia. This numbs our sensory organs, thus, making us unable to face any pain.

Extraction is more cost-effective!

Isn’t this statement ‘too good to be true?’ An extraction requires the complete removal of the tooth. When this is continued, and the person, alas, becomes ‘toothless,’ he or she has to go for a more expensive treatment plan like implant, bridges, complete dentures to enable the mastication of food.

Benefits of a root canal treatment 

  • Freedom from pain!’ 

Root canal treatment can give you a sigh of relief. Once you have taken the initiative to undergo the treatment, in just a matter of two days, the stubbing pain vanishes. Since the bacteria causing the infection is removed, there is no pressure imposed on the pulp. A crown over it acts as a barrier against the entry of more germs.

  • It is cost-effective-

In the long run, the root canal is more durable and helps retain our natural teeth. Root canals are reported to sustain for even 15 years if properly maintained! On the other hand, the gap induced due to extraction may result in more food lodgement and trauma to the soft tissues by the opposing tooth.

  • Aesthetics

Many times, a layer of yellowish to brownish tinge of color is left behind in the tooth because of the infection. A crown set up over this tooth, obviously, omits this issue entirely.

  • Prevention of the spread of bacteria-

Root canal treatment is a cure for the spread of bacterial infection to the jaw, leading to more complex dental surgeries.

Self-reflection to the problem 

Now, sit back and be a bit analytical. Isn’t taking a  preventive measure, to the very first sensitivity, the cure to the outbreak of a more deadly infection severing your jaw bone? Maintaining dental hygiene is of top-notch importance. Take care of your teeth, as you do for the rest of your body. Opt for Rct when your dentist suggests you to. After all, a flashing, beautiful smile is always welcome, isn’t it?

To get rid of the impending pain, choose a painless Rct sitting only at Cosmodontist. Call us now at +8368774211

RCT cost in Gurgaon

The aim of root canal treatment is to remove bacteria from the contaminated root canal, avoid reinfection, and save the natural tooth. The inflamed or contaminated pulp is extracted, and the interior of the tooth is meticulously washed and disinfected before being filled and sealed.

When is a root canal needed?

 RCT cost in Gurgaon

If the soft inner portion of a tooth, known as the pulp, is damaged, inflamed, or infected, a root canal is done. Even if the pulp is gone, the crown of the tooth — the portion visible above the gums — will remain intact. The easiest way to keep a tooth’s structure is to remove injured or contaminated pulp.

Common causes of damage to the pulp include:

  •       Deep decay due to an untreated cavity
  •        Multiple dental procedures on the same tooth
  •        A chip or crack in the tooth
  •        An injury to the tooth (you might injure a tooth if you get hit in the mouth; sometimes the pulp can still be damaged even when the injury may not show as a crack in the tooth)

The most typical symptoms of damaged pulp include tooth pain, swelling, and a burning sensation in the gums. To make a diagnosis, the dentist will inspect the sore tooth and take X-rays. If your dentist believes you need a root canal, he or she can refer you to an endodontist.

What is one of the most common problems in RCT?

 RCT cost in Gurgaon

Following a root canal, new infections may re-develop. The following are some of the most possible explanations:

  •       There are more canals in a tooth than is usually expected (leaving one of them uncleaned)
  •       An unnoticed gap in a tooth’s root
  •       An undetected crack in the root of a tooth
  •       A flaw in the restoration has allowed bacteria to enter the tooth’s interior.
  •       Bacteria can recontaminate the inner tooth due to a degradation of the inner sealing material over time.

Often, re-treatment will solve the issue but in some cases, surgery would be needed to save the tooth. Apicoectomy, or root-end resection, is the most common treatment. It treats inflammation or infection in the bony region around your tooth’s end. The gum tissue is opened, the contaminated tissue is removed, and often the very end of the root is removed during this process. To close the root canal, a small filling can be used.

When and why would a tooth pulp be needed to be removed?

When the nerve tissue or pulp of a tooth is injured, it breaks down, allowing bacteria to grow in the pulp chamber. An infection or abscessed tooth may be caused by bacteria and other decayed debris. When an infection extends beyond the ends of the tooth’s roots it forms an abscess. An infection in a tooth’s root canal can also lead to:

 RCT cost in Gurgaon

  •       Swelling that may spread to other areas of the face, neck, or head
  •       Bone loss around the tip of the root
  •       Drainage problems extending outward from the root. A hole can occur through the side of the tooth with drainage into the gums or through the cheek with drainage into the skin.

How is a root canal performed?

In a dental office, a root canal is done. When you arrive for your appointment, a technician will lead you to a treatment area, assist you in settling into a chair, and drape a bib around your neck to protect your clothing from stains.

  •       Anesthetic: A small amount of numbing medication will be applied to the gum near the infected tooth by the dentist. A local anesthetic will be pumped into the gums after it has taken effect. It’s possible that you’ll feel a pricking pain or a burning feeling, but it’ll go away quickly.
  •       Removing the pulp- The endodontist or general dentist will make a small hole on the top of the tooth when it is numb. The specialist will carefully extract the contaminated or damaged pulp using special tools called files once it has been revealed. They’ll take extra care to flush out all of your tooth’s pathways (canals).
  •       Antibiotics: The dentist can apply a topical antibiotic to the area after the pulp has been removed to ensure that the infection is gone and to prevent reinfection. The dentist will fill and seal the tooth with a sealer paste and a rubber-like substance called gutta-percha after the canals have been washed and disinfected. Oral antibiotics can also be prescribed.
  •       Temporary filling: The dentist would then use a soft, temporary substance to fill the small hole at the top of the tooth. This sealant helps to protect the canals from saliva damage.

What is the cost in Gurgaon?

 RCT cost in Gurgaon

The average RCT cost in Gurgaon ranges from Rs. 6000 to Rs. 8000 per tooth at a facility like ours. The RCT cost is determined by the type of procedure used, such as anterior RCT, posterior RCT, single sitting RCT, and re-RCT. It is carried out by a team of RCT experts who use the most up-to-date technology and have extensive experience.


The following are the myths about root canal and tooth pain that misguides people. Root canal treatment can be frightening, but it acts as a tooth saving procedure. Check out the myths and facts about root canal treatment:

MYTH 1: You only need a root canal if you have a tooth pain.

There are many tests involved that help us to know whether the tooth is dead or needs a treatment.

MYTH 2: A lot of pain is involved in the root canal treatment.

The treatment helps to relive the pain of the tooth and does not cause any pain.

MYTH 3: Root canals causes infection.

Not only are root canals safe and effective, they eliminate bacteria from the infected roots of teeth, improving both your oral health and your overall health.

MYTH 4: It is better to get the tooth extracted than to have a root canal treatment done.

Own teeth are the best to keep. So, one should take all the treatments that can help to save the teeth.

If you have any other questions or queries related to root canal treatment, then schedule an appointment with our specialist. Or if you know any other myths and facts about root canal treatment apart from these, then share with us.