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?
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?
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:
- 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?
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.