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- 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