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Root canal treatment or sometimes refers as RCT is a treatment used to repair and save a tooth that is badly decayed or becomes infected.
As a starting point for performing  root canal treatment, dentist must first gain access to the nerve space (or the pulp chamber) within the tooth. On the molar teeth, the access cavity is made on the chewing surface of the tooth and for the front teeth, the access hole is made on the tooth’s backside. The overall size of the access cavity will vary according to factors such as the location of the individual canals and how hard it was for the dentist to find them.
The shaping process refers to how the tooth’s canals are enlarged and flared, so the have a shape that facilitates the filling and sealing process. Dentist works the file up and down, with a twisting motion, in each of your tooth’s root canals. The idea is that each consecutive file is used to slightly increase the overall dimensions of the root canal. While performing this work, the dentist will also periodically flush out (irrigate) the tooth.
As a variation on this same theme, there is yet another type of dental handpiece that produces a cleaning motion by way of holding a root canal file and vibrating it vigorously.
The goal of root canal treatment is to achieve cleaning of the entire length of each of the tooth’s root canals, but not beyond.
As a means of determining the precise length of a canal, dentist will use apex locator to get the measurement for the length of the tooth (from the crown to the tip of the root). Usually, he will confirm the measurement by taking a x-ray of the tooth with a file placed in the tooth.
Once the interior of the tooth has been thoroughly cleansed and properly shaped, it is ready to be sealed (have its hollow interior filled in). The most frequently used root canal filling material is a rubber compound called gutta percha. Dentist will warm the gutta percha (either before or after it has been placed into the tooth) to soften it. Once your dentist has finished sealing your tooth, they will place a temporary filling, so to seal off the access cavity created at the beginning of your treatment. At this point, while the individual steps of performing the root canal process have been finished, the tooth’s treatment is not yet complete. Tooth infection can recur in treated teeth (even RCT treated tooth), hence, good oral hygiene, including brushing, flossing and regular dental examination are necessary to prevent further problems. This entry was posted on February 20, 2011, 8:59 pm and is filed under General Dental Treatment. Endodontic treatment, more commonly known as root canal therapy, is necessary when the pulp of your tooth becomes inflamed or infected.

A root canal is one of the most common dental procedures performed with well over 14 million taking place every year.
The first thing to take into consideration if you’re considering a root canal is your overall health.
Another alternative is a removable bridge, which is the most economical root canal alternative, but taking such a bridge in and out can be a hassle. Root Canal TreatmentRoot Canal treatment (Endodontics) is required when the blood or nerve supply to the tooth (Pulp) is infected through decay or injury.
During a root canal procedure, the nerve and pulp are removed and the inside of the tooth is cleaned and sealed.
Additionally, beyond just that portion of the tooth that must be removed for access, the dentist will also need to remove any decay that’s present and any loose or exceptionally fragile tooth parts or fillings. In regard to the cleaning process, its purpose is to remove bacteria, toxins, nerve tissue, and related debris that are harbored inside the tooth.
These files look like straight pins but on closer inspection you will find that their surface is rough, not smooth.
This action will scrub, scrape and shave the sides of the canals, thus cleaning and sculpting them.
This simply refers to the fact that the dentist creates their filing action by manipulating them with their fingers.
In some cases, the dentist will want to place the filling material immediately after they have finished cleaning the tooth. It comes in preformed cones whose dimensions match the size (diameter, taper) of the files that have been used to shape the tooth’s canals. It is either applied to a cone’s surface before it is placed into a canal, or else applied inside the root canal itself before the cone is inserted. Choosing the right type of dental restoration, and having it placed promptly, will help to insure the long-term success of the tooth’s endodontic therapy. The inflammation or infection can have a variety of causes such as deep decay, repeated dental procedures on your tooth, or a crack or chip in the tooth. This simple treatment can save your natural teeth and prevent the need for dental implants or bridges.
If you experience any of the symptoms described above, non-surgical treatment to eliminate the diseased pulp may be recommended. If you have a strong immune system and no health problems, root canal treatment might be acceptable. Zirconia implants are nonmetallic, but a lot of bone is lost and the surgeries required often interfere with the sinuses. Without treatment, the tissue surrounding the tooth will become infected and abscesses may form (below).

The presence or absence of a nerve will not affect the day-to-day functioning of the tooth.
Then, he will then slip this sheet over the affected tooth and position a small tooth clamp to hold it there. He will perform this same type of action using a series of files, each having a slightly larger diameter. While a number of different solutions can be used for this purpose, sodium hypochlorite (bleaching agent) is the most common one. Some dentist may, however, have a special dental drill (handpiece) that produces the needed file motion for them. With other cases, they may feel that it is best to wait about a week before performing this procedure. Several individual cones of gutta percha may be needed to fully fill the interior of the tooth. With proper care, an Endodontically treated tooth will function normally for years to come. Titanium implants may be preferable because they integrate better and are smaller, requiring less bone loss to set. The purpose of a rubber dam is to keep the tooth saliva-free therefore, avoid contamination of bacteria from saliva . For the front teeth, usually take fewer visits as they are simpler and located at the front region. This therapy usually involves local anesthesia and may be completed in one or more visits depending on the treatment required. In this case maintenance for arch integrity may be required, unless the tooth is, for example, a back molar with no teeth opposing it.
While the treatment is painless and has a 90% success rate, if your tooth is not amenable to endodontic treatment, or the chance of success is unfavorable, you will be informed at the time of consultation or when a complication becomes evident during or after treatment. We use local anesthesia to eliminate discomfort, and we can provide nitrous oxide analgesia if it’s indicated. You will be able to drive home after your treatment, and you probably will be comfortable returning to your normal routine. This means the teeth on each side of a missing tooth are covered with crowns and a fake tooth fills – or bridges – the gap. With today’s latest technologies and anesthetics, root canal treatment is no more uncomfortable than having a filling placed.

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