Root Canal Treatment

  • Simple RCT
  • Complex and complicated RCT
  • Bypass separated Instrument in root canal
  • Removal of separated instrument in root canal
  • Root defect Repair
  • Re-RCT
  • Apicectomy and periapical Surgery

 

Who is Endodontics?

Endodontists are qualified specialists in diagnosing tooth pain and performing root canal treatment. After completion of BDS, requires three years of advanced training to become endodontists. Endodontists develops incredible precise and hand-eye coordination that makes them highly skilled to perform complex root canal treatment (RCT) and no other specialist are better to save your natural tooth other than endodontists. They use most specialized and advanced technology to save your tooth.

 

Endodontic (Root Canal Treatment, RCT) and Restorative Dentistry

Root canal treatment repairs and restores infected and damaged tooth due to dental caries. The term "root canal treatment" comes from process of cleaning and filling the canals space inside a tooth's root. RCTs were often painful and required multiple visits to dental office in past. Now, adopting advanced materials and local anesthetics now-a-days it is painless procedure.

 

Why you may need a root canal

Dental pulp is located inside the hard structure of teeth. The pulp extends from the tooth visible part called crown to the tip of the tooth's root that is embedded inside the bone. The dental pulp is sterile space and it gets infected when oral bacteria enter from deep caries or crack on surface of tooth. If infected root canal is left untreated, bacteria inside space causes serious infection and abscess (pus) formation. Extension of abscess outside of canal leads to bone loss. Hole inside tooth, sensitive to cold and heat, toothache especially in sleep, gum swelling, draining abscess are common signs and symptoms of canal infection. If canal infection is left unchecked, it can lead to life threatening condition.

 

 

Getting started on root canal treatment (RCT)

RCT is performed by an endodontist or a general dentist. Most RCT can be completed in same day. But, sometimes it may require an additional visits if infection cannot be eliminated on first attempt.

  • Before treatment, dentist will take a dental X-rays to evaluate the extent of damage.
  • You will be given a local anesthetic for pain control, because tooth is extremely tender due to infected pulp tissue.
  • Then a rubber sheet called dental dam is put in tooth to isolate it from oral cavity and saliva.
  • Decay structure is removed, and an opening is made in tooth to gain access to the pulp chamber and root canal.
  • Small dental instruments with lots of liquid chemicals are used to remove infected or diseased pulp from tooth.

 

Clearing up root canal infection

Before permanently filling the root canals, they should be clean of all infection and dried. The root canals is reshaped and enlarged to allow space for filling materials. Medication is sometimes put into the pulp chamber and root canal to clear any infection. After the cleaning procedure is completed, the canal spaces are flushed and disinfected with antimicrobial liquid.

 

If infection has spread beyond the tooth, you may need to take an antibiotics. If the root canal requires multiple visits, a temporary filling is placed in the crown to protect the tooth and keep out debris and saliva. Avoid biting or chewing on the tooth until it's been treated and restored.

 

After cleaning and drying, it's time to fill the prepared pulp chamber and root canals. You may not need additional anesthetic for this step. A sealer paste and rubber compound is used to fill the tooth, followed by a dental filling to make sure the root canals are protected from saliva.

 

Final stage of a root canal

The RCT is completed after restoring tooth. The RCT treated tooth needs protection to prevent from undergoing further damage. This is done by placing a crown. A crown is made of gold, Zirconia, E-max, porcelain or porcelain fused to metal. Crowns other than metal are tinted to match the color with your other teeth. Sometimes, post must first be inserted in the tooth for structural support.

 

SINGLE VISIT ROOT CANAL TREATMENT

At BBDC, we in all patients?

  • In cases with extensive infections, single visit Root Canal Treatment is not advised.
  • It is possible in fractured teeth with pulp (nerve) involvement.
  • Briefly, the case with vital pulp is possible cases to undergo single-visit treatment.
  • We have specialized team to complete RCT in single day by incorporating presterilized NiTi files, rotary equipment, apex locators, microscope and digital radiography.
  •  
  • Is single visit Root Canal Treatment possible

One visit endodontic should be viewed as a procedure that supplements and complements total patient care and not as a technique to totally replace multivisit procedures.

 

MICRO ENDODONTICS

Achieving excellence through microscope

We at BBDC practice root canal treatment and restorative procedures under microscope.

 

What does a Microscope do?

  • Microscope improves clinical visual field and depth.

It helps in mastering narrow canals, locate cracks, fractures and locate hidden extra-canals thus the success rates increases by 90-95%.

 

Mutilated Teeth Is extraction the only option for badly traumatized teeth?

The answer is- NO

  • Many badly traumatized teeth might be indicated for extraction. However, many patients wish to retain the tooth. We, at BBDC, have a dedicated team restoring hope for such clinical situations.
  • Mutilated teeth are examined clinically along with a series of radiographs to assess the clinical outcome or prognosis and accordingly patient is informed regarding the management of the tooth.
  • Treatment include
    1. RCT is performed followed by placement of metal or fiber reinforced post in the canal space and buildup of lost tooth structure.
    2. Tooth is restored using adhesive and tooth colored restorative materials.
    3. Additional gum contouring procedures might be required.
    4. Placement of Crown on the tooth restores function.