If this is your first time or this is the first time you are about to have your first ever root canal treatment, then you might be feeling pretty whole and uncomfortable about the whole thing, especially when you ask some one and they tell you their own horror experiences, well do not listen to them at all, and make it easy around. Do not take tension at all as today we are going to tell you step by step methods of a root canal. Knowing what will happen when you finally decide to do it is a good way of getting all of your tension go back and just relax, it will make you realize that you were worrying about nothing as getting a root canal treatment is not that scary!
So let us start by telling you a fact and breaking a myth! And that is root canal treatment relives the pain not cause pain!!!
At The Root Of It All
Some background can be very helpful. As you can see in the pictures the space inside the tooth is known as the pulp chamber which is the house of the root canal system and pulp. The is a significant tissue which keeps the tissue alive and fresh. The pulp includes blood vessels, nerves and connective tissues, and, during the period of childhood, it creates the hard tissues all around the tooth.
Endodontic treatment more, commonly known as the root canal treatment, is needed when the pulp becomes inflamed or gets infected. There can be many reasons behind it and they could be deep tooth decay, repeated dental procedures on just one tooth (replacing a large filling, for example), or traumatic damage such as a crack, chip or it can even be a root fracture. Gum diseases can also result in root canal treatment as well.
Any of the above mentioned problems or issues can result in the inflammation of the pulp, which results in swelling and also hard pressure inside the tooth as it has nowhere to go which of course leads to tooth and, eventually, all of this will result in damage to the pulp. Once the pulp literally dies or finishes, the pain may subside first, sometimes to come back as an infection which slowly spreads into the periapical tissues (“peri” – around; “apex” – end), if we have to be point than it is the bone it spreads to It could also become a long term infection with symptoms which can range from mild to severe.
Whatever might be the reason behind the dead tooth or pulp or even the infection, the treatment to save the tooth is necessary. Every dentist receive the training in endodontic treatment and can also perfectly perform root canal procedures, but often a general dentist will refer individuals who need endodontic treatment to an endodontist, whom is a root canal specialist.
Endodontists are dentists who have completed extra two or more years of advanced residency training in the diagnosis and management of diseases and disorders of the dental pulp, and also in the diagnosis of dental pain; their main focus is therefore on saving the teeth. In order to find out the accurate diagnosis of which tooth is affected and what exactly is causing the pain, a thorough history and examination is required and is significant, together with a radiographic picture (x-ray) of the tooth or area which is in pain.
Your dentist or endodontist will first or generally check your medical history and current medications you are taking in order to ensure your health and treatment turns or is carried out with whole safety. If you are stressed out or have an oral sedative, then an anti-anxiety medication may be helpful for you and to discuss the options with your dentist or endodontist earlier.
Root canal treatment all step by step
The before treatment which is done to remove the decayed and the main source of infection of the pulp is necessary and significant, along with a determination of whether the lost tooth structure can be restored or not. If a fracture of the tooth has reached to the pulp, or if the infection is associated with gum disease then it could be more difficult, if not impossible than it can be hard to save the tooth.
Following is the general procedure of a root canal treatment:
Step One of Root Canal Treatment
Local anesthesia is given to the patient through injections to numb the tooth or the area to be treated or the surrounding tissues. If the pulp in a tooth is seriously inflamed, and therefore is very painful for the patient then it may take a while to numb the tooth, but your dentist should not start the procedure without doing it.
Step two of root canal treatment
A dental dam is a thin sheet made of rubber or vinyl which will be placed over the affected and side teeth. The tooth undergoing treatment goes through a hole punched in the dam which isolates it from the rest of the mouth. This allows the root canal treatment to be carried out in a safe and less painful environment free from any kind of contamination by bacteria which can be found in saliva or the rest of the mouth.
Step three of root canal treatment
A small hole is dig to enter in to the surface of the infected area or tooth which allows access to the pulp chamber and root canals for the treatment.
Step four of root canal treatment
After that the diseased or dead pulp is taken out from the tooth with the help of specially designed instruments. This is not painful at all as the taken out pulp is already dead. And once the pulp and nerves are taken out then the tooth can also no longer feel the pain as well.
Step five of root canal treatment
Now the tooth is disinfected with the help of antiseptic or antibacterial.
Step six of root canal treatment
The canals then are shaped by the dentist in a way to receive the entire treatment without any problem. After that the canals are washed and cleaned again to remove root canal debris before sealing them.
Step seven of root canal treatment
Then the root canals are selected which can completely fill with ease. Generally a rubber-like material called gutta-percha is used to fill the freshly made canal space.
Step eight of root canal treatment
After that a temporary material will then be used or placed to stitch or seal the hole that was made out to treat the canals, and then the dental dam is removed with safety. If the tooth cannot hold the filling or is unable to hold so then the dentist or Endo-dentist can or may place a post (either metal or a very strong plastic) in one of the canals inside the tooth to help hold it.
Step nine of root canal treatment
After the whole procedure an anti-biotic is prescribed to the patient to prevent any kind of infection in future. Carefully follow the instructions of your dentist. After the treatment you may feel pain or some effects which may range from days to weeks, depends on an individual. It is absolutely normal to have some little discomfort after the whole treatment including slight soreness which can usually be managed with over-the-counter medicine such as aspirin.
Step tenth of root canal treatment
Your tooth will need a permanent restoration such as a filling or a crown generally to replace the lost tooth structure, and provide a complete seal to the top of the tooth. Your Endo-dentist will send you back to your general dentist to know which type of restoration is best for you.