Root Canal Treatment
In the root canal treatment process, the cavity formed by cleaning the vein and nerve tissue in the root part of the tooth and the visible part in the mouth is filled using biocompatible materials in a sealed way. In general, it is preferred in dental caries that have progressed to the area where the vascular nerve packages of the tooth (pulp chamber) are. Apart from this, it is applied in trauma (impact) and veneer treatment in cases that require the cutting of the tooth.
Chronic abscesses that the patient does not know may occur. Therefore, it is unpredictable whether there will be pain during root canal treatment. It is necessary for the patients to come to the dentist every 6 months, have a radiological examination and an intraoral examination.
One of the biggest problems that occur after root canal treatment is the color change of the tooth. It is very important to plan the restoration of the tooth very well and to make sure that no decayed tissue is left behind. Since the root canal treated tooth will lose fluid, it becomes more fragile than a living tooth. In case of excessive tissue loss, inlay-onlay restoration prepared in a laboratory environment may be preferred.
Teeth that have undergone root canal treatment may become inflamed and painful again. As a result of minimal leakage or improper root canal treatment, the bacteria advancing in the root canals can reach the bone. In this case, root canal treatment can be done again.
If there is an abscess that does not heal after root canal treatment, apical resection can be performed. This procedure is the surgical removal of the root tip and inflamed tissue.
When is root canal treatment (endodontics) necessary?
If the caries problem, which is in the initial stage, is not treated, it can progress and reach the nerves of the tooth, where it can lead to inflammation (Pulpitis). In such a case, root canal treatment is required. During crown bridge restoration, the nerve part of the tooth (pulp) may be exposed. Therefore, severe pain may occur in the person and root canal treatment may be required. As a result of trauma, sometimes teeth need root canal treatment. In order for this to be fully decided, radiological testing is required.
Is root canal treatment a painful procedure?
Since dentists apply local anesthesia during root canal treatment, there is no pain. A suitable pain reliever can be used for mild sensitivities after treatment.
How many sessions does root canal treatment take?
Under normal conditions, it is best to complete the root canal treatment in one session. However, in an infected tooth, two or three sessions can be continued depending on the condition of the infection. In such cases, it is necessary to cover the tooth with temporary fillings by placing appropriate antiseptic dressings between sessions.
What happens if root canal treatment is not done?
In cases where root canal treatment is required but not performed; Severe toothache is the most common complication. After a while, the pain may go away as the nerve tissue (pulp) loses its vitality. However, in this case, the infection may progress insidiously and spread to the jawbone and cause a worse picture. The person may encounter undesirable situations that result in the loss of both the problematic tooth and the adjacent teeth.
Is my tooth that underwent root canal treatment saved?
No, your tooth is not finished yet. If there is not much material loss on your tooth with root canals, a normal filling is required, if there is excess material loss, a porcelain filling (inlay) is required to support your remaining tooth walls and prevent them from breaking in the future. If you don’t have any tooth wall left, a post that takes support from your root canal should be made and a crown should be placed on it so that you can continue to use your tooth in the same way.
Does root canal treatment kill the tooth?
The old belief that root canal treatment kills the tooth does not reflect the truth. After the living tissue in the tooth is removed with root canal treatment, your tooth becomes numb to heat and cold; but it continues to function with the vessels or nerves coming from the jawbone and surrounding tissues and is attached to the bone. With the help of a suitable filling or restoration to be made after the treatment, you can chew very easily or use your tooth as a prosthetic foot.
Why can’t I have my tooth extracted?
Some patients think that it would be better if I had my tooth pulled out instead of root canal treatment, instead of a bridge or implant. No prosthesis can replace your own teeth.