Cosmetic Dentistry

Root Canal Treatment

Damage, also known as tooth decay, occurs when microbes produce acids that can cause damage to the teeth. Tooth decay, which can cause holes in the tooth called cavities, can cause pain, infection and even tooth loss if left untreated.

Tooth decay can be caused by bacteria and food. Transparent, sticky substances in the teeth and gums are called plaque. Plaques contain bacteria that feed on sugars in the food consumed. The acids produced by the bacteria during feeding attack the teeth after a certain period of time after eating, and over time they can destroy the tooth enamel and cause tooth decay. 

Root canal treatment can be used to repair and save a badly decayed or infected tooth. In this context, the nerve and pulp are removed and the inside of the tooth is cleaned. If the tooth in need of root canal treatment is not treated, abscesses may occur due to infection of the tissue surrounding the tooth.

What is Root Canal Treatment?

The dental procedure to save the tooth by removing dead or dying nerve tissue and bacteria inside the tooth is called root canal treatment. In some patients, the pulp inside the tooth can become infected by bacteria or disease, or damaged by a traumatic injury to the tooth. If an infected root canal is left untreated, bacteria in the mouth can enter the bloodstream and cause infection in other parts of the body. Performing root canal treatment can potentially prevent harmful infections in other parts of the body and save the damaged tooth. 

Who is root canal treatment suitable for?

Root canal treatment;

  • Any trauma or infection of the nerves,
  • Bacteria in the decayed tooth pass through the tooth and invade the pulp,
  • Exposure of nerves from teeth that have been traumatised by chipping or fracture,
  • It is a dental procedure that can be applied in cases such as tooth infection due to caries.

How is Root Canal Treatment Performed?

The first step of root canal treatment is to numb the gums with a topical substance, then inject local anaesthetic into the gums to numb the area. When the anaesthetic effect occurs, a small hole is drilled in the upper part of the tooth to be treated. The aim is to reach the pulp, pulp chamber and root canals through the hole drilled in the upper part of the tooth. After the pulp is removed, the pulp chamber is cleaned and the canals are cleaned from residues and tissues. The canals are filled with antibiotic drugs and temporary filling materials up to the gum line. In some cases, the canal is left open for a few days, while in some cases it may be preferred to fill it with canal filling immediately.

In cases where the canals are not permanently closed, the pulp chamber and canals are filled with a rubber-like material to prevent recontamination after the temporary filling is removed. If it is determined that the tooth is still weak, metal post placement on the canal filling is considered in order to strengthen the tooth.

After the area has been filled and permanently closed, an impression of the tooth is taken to make an artificial crown to be placed on the affected tooth. In some patients, it may be preferred to place a temporary crown on the tooth until the permanent crown is produced and bonded.

Recovery Process After Root Canal Treatment

After root canal treatment, the patient should not eat until the numbness in the mouth is completely gone. When eating, care should be taken not to chew and bite directly using the treated tooth until the sensitivity in the area disappears.

Temporary swelling and pain may be observed in the area after root canal treatment. Lying with the head elevated during the healing process can reduce swelling. 

After the root canal treatment, the patient should use the medicines prescribed by the doctor regularly and take care to keep his mouth clean by gargling with warm water and salt. Thus, the risk of any infection in the gums surrounding the cured tooth is prevented.

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