Root canal treatment (also called endodontics) is needed when the blood or nerve supply of the tooth (known as the pulp) is infected through decay or injury.
If the pulp becomes infected, the infection may spread through the root canal system of the tooth.
This may eventually lead to an abscess. If root canal treatment (RCT) is not carried out, the infection will spread and the tooth may need to be taken out.
No. A local anaesthesia is used and it should feel no different to having an ordinary filling done.
Our teeth are formed from layers of tissue. The outer layer is the hard, white enamel. Beneath this is the sensitive dentine and the deepest layer is the pulp tissue. This is the area of the tooth that holds all the nerve and blood vessels. This tissue extends into the roots of the tooth via the root canal structures - essentially hollow tubes through which these vessels pass. Tooth decay, cracks in the tooth and sometimes heavily filled or crowned (or capped) teeth can all lead to bacteria getting into this root canal space which then causes pain and sometimes a swelling adjacent to the affected tooth. Occasionally this pain can be quite severe (acute infection or inflammation) and sometimes it just ‘comes and goes’ (chronic infection).
The process of Endodontic treatment is to locate, shape and disinfect the root canal structure of the affected tooth. This process is carried-out under dental dam isolation. This allows the tooth to be kept clean and dry during the treatment and prevents bacteria from saliva re-entering the tooth. An operating microscope is used to provide high magnification so that all areas of the tooth can be inspected and cleansed and all root canals located and disinfected.
Once the root canal treatment has been completed, it is usual for the tooth to be restored with a crown to strengthen the tooth against cracking or fracturing. A crown also provides an excellent seal against bacteria.
Teeth which have received root canal treatment by an Endodontist (a dentist with extra training in the field of Endodontics) have a high clinical success rate usually in the 90-95% chance of maintaining the tooth.
In the past, a root filled tooth would often darken after treatment. However, with modern techniques this does not usually happen. If there is any discolouration, there are several treatments available to restore the natural appearance.
Root canal treatment is usually very successful. However, if the infection comes back the treatment can be repeated.
The alternative is to have the tooth out. Once the pulp is destroyed, it can't heal and it is not recommended to leave an infected tooth in the mouth. Although some people would prefer an extraction, it is usually best to keep as many natural teeth as possible.
Yes. However, it is better to restore the tooth with a crown to provide extra support and strength to the tooth.
Root canal treatment is a routine dental procedure, which your dentist will be happy to do for you.
Root-treated teeth should be treated just the same as any other tooth. Remember to clean your teeth at least once a day, preferably with a fluoride toothpaste. Cut down on sugary snacks, and keep them only to mealtimes if possible. See your dentist for regular check-ups.
I've recently had work to rectify discolouration caused by previous root canal treatment carried out at another dentist. The service and quality of care from the team at Elbow Lane was second to none.
The practice is fully COVID secure with appointments taking place exactly on time making the new procedures no hassle at all.
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