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Best Endodontic/Root Canal Treatment

Best Endodontic/Root Canal Treatment in Delhi, Dwarka

It is not unknown that chances of root canal success or any clinical treatment are very high under the specialist’s expertise, experience, equipment and best circumstances. Our specialist Endodontist at Oraa Care is highly upgraded with latest dental operating means and magnification which therefore allows Root canal and other dental therapy to be carried out with a very higher degree of accuracy. The dental work is performed on the Etho of judging each case on its merits, and thus we are able to deliver 99% successful RCT’s, best results, patient’s satisfaction and patient’s management issues.

For Best Root Canal Treatment in Delhi, Dwarka, you can reach out to Oraa Care Smile, centrally placed in West Delhi within minutes walking distance from Dwarka metro station.


When you come into contact of a tooth cavity, feel persistently acute pain in your tooth, see your swollen gums or juggle with sensation, you may become fearful of losing your precious diamond like tooth. But that’s not going to happen after seeing a dental specialist as currently there are various ways and advanced techniques to save your tooth and endure it for the longest possible without undergoing terrible pain. Startled? Don’t be. Endodontic, Root canal therapy or root canal treatment (RCT) is the way to go and get your tooth corrected with no discomfort and downtime.


What is a Root Canal Therapy (R.C.T.)?

In circumstances that a tooth is contemplated so sickened (because of disease, decay, cracking, etc.) that future infection is considered unavoidable or inexorable, a pulpectomy, extraction of the pulp tissue, is prescribed to prevent such infection. Generally, a little infection or inflammation already exists within or beneath the tooth. To protect and save the tooth and rehabilitate further inflammation/infection, the dentist hammers into the pulp chamber by drilling through to eliminate the infected pulp by raking it out of the root canals. Once it is done, the specialist fills the cavity using an inert material and put a seal on the opening. This particular process is referred to as root canal therapy (RCT).

Root canal treatment is a procedure where a fractured, poorly decayed or dead tooth is saved by eliminating its pulp (soft part) from the root and crown of the tooth. Pulp is situated in the core of the root and crown of the tooth. It is like graving a dead tooth to conserve it. With the extraction of nerves and pulp from the tooth, it is better to fit the tooth with a crown; this raises the prognosis of the tooth by 6 times.

For filling, Gutta-percha is the standard filling material. It is a natural thermoplastic polymer of isoprene, which is first melted and infused to fill the root canal pockets. Barium is mixed to the isoprene so the compound will be filmy to X-rays, permitting for future verification that the passages have been completely and properly filled in, without emptiness.

For patients, RCT is one of the terrifying treatments in all of dentistry; however, dentists confirm that modern root canal procedures are comparatively painless because the pain now can be managed. For pain control, local anesthetic is used. Lidocaine is a commonly used Pain control medication which can be used either before or after treatment. In some cases it becomes quite challenging to obtain pain control prior performing a root canal. For example, if a patient is suffering from “fluid-filled gum blister” an abscessed tooth with a swollen area, the pus in the abscess may bear acids that nullify any anesthetic infused around the tooth. For such situations it is always good to drain the abscess by slitting it to let the pus eject out. Draining the pus drains pressure around the tooth which could have caused pain. The dentist needs to ensure that the patient is not biting into the tooth, which could also accelerate pain.

The dentist at times performs preliminary tooth treatment by withdrawing all of the infected or inflamed pulp of the tooth and placing a temporary filling to the tooth which is known as “pulpectomy”.

The specialist may also extract only the coronal section of the dental pulp, which consist of 90% of the nerve tissue, and leave the pulp as it is in the canals thus essentially relieving all the pain. This process is known as a “pulpotomy”. A “pulpotomy” is a definitive procedure for infected primary teeth.

The pulpotomy and pulpectomy treatments alleviate almost all pain, soreness and uneasiness until the follow-up visit for completing the root canal. But if the pain creeps back in, it means any of the 3 things:

  • there is still a substantial amount of sensitive nerve material present in the tooth,
  • there could still be more pus formation inside and near the infected tooth; all of these trigger pain, or
  • the patient is biting into the tooth, because the doctor is not always the culprit to be called

After scraping off as much of the internal pulp as possible, a substance called calcium hydroxide paste can be used to fill in the root canals temporarily. This powerful alkaline solution base is left over the canal for a week or more to decontaminate and minimize infection/inflammation in surrounding tissue. Ibuprofen is sometimes given orally given to the patient before and/or after these procedures to reduce inflammation and pain.

An Endodontist is a specialized and trained dentist with an advanced expertise and education in protecting and preserving teeth through the endodontic therapy. Endodontist are more about root canal therapy and procedures. Endodontic procedures involve plenty of procedures within the soft inner tissue of the teeth known as pulp. As the term endodontic implies, inside of the tooth treatments are majorly carried out through this process. Only endodontist are able to deal with extremely difficult cases of tooth, root, pulp or canal.


WHAT ARE THE INDICATIONS OF RCT?

  • Decayed and painful tooth
  • Non-essential, non-functioning or dead tooth
  • Trauma revealing the pulp
  • Wholly or crudely worn out tooth due to excessive friction or rubbing
  • Intentional RCT

Now that you know the signs of root canal, you should know the real reasons to get it done and how it works for your long term oral health benefits. Getting a Root canal is not going for a turkey shoot. Yes, it is not a child’s play and there needs to be strong evidences, condition of tooth and certain reasons to get a root canal therapy. Here are some reasons for why one should go to get a RCT done.


Reasons for RCT

Saves natural tooth

RCT saves the natural tooth and provides a natural appearance. Providing a permanent solution, it simultaneously heals infected or inflamed pulp, in a short span


Improvement in Teeth function

Dental conditions may worsen if RCT is avoided. People face issues while biting, grinding and sometimes even speaking. Functionality of teeth improves after RCT. Biting force, chewing and sensation return to normal. RCT also protects teeth and prevents it from excessive stain, abrasion and wear.


Removal of Deep Infection

Root canal is specifically required when a oral large cavity or an injury reveals up to the tooth's pulp and the root gets infected or inflamed.


Taking off the Infected/Inflamed Tissue

Endodontist uses a special file to clean the infected and unhealthy pulp and infection in the root. The infection is removed out of the canals. Then they shape and contour the canals to fill the material. Irrigation technique is used to help clean the canals and remove the remains and riffraff.


An easy and quick way to reach the pulp of the tooth

Using a localized anesthesia, the dentist may numb the tooth if it is hurting. A vent or a hole as opening is made through the crown of the teeth to the pulp chamber.


For Filling the hollow Canals

When your tooth gets decayed, it becomes hollow and dead. In this therapy, an inert rubber kind permanent substance called gutta-percha cones is filled into the canals. This helps to keep the canals free of contamination, septic, disease. It helps to fill the dead space.


Rebuilding the tooth

To reconstruct the dead and decayed tooth, a temporary filling material is layered on the topmost of gutta-percha to cover the opening. The filling stays intact until the tooth obtains a permanent crown or filling. A crown is a cap which is placed over the top of the diseased tooth. It gives a look of a natural tooth.


The Crowning of the root canal treated tooth for extra protection

An artificial hollow dental crown is structured and cemented over the tooth during RCT for the purpose to further prevent the root canal treated tooth from fracture.


Tooth Strengthening

For some patients, a post is placed into the root following the gutta-percha. This provides the crown with extra support.

There are not just these reasons but some valued benefits too that makes opting for RCT as a correct choice of treatment for diseased tooth


ADVANTAGES OF RCT OVER OTHER TREATMENT PROCEDURES

  • In case of deeply infected or severely carious tooth, the only treatment options available are elimination of tooth or the root canal treatment (RCT). However RCT is a very demure treatment procedure which saves the natural tooth.
  • Root canal treatment (RCT) subsequently results in prevention of the bone loss.
  • RCT helps to maintain the stability and strength of the adjacent tooth.
  • Most of the time the pain is associated to the pulp tissue only and the procedure is more or less painless as compared to other teeth replacement procedures.
  • In relation to other teeth replacement procedures after removal, preserving the natural tooth by root canal treatment is quite affordable and a better option.

You must have heard about endodontic treatment, but “endodontic retreatment” would be a relatively new term for many. However, it is a no brainer and we will tell you all about it.


Endodontic Retreatment

So, with regular and rigorous care, even teeth that underwent RCT can last a lifetime. But there are instances occasionally, though, where a tooth that has been treated through root canal doesn't heal properly and can become more diseased and painful months or even years after receiving the procedure. If your tooth does not succeed in the healing process or creates new concerns, just need not worry, you have a second chance. An additional treatment may be able to promote and supplement healing and preserve your tooth. You need to consult to your endodontist if you experience pain or discomfort in a previously treated tooth.


Why is endodontic retreatment important?

As sometimes occurs with any dental, medical or cosmetic procedure, a tooth may fail to heal as expected after first treatment for a variety of reasons. These include:

  • Curved or tapered canals were left untreated in the first procedure.
  • Complicated canal composition went unearthed during the initial procedure.
  • Delay in the placement of the crown or other restoration subsequent to the endodontic treatment.
  • The restoration failed to prevent salivary infection to the inside of the tooth.

In other situations, a new issue can expose a tooth at risk that was successfully treated. For example:

  • New decay or contamination can reveal the root canal filling material to virus, prompting a new infection in the tooth.
  • A weakened, cracked, chipped or broken crown or filling can endanger the tooth to new infection.
  • A tooth bears a fracture.

What to expect during endodontic retreatment?

In the beginning, the specialist will discuss your treatment options. After a mutual conclusion on choice of treatment, the endodontist will reopen your tooth to reach out to the root canal filling material. In many cases, intricate restorative materials—crown, core and post material—must be dismantled and taken off to allow access to the root canals. Once the canal filling has been removed, the endodontist can clean up the canals and vigilantly evaluate the inside of your tooth using illumination and magnification, looking for any additional canals or unusual make-up that needs treatment.

After thoroughly cleaning the canals, the specialist will fill up and seal the canals by fusing a temporary filling in the tooth. If the canals are abnormally tapered, attenuated or chocked, your endodontist may prescribe endodontic surgery. This surgery involves creating a cut or slit to permit sealing the other end of the root. This brings you to the end of retreatment procedure.

After the endodontic retreatment is completed, you will need to get back to your doctor soon to have a new crown or other restoration placed on the tooth to protect and preserve it to its full function.


Are there any alternatives to endodontic retreatment?

If nonsurgical endodontic retreatment is not an option, then endodontic surgery is needed to be considered. Yes, endodontic surgery does exist and it is one of the options to correct and rehabilitate your concerned tooth. This surgery involves making a slit to have access to the tip of the root. Endodontic surgery may also be prescribed in combination with retreatment or as a substitute. It is recommended as an appropriate treatment only after examining inside of your mouth and certain other parameters.


Are there any alternatives to endodontic surgery?

Again you have an option and the last left only other alternative for you is - the extraction of the tooth. The extracted tooth should then be replaced with a dental implant, bridge or removable partial denture to prevent adjacent teeth from loosening or shifting and also to restore chewing function. Because these options need compressive surgery or dental treatments on adjacent healthy teeth, they can be pretty pricey and time-taking than the retreatment and restoration of the natural tooth.

Despite that how viable tooth replacements and restorations are—nothing is as good as your own natural tooth. You have already pooled in money, time and energy in saving your tooth. The payoff for selecting retreatment should be a strong, fully functioning, healthy natural tooth for many years to come.


Endodontic Surgery

This dental surgery is meant for cases in which a nonsurgical root canal procedure or retreatment did not work sufficiently to save the tooth and that you will be recommend surgery. Endodontic surgery can be employed to detect hidden canals and minor fractures earlier concealed on X-rays during the first treatment. Surgery may also be required to eject out calcium accumulations in root canals, or to treat destroyed root surfaces or the adjacent bone of the tooth.

And you need not to panic about surgery if your specialist recommends this additional measure. Advanced devices and technologies such as operating microscopes, digital imaging, CAD/CAM allow these procedures to be conducted comfortably, successfully and rapidly.

Your options for surgical procedures are not limited to one; in fact there are many that can be conducted to save your tooth. The most common form of endodontic surgery is called an apicoectomy, or root-end resection, which may be required when infection or inflammation prevail through the bony area near the end of your tooth after a RCT.

A micro surgical procedure can be performed first by your endodontist to make you feel relaxed by applying local anesthesia before making an incision in the gum tissue around the tooth to carefully view the underlying bone and to remove any infected or inflamed tissue. The very end of the root is also withdrawn along. A small filling material may be put to seal the end of the root canal. Some stitches or sutures can be placed to help heal the tissue. The bone around the end of the root will heal in the next couple of weeks. Most patients resume to their regular activities the following day. Post-surgical pain and discomfort is usually mild.


How Successful Are Root Canals?

In modern times, with advanced means, Root canal treatment has shown increased and higher percentage of success; accounting to the procedure with more than a 95% success rate. Even Many teeth repaired with a root canal can last till the person’s life.

Also, because of the point that the ultimate step of the root canal treatment is application of a restoration such as a filling, post or a crown, it will be largely unnoticeable to the onlookers that a root canal was performed.Error! Hyperlink reference not valid.

Also there has always been a whole turmoil around about Root canal procedures having the notoriety of being painful. For a matter of fact, most patients report that the procedure itself is no more painful or snappy than having a filling infused.

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