Endodontic Treatment (Root Canal)

What does root canal treatment really mean?

Why do I need root canal treatment? What is root canal treatment? What is the dental pulp? What happens if the pulp is injured? Why does the pulp need to be removed?


Root canal treatment removes infected tissue inside the tooth while keeping the shell of the tooth to preserve space, function and aesthetics.

Sometimes root canal may be required when no symptoms are present but common symptoms experienced include:

  • Constant or spontaneous pain when sleeping, biting down, consuming hot or cold food or drink
  • Pain that radiates to other teeth, the neck, shoulder or causes headaches 
  • Swelling  
  • Pimple on the gum
  • Injury or trauma to the tooth during sporting activity 
  • Decay present on the tooth which involves the pulp (Nerve)

Root canal is a referred treatment option to tooth extraction as the following issues can arise when a tooth is removed:

  • Drifting of adjacent tooth
  • Upper or lower tooth moving upwards or downwards
  • Bone loss in the extracted area  
  • Loss of aesthetics

How long does root canal last?

When done properly, root canal has a 95% success rate.

However, the life of a root canal cannot be guaranteed as there is some chance of re-infection and decay reoccurring.

What is involved in root canal treatment? Root canal treatment may take up to three appointments of approximately 30-60 minutes each.

The following will take place during the first appointment:

  1. Local anesthetic given
  2. X-ray taken
  3. plastic sheet placed on the tooth (known as rubber dam) to isolate the tooth from saliva and create a clean working environment
  4. Any fillings are removed
  5. Any decay is removed
  6. A filling is done
  7. If necessary, a band is placed around the tooth to help hold it in place avoid cracking
  8. An access hole is made in the middle of the tooth and the canal openings are found
  9. The tooth is washed with antibacterial solution
  10. Small thin files are inserted into the tooth and the nerve canals are cleaned
  11. An antibiotic containing painkiller is placed into the tooth
  12. A temporary filling is placed
  13. Painkillers such as Nurofen plus are given to manage pain after the appointment

The following will take place during the second appointment:

  1. Local anesthetic is given
  2. A rubber dam is placed on the tooth
  3. The tooth is opened, washed out with antibacterial solution and cleaned with Endodontic files
  4.  A dressing is placed that has no painkiller
  5. A temporary filling is placed

The following will take place during the third appointment:

  1. If the tooth has not been symptom free, then the tooth is redressed again
  2. No local anesthetic is given
  3. A rubber dam is placed on the tooth and the nerve canals are filled
  4. A permanent restoration is placed on the tooth During root canal treatment, all the nerve and blood supply of the tooth is removed and the structure of the tooth is left behind.
  5. Over time, the tooth can become brittle and be regenerated with a crown that will protect the tooth from breaking and restore it to its full function.
  6. If further difficulties or complications arise, the patient may be referred to an Endodontic or root canal specialist.

Complications of root canal treatment can include:

  1. Endodontic files breaking in the canal
  2. Inability to locate the nerve canals
  3. Not being able to reach to the end of the tooth
  4. Cracks in the tooth

EWe offer a variety of Family & Aesthetic dentistry procedures that can be customized to meet the unique needs of each of our patients. Call us today at 9842 9684nter your text here...



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