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Dr Rahul Tripathi (BDS,MDS in Prosthodontics and Implantology) follow me facebook: / dr-rahul-tripathi-2294844664116166 instagram: / rrahultripathii online consultation (appointment booking) what's up msg on: 8840102001 #RootCanalTreatment What is RCT ? The outer portion or Crown of a tooth is a three-layered structure namely – Enamel, Dentin & Pulp. If the tooth decay is limited to the first two layers, it can be corrected with Filling/ Restoration. In case the tooth decay reaches the third layer and causes inflammation or infection of pulp, an RCT or Endodontic Treatment is needed. A root canal is a treatment used to repair and save a tooth that is badly decayed or becomes infected. "Root canal" is the term used to describe the natural cavity within the center of the tooth. The pulp or pulp chamber is the soft area within the root canal. The tooth's nerve lies within the root canal. A tooth's nerve only function is sensory to provide the sensation of hot or cold. The presence or absence of a nerve will not affect the day-to-day functioning of the tooth. Why Does Tooth Pulp Need to Be Removed? When a tooth's nerve tissue or pulp is damaged, it breaks down and bacteria begin to multiply within the pulp chamber. The bacteria and other decayed debris can cause an infection or abscessed tooth. An infection in the root canal of a tooth can cause: Swelling that may spread to other areas of the face, neck, or head Bone loss around the tip of the root Drainage problems extending outward from the root. A hole can occur through the side of the tooth with drainage into the gums or through the cheek with drainage into the skin. Saving the natural tooth with root canal treatment has many advantages: Efficient chewing Normal biting force and sensation Natural appearance Protects other teeth from excessive wear or strain DIAGNOSIS Palpation Mobility tender on percussion Radiographs Does a root canal hurt? Since patients are given anesthesia, a root canal isn’t more painful than a regular dental procedure, such as a filling or getting a wisdom tooth removed. However, a root canal is generally a bit sore or numb after the procedure, and can even cause mild discomfort for a few days. How do you know if you need a root canal? Severe pain while chewing or biting Pimples on the gums A chipped or cracked tooth sensitivity to hot or cold Swollen or tender gums Deep decay or darkening of the gums WHAT ARE THE CONSEQUENCES OF NOT GETTING A ROOT CANAL TREATMENT? If the pain you feel goes away, then it does not mean that your tooth had healed with time but this indicates that the nerves inside the tooth are all dead and the infection has grown manifolds. The bacteria from infection can enter into the tissues of gum and jaw which can cause a pus-filled abscess. This can even lead to a serious condition like heart disease and stroke. How Successful Are Root Canals? Root canal treatment is highly successful; the procedure has more than a 95% success rate. Complications of a Root Canal Despite your dentist's best efforts to clean and seal a tooth, new infections might emerge after a root canal. More than the normally anticipated number of root canals in a tooth (leaving one of them uncleaned) An undetected crack in the root of a tooth A defective or inadequate dental restoration that has allowed bacteria to get past the restoration into the inner aspects of the tooth and recontaminate the area A breakdown of the inner sealing material over time, allowing bacteria to recontaminate the inner aspects of the tooth Alternatives to a Root Canal The only alternative to a root canal procedure is having the tooth extracted and replaced with a bridge, implant, or removable partial denture to restore chewing function and prevent adjacent teeth from shifting. These alternatives not only are more expensive than a root canal procedure but require more treatment time and additional procedures to adjacent teeth and supporting tissues.