Why one must go for crown after RCT? Can pain reoccur? - Dr. Nandini Nelivigi скачать в хорошем качестве

Why one must go for crown after RCT? Can pain reoccur? - Dr. Nandini Nelivigi

Ask Doctors - Get Video Answers in HINDI Subscribe to -    / @doctorscirclehindi   for HINDI videos If you have been indicated to go for a root canal therapy in a tooth it already tells that the carious lesion is extensive and it has reached upto the pulp. Whenever we are doing root canal treatment we remove all the carious lesion, remove the pulp both from the chamber and the roots and fill it with a material called gutta percha. Whenever we are removing the extensive carious lesion, in order to maintain the size, shape, strength of the tooth, appearance of the tooth, we have to do a good crown over it and this crown will give all the necessary details for the tooth and it will give you a good prognosis and the tooth will last for a long time. Also when you do a root canal treatment the tooth starts dehydrating over a period of time and it becomes brittle because the pulp is removed form the tooth and a brittle tooth always has a tendency to fracture. So if you do not want any fracture of the tooth happening, then the crown is always mandatory procedure for a root canal treated tooth. However if the front teeth are root canal treated if you do not have an extensive carious lesion if the crown is more or less good to look at, there is no discoloration on the tooth, then you can get away without any crown on the tooth whereas any posterior tooth w here the masticatory forces are high will definitely require a crown to be put on the tooth. Coming to the question why pain can recur in a case which is already been treated with root canal, there are two reason why it can happen, if there is a procedure if the pulp is not been completely removed and if a portion of it has been left behind and it has been dormant over a period of time and it has not been giving pain and if you are having any systemic infection or any recurrent infection happening or your immune system has come down then this dormant stage of the infection may become active and you may have pain or the second reason is if you have got a root canal treatment done and have not got a filing over it then the post endodontic filling may fracture at some areas and have a seepage of oral fluids. Whenever seepage of oral fluids happen it is always possible that a secondary infection happens. So whenever a secondary infection happens there can be a recurrence of pain. So you are requested to meet an endodontist then and then they will evaluate and if needed, we may have to redo the root canal filling, remove the gutta percha filling and remedicate the canal and whatever infection is there in the root has to be completely drained and a refilling has to be done and a good crown has to be done. Many at times the infection is large at the periapical area that it may require a procedure called as apicectomy, where actually the root portion is trimmed and a retrograde filling is done so that thee infection doesn’t pass backwards. So generally speaking if a root canal treatment has been done well and a crown has been done over it usually it does not show recurrence.