Root canal treatment is necessary when the pulp, the soft tissue inside the root canal, becomes inflamed or infected. There are a whole host of reasons why you might need root canal treatment:
A tooth is divided into two parts – the crown and the root. Crown is that part of a tooth seen above the gum level in the oral cavity, and root is that part of the tooth which is below the gum level and surrounded by the bone.
The tooth primarily consists of four layers – enamel, dentin, pulp and, cementum. Cementum is the layer that covers the root of the tooth, while enamel covers the crown of the tooth. Below the enamel lies the dentin, and below the dentin lies the pulp.
A root canal is the hollow part of a tooth, consisting of blood vessels, nerves and, the pulp tissue.
The pulp mainly is divided into the pulp horns, the pulp chamber and the pulp /root canal (from crown downwards) and it provides nourishment to the tooth, and the nerves inside the pulp give the hot or cold sensation to the tooth.
When the pulp tissue gets infected or inflamed, a root canal treatment is required to remove the infection from the tooth, prevent reinfection and save the natural tooth.
Root canal treatment is done in a step by step manner, and it takes between one and three sessions to complete.
Under Local anaesthesia, an opening is made on the tooth surface using a dental handpiece and burs, and all the infected pulp tissue is removed. The tooth is also de-occluded from its opposing tooth to prevent any kind of biting or chewing pressure on the tooth undergoing root canal treatment.
Next, the dentist will clean, shape and decontaminate the root canal using dental files in a step by step manner, also increasing the width of the canal and by using irrigation solutions (like sodium hypochlorite and saline), making the root canal bacteria-free.
After this step, the patient will no longer feel any pain in that tooth because the nerve tissue has been removed, and the infection has been eliminated.
The hollow canal is then filled by an inert filling material (usually gutta percha). In cases of severe infection, the dentist may place a medication (such as calcium hydroxide) inside the canal for a few days till the infection clears and later replace it with the permanent inert filling material.
The root canal treated tooth is then filled up on top using a permanent filling. Since the tooth becomes brittle after a root canal treatment, it is mandatory to place a crown (cap) on a root canal treated tooth. In cases where tooth structure is not adequate, a post (a metallic pin-like structure) is inserted inside the tooth to give it more support, and then a crown is placed on top.
Usually, a well-done root canal treatment restored well with a filling and a crown will not have any side effects. Rarely, a few of these side effects may occur following a root canal:
The root canal cost varies depending on which tooth is being treated and how difficult the case is---Generally molar root canals are more complex due to a multiple number of canals, and difficulty in accessibility to the dentist and therefore they cost more than the root canal of a front tooth.
Also, a root canal involving an abscess or cyst formation may cost more as removal of the infection may take multiple sittings and more skill and precision.
A repeat root canal, that is, a tooth in which a root canal has been done previously, but the root canal appears to be faulty causing pain to the patient needs to be repeated. This treatment will cost more, as it requires removal of the old crown and filling, and then repeating the whole root canal procedure.
A tooth with less tooth structure will require a post to be inserted inside the tooth to give the tooth adequate support to hold on to the cap. This procedure will also cost more than a regular root canal.
One must also remember that the crown or cap cost is not included in the root canal price. It depends on the type of cap the patient chooses from the many variations of crowns available ranging from metal to metal-free ceramic(tooth-coloured) crown.
It is advisable to restore (do a filling) a tooth if possible, or do a root canal rather than extraction of the tooth, as replacement of a missing tooth by dental implant or bridge is far more expensive and time-consuming than a root canal. Also, however good the replacement, nothing compares it to the presence of a natural tooth.
We have a team of best dentists in Viman Nagar, Pune, dedicated to providing the best dental care. At Lifeberries Healthcare we provide painless and quick root canal treatments (or RCT’s as they are commonly known) preserving your natural teeth, and giving it longer shelf life.
We make sure that our patients are extremely comfortable during the whole procedure and our dental staff ensures a smooth and pleasant root canal experience.
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