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How is root canal treatment performed?

April 17, 2016 | author : dentist, Gaiduk Igor
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The need to treat the canals of the teeth occurs when the destruction and inflammation of the pulp, which fills the root cavity. The process involves cleaning and disinfection of the canal with its subsequent sealing. The procedure takes place under anesthesia, requires special experience from the dentist and the use of auxiliary equipment. X-rays are often used to control the treatment so that the doctor can make sure that there are no cavities and evaluate the quality of the work done. Cleansing and filling is the main way to restore the functionality of the root system and the tooth as a whole. This is a kind of foundation on which a crown is installed, filling or other dental procedures are performed aimed at restoring the functions of the dentition.

Root canal treatment is carried out using special equipment; in some cases, devices are required that enable the doctor to carry out “jewelry work”. Here, not only modern professional technical support is important, but also the experience of the doctor, his qualifications. That is why canal treatment refers to paid procedures and it is not necessary to focus on too attractive cost, the priority should be the status of the clinic, the qualifications of the staff, permits for such events, and the provision of a guarantee. It will not be superfluous to get acquainted with the reviews of patients.

The main stages of the treatment of dental canals

For each individual case, the dentist chooses the optimal method for restoring tooth function. Specialists tend to preserve natural tissues and, although this often requires serious efforts and investments, it is better to restore the native roots in which the channels are located. They will help to securely fix the sealed tooth, to become a kind of foundation for the crown. Compared with the introduction of prostheses, for example, titanium elements, it is possible to save on the general treatment of the oral cavity, if it is possible to preserve the "native" roots.

If we conditionally divide the whole process involving the treatment of dental canals, then it can be represented as follows:

  • Release of access to the problem area of ​​the root . The destroyed part of the tooth or damaged by caries is removed to the extent that allows the specialist to get to the root, remove the top of the chamber and proceed to further processing of the area. A prerequisite is to limit the possibility of saliva ingress, which is ensured by special overlays, professional devices;
  • Channel cleaning . Such a procedure is necessary to eliminate the pulp, foci of inflammation. Mechanical methods are used, as well as the use of antiseptic drugs. The task of the specialist is to eliminate the pulp, the elimination of foci of inflammation. All this is done with professional tools adapted for such precise dental work;
  • Preparation for filling . After cleaning, the formation of a conical shape of the canal can be carried out, for high-quality further filling. This happens after a preliminary x-ray is taken to understand the natural structure and shape of tissues, dynes. There are several options for canal treatment before filling, for example, coronal-apical method or apical-coronal. Each of the options has its own characteristics, but the result should be an absolutely sterile canal, freed from pulp or dentin, having a conical shape, convenient for laying the material;
  • Canal filling . Depending on the shape of the canals, the length, and the cause of the damage to the tooth and the general condition of the periodontium, the dentist may use different filling methods. The doctor can inform the patient about the planned method of filling, in addition, the cost of the procedure will be formed from this. The option of sealing with a pin or filling with special hermetic compounds, including or plastic ones, can be offered. They are absolutely safe, highly durable, do not cause allergies, practical and durable. For high-quality filling of voids, as well as further operational characteristics, such materials are subject to high requirements regarding adhesion (adhesion), antibacterial and plastic properties;
  • Installation of a filling on the tooth itself , it can be temporary, if further manipulations are planned, or permanent, when the condition of the tissues allows.

Filling is the final and very important stage, since it is necessary to carefully process the canal along the entire length and prevent the occurrence of voids, as they can provoke inflammation and infection.

At first glance, all the actions may seem quite simple, but this is not at all the case. The process requires maximum precision from the doctor, the dental office must be equipped to carry out such work. Serious requirements are also imposed on the materials themselves, including pins for filling. It is important to comply with the technology, the time interval for performing manipulations.

How canal treatment is evaluated

The processing and filling of the canal should always be checked by a specialist and an X-ray examination should be carried out for this. The future actions of the doctor depend on how well the procedure is carried out. Whether further filling will be carried out, a crown will be installed or another procedure will be performed to restore the dentition. In case of detection of deviations regarding tightness, detection of microscopic cavities, which sometimes happens with a complex structure and structure of the channel, the specialist corrects the situation.

Sometimes, after canal treatment, sensitivity and some pain may be felt, which the attending physician can warn about. This is due to the adaptation of tissues to the new material used for filling, which in the future will help to eliminate inflammation and infection. Over time, this feeling will pass, but with prolonged discomfort, the appearance of acute pain, inflammation, you need to re-consult a doctor.

After canal treatment, it is necessary to protect the tooth from strong loads and temperature changes for a certain period. If further manipulations are expected to restore the unit, then the doctor's instructions must be strictly followed.

Are there any contraindications for root canal treatment?

Despite the belief that it is necessary to preserve the root of the tooth, and not replace it with artificial analogues, in some cases, specialists have to look for other options. Often this is due to the neglect of the situation, when the patient turns at the stage of significant destruction of the tooth and root, with acute periodontal diseases, as well as with mechanical injuries, in which it is not possible to save the tooth. Some patients have individual structural features of the canals, the sealing of which can be very difficult. Since an untreated canal is a threat of serious inflammatory reactions, suppuration dangerous even for life, a decision can be made to remove the tooth.

The procedure is carried out under anesthesia, which the doctor chooses depending on the age of the patient, the clinical picture, concomitant diseases. For the patient, the whole process is absolutely painless and with minimal discomfort.

In order not to bring the situation to serious treatment, including canals, you should visit the dentist's office in a timely manner. Often it is the usual caries, which could be eliminated by simple dental actions, spreading and progressing, leading to infection of the roots, tooth decay, pulpitis and other equally serious processes.

If you have any problems with your teeth, even minor ones, you need to contact a specialist. This will be beneficial not only for health, as it will be possible to prevent serious treatment, including canals, but also beneficial for the budget. Moreover, now dentistry is absolutely painless. It allows you to deal with almost any violation of the dentition, the main thing is to choose the right and professional medical institution and do it in a timely manner.

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