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​Sanoli Road Branch
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Root canal Treatment :RCT In panipat

"Root Canal is a dental procedure to save a severely damaged tooth that would otherwise require to be removed "
Earlier, a badly infected tooth was doomed to be extracted. Today, the majority of these teeth can be saved by root canal treatment (RCT) at Dr. Nikhil's Dental Clinic, Panipat

Root Canal Treatment comprises:

  1. Numbing the tooth by anaesthesia 
  2. Opening the nerves of the tooth
  3. The removal of the infected or irritated nerve tissue that lies within the root of the tooth. 
  4. It is this infected pulp tissue that causes an eventual abscess.

The factors determining the visits to root canal treatment include:

  • The severity of damage to the infected tooth.
  • The extent of infection in the nerves and surrounding tissues
  • The number of nerves in the tooth
  • The location of the tooth in mouth.​

Root Canal Procedure

Root canal treatment can often be performed in two or three visits and involves the following steps:

1. The dentist examines and x-rays the tooth, then administers local anesthetic. After the tooth is numb, the endodontist (root canal specialist) places a small protective sheet called a “dental dam” over the area to isolate the tooth and keep it clean and free of saliva during the procedure

.​2. The endodontist makes an opening in the crown of the tooth. Very small instruments are used to clean the pulp from the pulp chamber and root canals and to shape the space for filling.

3. After the space is cleaned and shaped, the endodontist fills the root canals with a biocompatible material, usually a rubber-like material called “gutta-percha.” The gutta-percha is placed with an adhesive cement to ensure complete sealing of the root canals. In most cases, a temporary filling is placed to close the opening. The temporary filling will be removed by your dentist before the tooth is restored.

4. After the final visit with your endodontist, you must return to your dentist to have a crown or other restoration placed on the tooth to protect and restore it to full function.

If the tooth lacks sufficient structure to hold the restoration in place, your dentist or endodontist may place a post inside the tooth. Ask your dentist or endodontist for more details about the specific restoration planned for your tooth.

Why would I need an RCT?
Endodontic treatment is necessary when the pulp, the soft tissue inside the root canal, becomes inflamed or infected. The inflammation or infection can have a variety of causes: deep decay, repeated dental procedures on the tooth, or a crack or chip in the tooth. In addition, an injury to a tooth may cause pulp damage even if the tooth has no visible chips or cracks. If pulp inflammation or infection is left untreated, it can cause pain or lead to an abscess. 

What are the signs of needing RCT?

Signs to look for include pain, prolonged sensitivity to heat or cold, tenderness to touch and chewing, discoloration of the tooth, and swelling, drainage and tenderness in the lymph nodes as well as nearby bone and gingival tissues. Sometimes, however, there are no symptoms. 

How does RCT save the tooth?
The endodontist removes the inflamed or infected pulp, carefully cleans and shapes the inside of the canal, a channel inside the root, then fills and seals the space. Afterwards, you will return to your dentist, who will place a crown or other restoration on the tooth to protect and restore it to full function. After restoration, the tooth continues to function like any other tooth. 

Will I feel pain during or after the procedure?

Many RCT's are performed to relieve the pain of toothaches caused by pulp inflammation or infection. With modern techniques and anesthetics, most patients report that they are comfortable during the procedure.
For the first few days after treatment, your tooth may feel sensitive, especially if there was pain or infection before the procedure. This discomfort can be relieved with over-the-counter or prescription medications. Follow your dentist’s instructions carefully.
Your tooth may continue to feel slightly different from your other teeth for some time after your RCT is completed. However, if you have severe pain or pressure or pain that lasts more than a few days, call your dentist.

How much will the procedure cost?
The cost varies depending on how complex the problem is and which tooth is affected. Molars are more difficult to treat, the fee is usually more. Most dental insurance policies of corporates likes IOCL, NFL, panipat provide the reimbursement for the same.
Generally, RCT and restoration of the natural tooth are less expensive than the alternative of having the tooth extracted. An extracted tooth must be replaced with a bridge or implant to restore chewing function and prevent adjacent teeth from shifting. These procedures tend to cost more than RCT and appropriate restoration. With root canal treatment you save your natural teeth and money.

Normally the charges range from 4000 -8000 per tooth for root canal and capping included. The range is according to the level of difficulty, materials used and the quality of cap placed.

Will the tooth need any special care or additional treatment after RCT?
You should not chew or bite on the treated tooth until you have had it restored by your dentist. The unrestored tooth is susceptible to fracture, so you should see your dentist for a full restoration as soon as possible. Otherwise, you need only practice good oral hygiene, including brushing, flossing, and regular checkups and cleanings.
Most RCT treated teeth last as long as other natural teeth. In a few cases, a tooth that has undergone RCT does not heal or the pain continues. Occasionally, the tooth may become painful or diseased months or even years after successful treatment. Often when this occurs, redoing the RCT can save the tooth. 

What causes an RCT treated tooth to need additional treatment?
New trauma, deep decay, or a loose, cracked or broken filling can cause new infection in your tooth. In some cases, the endodontist may discover additional very narrow or curved canals that could not be treated during the initial procedure. 

Can all teeth be treated endodontically?
Most teeth can be treated. Occasionally, a tooth can’t be saved because the root canals are not accessible, the root is severely fractured, the tooth doesn’t have adequate bone support, or the tooth cannot be restored. However, advances in endodontics are making it possible to save teeth that even a few years ago would have been lost. When endodontic treatment is not effective, endodontic surgery may be able to save the tooth.

Apicoectomy(root end surgery)
It is a surgical procedure involving the section and removal of the tip of a tooth root along with the surrounding infected tissue.