Root Canal Treatment
Endodontics is a branch of dentistry that deals with the treatment of root canals in teeth. Under the enamel and dentin layers of the tooth, there is a section called “pulp” where the vessels and nerves that provide the vitality of the tooth are located. This section, called the “pulp chamber” in the crown of the tooth, extends to the end of the tooth roots. In case the pulp is inflamed for any reason, the nerve of the tooth should be removed, the canals should be sterilized and then filled. Root canal treatment is applied in one session for living teeth, and generally in two sessions for teeth that have lost their vitality.
Every person has bacteria in the oral cavity. Bacteria combine with many of the foods we take and cause acids to form in our mouth. If we do not pay attention to our oral hygiene, these acids damage the tooth enamel and cause decay in the enamel layer. If the bruises on the enamel are not treated, they pass to the dentin layer under the enamel layer. Although the dentin layer stimulates us with pain, if the bruise is not treated again, this time microorganisms move towards the pulp. Meanwhile, the pulp warns us through pain to protect itself. However, if we do not treat our teeth again, after a while, microorganisms cause inflammation by destroying the vessels and nerves in the pulp.
Another way of inflammation in the pulp is trauma. A blow to the tooth causes the veins and nerves entering the root of the tooth to break from the root tip, thus causing the tooth to lose its vitality. In this situation, the addition of microorganisms in any way causes inflammation of the pulp. Another way the pulp can be infected is the presence of long-term periodontal (gum and surrounding) disease around the tooth.
It is a sign of inflammation and the onset of an inflammation in the pain and sensitivity to cold and hot foods and drinks, pain during eating. Again, excessive color changes in the teeth can be perceived as a sign of inflammation. Apart from these, in teeth where the decay reaches to the pulp but not treated, the infection reaches the jawbone from the root tip and may cause small or large swelling on the face. In this case, the use of antibiotics is appropriate in addition to the procedures performed by the dentist in the fight against infection. General belief is that the tooth, which creates a swollen face, needs to be pulled out after the swollen is lowered. According to the new technology, even teeth that cause such major infections can be kept in the mouth by root canal treatment and can serve you for years like a healthy tooth.
- Identifying the problematic tooth by taking radiography.
- If the tooth is alive, local anesthesia is used to destroy the sensitivity in the teeth and surrounding tissues.
- Cleaning the decays in the enamel and dentin layers of the tooth and creating a space to reach the pulp.
- Isolating the tooth by attaching a rubber dam.
- Determination of the working length using electronic tools and confirmation by radiography.
Destruction and removal of infected dentin layers and microorganisms in the root canal using rotary instrument systems. Destruction of microorganisms with various root canal disinfectants while using rotary instrument systems in root canals.
If the tooth is not alive when starting the root canal treatment, waiting for a certain time with a canal antiseptic to be placed in the root canal and filling the root blood at the next meeting.After the root canal treatment, the tooth is cut off from the surrounding tissues, the infection does not occur again and there is a damage to the surrounding tissues of the tooth. it is intended to be repaired. Canal treatment is performed under local anesthesia and no pain is felt.
Following root canal treatment, especially after the treatment of living teeth, there may be a foldable pain in the tooth for a few days or pain when pressing on the tooth. This is a normal pain that occurs after root canal treatment. It disappears in a short time with a little protection of the tooth with root canal treatment. The success rate of root canal treatments, where the correct treatment method is applied for today, reaches 90%.