We know the importance of teeth, but in reality, we do not know what is happening in our mouth. The teeth are basically consisted of the following;
The dental crown, the white part that we see in our mouth.
The root that is what we do not see from the teeth piece as it is inserted in the maxillary bone. If they are upper parts, it will be the upper jaw, and if they are lower, it would be the lower jaw or mandible.
The root has internally one canal or several, depending on the specific tooth. Within them, in the pulp, there is part of the dental nerve and the other portion is located in the crown.
The pulp may be reversibly or irreversibly inflamed. In the first case, it is not necessary to empty the canal, but to place a protection to the tooth and the inflammation does not yield any more.
But in cases where the pain is permanent, which can increase at night at bedtime, and which does not give way and which can also cause swelling on the face of the side in question, the dentist, specifically the endodontist, who is the specialist in the treatments of root canal, must empty the root canal to remove the inflamed and infected nerve, clean it, and fill with an inert, biological material, which should not inflame or give allergies to the patient.
What should the dentist know?
For the treatment to be successful, the dentist must know the following;
In endodontics, a paste is used with a chemical material called iodoform, and many patients are allergic to it, so this type of paste is prohibited in such a case. Therefore, the dentist must take another option.
For the washings, often sodium hypochlorite is used, which in generic terms is called chlorine and there are also some patients who are allergic to it.
After the root canal treatment, it is usually given to the patient analgesics, and antibiotics if there is a major infection. The dentist must know if the patient is allergic to either penicillin, acetylsalicylic acid, etc.
If the patient suffers from nausea!
Since in endodontics, we use what is called ‘gum dike’, which is placed in the patient’s mouth to isolate the tooth and avoid unpleasant flavors such as ingesting some material or instrumental.
If the patient has temporomandibular joint (TMJ) problems!
Since the patient should be with his/her mouth open for longer time, at least an hour, if you have TMJ problems, you cannot keep your mouth open for long.
Steps of Root Canal Treatment
Anesthesia with local and then injectable
The tooth is opened to enter into the canal
The relevant washings are made.
The canals are filled with a biologically inert material or cements of different types for each specific situation.
A temporary paste is placed, until the post root canal treatment pain is removed.
The restoration of the tooth is evaluated.
What happens after a Root Canal Treatment?
Correct restoration of the tooth after is performed to restore which can be Plastic with composite and halogen light or Rigid, which is what we call prosthetic restoration, which is the pin and crown. A bolt and crown is not required but this will depend on the dental remnant after the internal cleaning.