Root
canal treatment
Q What is root canal treatment?
A Root canal treatment (also
called endodontics) is needed when the blood or
nerve supply of the tooth (known as the pulp) is
infected through decay or injury.
Q Why is root canal treatment needed?
A If the
pulp becomes infected, the infection may spread
through the root canal system of the tooth. This
may eventually lead to an abscess.
If root canal treatment (RCT) is not carried out,
the infection will spread and the tooth may need
to be taken out.
Q Does it hurt?
A No. A
local anaesthetic is used and it should feel
no different to having an ordinary filling done.
Q What does it involve?
A The
aim of the treatment is to remove all infection
from the root canal. The
root is then cleaned and filled to prevent any
further infection.
Root canal treatment is
a skilled and time-consuming procedure. Most
courses of treatment will involve two or more
visits to your dentist.
At the first appointment, the infected pulp is
removed. Any abscesses, which may be present,
can also be drained at this time. The root
canal is then cleaned and shaped ready for the
filling. A temporary filling is put in and
the tooth is left to settle.
The tooth is checked at a later visit and when
all the infection has cleared, the tooth is permanently
filled.
Q What will my tooth look like after treatment?
A In the
past, a root filled tooth would often darken
after treatment. However,
with modern techniques this does not usually happen. If
there is any discolouration, there are several
treatments available to restore the natural appearance.
Q What if it happens again?
A Root
canal treatment is usually very successful. However,
if the infection comes back the treatment can
be repeated.
Q Is it expensive?
A You
can have root canal treatment on the National
Health Service. However,
due to the time it takes and the skill needed,
many dentists prefer to carry out this treatment
privately. Your dentist will be pleased to
give you an estimate.
Q What if I don’t
have the treatment?
A The
alternative is to have the tooth out. Once the pulp is destroyed,
it can’t heal and it is not recommended to
leave an infected tooth in the mouth.
Although some people would prefer an extraction,
it is usually best to keep as many natural teeth
as possible.
Q Will the tooth be safe after treatment?
A Yes. However,
it is better to restore the tooth with a crown
to provide extra support and strength to the
tooth.
Q Where can this treatment be carried out?
A Root canal treatment is a routine
dental procedure, which your dentist will be happy
to do for you.
Q What about aftercare?
A Root-treated
teeth should be treated just the same as any
other tooth. Remember
to clean your teeth at least once a day, preferably
with a fluoride toothpaste. Cut down on
sugary snacks, and keep them only to mealtimes
if possible. See your dentist for regular
check-ups.
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