Endodontics – Root Canal Treatment

In oral and dental health, it should be known that no artificial tooth can replace a natural tooth. Therefore, we should protect our natural teeth by treating them until the very end.

When one of our teeth hurts, one of the well-known protective methods is root canal treatment. Root canal treatment helps preserve damaged teeth.

The pulp (the soft layer inside the tooth containing nerves, blood vessels, and lymph vessels) dies when it is damaged beyond repair. This is often caused by bacteria in broken teeth or deep cavities.

Bacteria cause inflammation in the pulp of the tooth. If the damaged or infected pulp is not removed, the tooth and the surrounding tissues are exposed to infection. Eventually, you can lose your tooth completely.

What is Root Canal Treatment and How is it Performed?

Root canal treatment is a treatment method applied when the pulp is damaged. In the past, extraction was the only solution when encountering a diseased soft tooth layer, but nowadays it is possible to treat these teeth.

What Happens If Root Canal Treatment Is Not Done?

In cases where the pulp cannot heal itself due to deep cavities and cracks, the tooth loses its vitality, and the infection can spread throughout the tooth. If root canal treatment is not performed, the infection can reach the tissues at the root apex.

The jawbone surrounding the tooth also becomes eroded by inflammation. An abscess occurs in this cavity. This condition is accompanied by pain and swelling, and the tooth is lost in a short time.

Stages of Root Canal Treatment:

  • Firstly, anesthesia is applied to the tooth for a painless treatment.
  • Then, the tooth decay is cleaned, and when reaching the core of the tooth, the diseased and soft tissue is removed. Nerve and tissue residues are cleaned.
  • The tooth canal is shaped until the root apex. If necessary, some medications can be applied to accelerate healing.
  • Between sessions, the surface of the tooth is covered with temporary dental filling materials until the tooth heals. After it is understood that the infection has stopped spreading and no more pus is coming from the root apex, the inside of the root canal is filled with a special dental filling material up to the root apex, and the crown part is restored with filling, porcelain filling (inlay), or crown veneers to prevent it from breaking or decaying again.
  • In some cases, it is possible to complete root canal treatment in a single session without the need for these sessions.

Stages of Root Canal Treatment:

Eğer tekrar diş enfekte olmazsa ve diş çürümesini önleyici tedbirler alınırsa, ömür boyu bu diş dolgusu kullanılabilir. Düzenli diş hekimi kontrollerinizde enfeksiyonun başlangıcını yakalayabilirsiniz. Ayrıca çok iyi bir ağız bakımı ile de dişin tekrar çürümesi önlenmelidir.

What is the Life span of a Tooth with Root Canal Treatment?

If the tooth does not get infected again and preventive measures are taken against tooth decay, this dental filling can be used for a lifetime. Regular dental check-ups can help detect the onset of infection. In addition, excellent oral hygiene should be maintained to prevent tooth decay from recurring.

Root Canal Treatment – Endodontics

Root canal treatment is a treatment method performed to save a decayed or infected tooth. When intervention with fillings is insufficient for tooth decay, in cases of inflammation, advanced tooth decay, or when the tooth is painful and sensitive, root canal treatment is applied.

If tooth decay is not treated in a timely manner, it progresses deeper and causes inflammation of the nerves in the tooth. Inflammation of tooth nerves causes severe toothache, tooth discoloration, and problems with sensitivity to hot and cold temperatures.

How is Root Canal Treatment Done?

The outer part of the tooth is composed of a hard tissue called enamel, while the inner part contains a cavity called the root canal that extends along the root of the tooth and contains a bundle of blood vessels and nerves. The vital tissues that give life to the tooth are the nerves and blood vessels called pulp located in this central cavity of the tooth.

During root canal treatment, the soft tissue called pulp and the tooth nerve within the root canal, which is a natural cavity located inside the hard tissue of the tooth, are removed, the inside of the tooth is cleaned, and then the opened space is filled.

The removed tooth nerve is not essential for dental health and function, but its removal prevents severe pain. This nerve is a sensory nerve used for temperature perception, such as hot and cold.

Contrary to common belief, the patient does not feel pain during root canal treatment. In root canal treatment, just like in filling treatment, the tooth and surrounding tissues are effectively anesthetized, and the procedure is usually completed within an hour. With the development of devices and systems used to expand root canals, the duration of root canal treatment has been shortened, and the procedure has become easier.

Why is Root Canal Treatment Performed?

The nerve or pulp of a tooth can be damaged, infected, or inflamed due to deep cavities, cracks, fractures, or facial trauma. When the pulp or nerve of the tooth is damaged, bacteria start to multiply within the root canal. Bacteria and other decayed remnants can cause infection or a tooth abscess. An abscess is a pocket filled with pus, and it occurs when the infection spreads to the very end of the tooth roots.

The formation of an abscess in the tooth causes severe pain. In addition to causing infection in the root canal, the abscess can lead to swelling that spreads to the face, neck, or other areas of the head, loss of bone around the tooth root, and drainage problems between the tooth and cheek.

It is crucial to treat the tooth with an abscess as soon as possible for the person to maintain their quality of life. With the increase in nighttime toothache, the person’s sleep quality is affected, and they may face problems such as difficulty concentrating during the day.

Conditions Requiring Root Canal Treatment

  • Discoloration of the tooth,
  • Sensitivity to hot or cold temperatures,
  • Swelling and sensitivity in the surrounding gums,
  • Severe toothache when chewing or applying pressure,
  • Incompatible restorations, new cavities around old fillings, deep cavities, or loss of vitality in the nerve and blood vessel tissue of the tooth due to an accident,
  • Teeth clenching/grinding, and high fillings and restorations are also among the causes of chronic trauma and can cause inflammation.
  • In addition, untreated periodontal (gum and surrounding) diseases for a long time are among the contributing factors to tooth inflammation. In such cases, root canal treatment becomes necessary.