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Endodontics / Root Canal

What is a Root Canal ?

Root canal treatment, also known as endodontic therapy, is a dental procedure aimed at saving a severely damaged or infected tooth. When a tooth’s pulp (the innermost part containing nerves and blood vessels) becomes infected due to decay, trauma, or other factors, a dentist assesses the situation.

Common symptoms include severe toothache, swelling, and sensitivity to hot or cold. During the root canal procedure, the dentist numbs the affected tooth, removes the infected pulp, thoroughly cleans and shapes the root canals, and places a biocompatible material (usually gutta-percha) inside to seal them. Local anesthesia ensures a painless experience. The access opening is temporarily sealed, allowing the surrounding tissues to heal.

Finally, a permanent crown or restoration is placed to protect the tooth and restore its function. Root canal treatment offers benefits such as pain relief, tooth preservation, and a natural appearance. Aftercare involves maintaining good oral hygiene and attending regular dental check-ups to monitor the tooth’s health. Remember, if you suspect any dental issues, consult your dentist promptly! 🦷

Why You Need Root Canal Treatment

Root canal treatment is essential when the pulp (the innermost part) of your tooth becomes inflamed or infected. Several factors can lead to this condition:

Deep Decay: Extensive tooth decay can penetrate the enamel and dentin, reaching the pulp. The resulting infection causes pain and discomfort.

Repeated Dental Procedures: Multiple dental treatments on the same tooth can weaken the pulp over time. Weakened pulp becomes susceptible to infection.

Faulty Crowns: If a dental crown doesn’t fit properly or develops issues, it can lead to inflammation within the pulp. A compromised crown may allow bacteria to infiltrate the tooth.

Cracks or Chips: Even if there are no visible cracks or chips, trauma to the tooth (due to injury or biting forces) can damage the pulp. Microscopic cracks can provide an entry point for bacteria.

Without timely treatment, these issues can escalate, causing severe pain and potentially leading to tooth loss. Root canal treatment aims to save the tooth by removing the infected pulp, disinfecting the canals, and sealing the tooth to prevent reinfection. If you experience toothache or suspect any of these conditions, seek professional advice promptly.

Should I have a Root Canal or Extraction?

When faced with the decision between a root canal and extraction, it’s essential to consider the pros and cons of each option. Root canal treatment involves removing the diseased pulp from inside the tooth, cleaning and disinfecting it, and then filling and sealing it.

This procedure preserves the natural tooth structure, provides relief from pain or discomfort caused by infection, and avoids the need for extensive restorative treatments like bridges or implants. On the other hand, tooth extraction completely removes the tooth and its attachment from the socket.

While it effectively eliminates pain and infection, it has downsides: missing spaces can affect your bite alignment and smile, and replacing the tooth requires additional visits and procedures. In most cases, opting for a root canal is less expensive and allows you to keep your original tooth intact. Remember, nothing looks, feels, or functions like a natural tooth

Why antibiotics won’t do the job and you need a root canal treatment or endodontics

When faced with the dilemma of an infected root canal, the question often arises: Can antibiotics alone cure the infection?

The answer lies in understanding the intricacies of dental science. Antibiotics, while effective against bacterial invaders, cannot reach the inside of the tooth or penetrate the roots where the problem lies.

Once the infection has reached the roots, the blood vessels with antibacterial defenses have already been destroyed, rendering antibiotics insufficient. While they may offer temporary relief by suppressing the infection, they do not eliminate the underlying cause.

Therefore, relying solely on antibiotics is not a definitive solution for a tooth that unequivocally requires a root canal. Root canal treatment, or endodontics, becomes essential to address the infection comprehensively and preserve the natural tooth structure. Empower yourself with this knowledge to make informed decisions about your oral health journey.

Do I need a crown after root canal treatment

After undergoing a root canal, the necessity for a crown hinges on several critical factors. First, consider the tooth condition: A root canal effectively eradicates infection and salvages a tooth from further harm. However, decay or cracks can compromise the tooth’s structural integrity. If more than half of the tooth structure is lost, dental professionals often recommend a crown to restore its strength.

Next, the location of the tooth plays a significant role. Rear molars (back teeth) endure significant chewing forces. Placing a crown on a molar after a root canal significantly improves its chances of lasting.
Front teeth (incisors and canines) may not always require crowns, especially if they’re not subjected to heavy biting forces. However, your dentist will assess each case individually.

Lastly, a crown serves as a protective shield for a fragile tooth, reducing the risk of fractures or cracks. Additionally, it enhances the tooth’s appearance and minimizes sensitivity.

In summary, while some patients may not need a crown, it’s crucial to discuss restoration options with your dental care provider. A properly treated and restored tooth can endure just as long as your natural teeth. Remember to maintain good oral hygiene and attend regular check-ups to ensure the success of your root canal treatment.

What happens during the procedure?

  1. 1. Diagnosis and Assessment:

    •           – Your dentist or endodontist initiates the process by taking dental X-rays. These X-rays help evaluate the affected tooth thoroughly.

    •           – The dental professional examines the X-rays to identify any signs of dead, infected, or inflamed pulp within the tooth.

    •           – Sensitivity tests, such as tapping the tooth or using hot/cold substances, aid in confirming whether a root canal is necessary.

  5. 2. Anesthesia and Isolation:

  6.
    •           – Local anesthesia is administered to numb the infected tooth and the surrounding gum tissue. This ensures that you remain comfortable during the procedure.

    •           – A rubber dam is placed around the tooth. This isolation technique keeps the tooth dry and free from saliva, allowing for precise work.
  7.  
  8. 3. Pulp Removal:

  9.
    •           – The dentist or endodontist accesses the pulp chamber (the inner part of the tooth) through a small opening created in the crown of the tooth.

    •           – The infected pulp is meticulously removed. This step eliminates the source of infection.
    •           
    •           – The inside of the root canal is then thoroughly cleaned and disinfected to ensure that no bacteria remain.

  11. 4. Shaping and Filling:

  12.
    •           – Specialized instruments are used to shape the root canals. The goal is to create space for the filling material.

    •           – Gutta-percha, a rubber-like material, is placed into the cleaned canals. It serves as a sealant, preventing reinfection.

    •           – Achieving a tight seal is crucial to prevent bacteria from re-entering the tooth.

  13. 5. Restoration:

  14.
    •           – After completing the root canal, a temporary filling or crown is placed over the access opening. This protects the tooth until the final restoration.

    •           – In some cases, a permanent crown is recommended. A crown strengthens the tooth and restores its function, especially if significant tooth structure was lost.
    •  
    • Remember, root canals are typically painless procedures, and they play a vital role in saving natural teeth from extraction. Proper care after the treatment ensures successful recovery and long-term tooth health. 

What happens if my Root Canal treatment fails?

If a root canal treatment fails, it can lead to several potential issues.

  1. 1. Persistent Infection:

  2.
    •           – Despite the initial treatment, if bacteria persist within the root canal system, the infection may continue. This can cause pain, swelling, and discomfort.

    •           – In such cases, the tooth may need further intervention, such as retreatment (a second root canal) or surgical procedures.

  4. 2. Reinfection:

    •           – Sometimes, the sealant material (gutta-percha) used during the root canal procedure may not create an effective barrier.

    •           – If reinfection occurs, additional treatment becomes necessary. This could involve reopening the tooth, cleaning the canals again, and placing new filling material.

  8. 3. Fractures:

  9.
    •           – A tooth that has undergone a root canal becomes more brittle due to the removal of its pulp and blood supply.

    •           – Over time, it may develop cracks or fractures. These fractures can compromise the tooth’s integrity and lead to pain or even tooth loss.

    •           – In severe cases, extraction may be the only option.

  10. 4. Missed Canals:

  11.
    •           – In complex tooth anatomy, some canals may be missed during the initial treatment.

    •           – These untreated canals can harbor bacteria and cause problems later.

    •           – Identifying and treating missed canals may require specialized techniques and expertise.

  13. 5. Inadequate Restoration:

  14.
    •           – After a root canal, a temporary filling or crown is placed over the access opening.

    •           – If the final restoration (permanent crown) is not done promptly or properly, it can affect the tooth’s long-term success.

    •           – Ensuring a well-fitting and durable crown is essential for maintaining the tooth’s function.

  16. 6. Delayed Complications:

  17.
    •           – Even if the initial root canal seems successful, complications can arise months or years later.

    •           – These may include abscesses, cysts, or gum infections.

    •           – Regular dental check-ups are crucial to monitor the tooth’s health and address any emerging issues.

Remember, early detection and timely intervention are critical for managing any complications related to root canal treatments. If you experience any symptoms after a root canal, consult your dentist promptly for appropriate evaluation and care.

Understanding Root Canal Treatment

A root canal is a dental procedure aimed at saving a tooth that has severe infection or damage within its pulp (the innermost part of the tooth). Root canal treatment, also known as endodontic therapy. Here’s what typically happens during the treatment:

What happens after the treatment?

  1. 1. Diagnosis:

  3.           – When a tooth’s pulp (the innermost part containing nerves and blood vessels) becomes infected due to decay, trauma, or other factors, a dentist assesses the situation. Common symptoms include severe toothache, swelling, and sensitivity to hot or cold.
  4.  
  5. 2. Procedure:

  6.
    •           – The dentist numbs the affected tooth and removes the infected pulp.

    •           – The root canals are thoroughly cleaned, shaped, and disinfected.

    •           – A biocompatible material (usually gutta-percha) is placed inside the canals to seal them.

    •           – The access opening is sealed with a temporary filling or crown.
  7.  
  8. 3. Healing and Restoration:

  9.
    •           – Over time, the tooth heals, and the surrounding tissues recover.

    •           – A permanent crown or restoration is placed to protect the tooth and restore its function.
    •  
  10. 4. Benefits:

  11.
    •           – Pain Relief: Root canals alleviate pain caused by infection.

    •           – These untreated canals can harbor bacteria and cause problems later.

    •           – Identifying and treating missed canals may require specialized techniques and expertise.
  12.  
  13. 5. Inadequate Restoration:

  14.
    •           – After a root canal, a temporary filling or crown is placed over the access opening.

    •           – Tooth Preservation: The treated tooth remains functional, avoiding extraction.

    •           – Natural Appearance: Crowns restore aesthetics and chewing ability.
    •  
    • 6. Aftercare:

  15.           – Maintain good oral hygiene.

  17.           – Attend regular dental check-ups to monitor the tooth’s health.
 
Remember, root canal treatment is a valuable option for preserving teeth and relieving pain. If you suspect any dental issues, consult your dentist promptly!

Is Root Canal Treatment Painful?

Root canal treatment is a common dental procedure, and the perception of pain associated with it can vary from person to person. Let’s explore this in more detail:

  1. 1. During the Procedure:
  2.  
  3.           – Local Anesthesia: Before starting the root canal, your dentist will administer local anesthesia to numb the affected tooth and the surrounding area. This ensures that you don’t feel pain during the procedure.
  4.  
  5.           – Minimal Discomfort: While you may feel pressure or mild discomfort, the actual treatment should not be painful. The dentist removes the infected pulp, cleans the canals, and seals them.
  6.  
  7. 2. After the Procedure:

    •           – Post-Root Canal Discomfort: Some patients experience mild soreness or sensitivity after the anesthesia wears off. This is normal and usually subsides within a few days.
    •  
    •           – Pain Management: Over-the-counter pain relievers (such as ibuprofen) can help manage any discomfort.
    •  
    •           – Avoid Chewing on the Treated Tooth: To prevent aggravating the area, avoid chewing on the treated tooth until the permanent restoration (crown) is placed.
  9.  
  10. 3. Long-Term Benefits:

    •           – Root canal treatment aims to relieve pain caused by infection or inflammation.
    •  
    •           – By saving the tooth, it prevents the need for extraction and maintains your natural smile.
    •  
  12. Remember that advances in dental techniques and anesthesia have significantly improved the root canal experience. If you have concerns or experience persistent pain, consult your dentist promptly.Remember, root canal treatment is a valuable option for preserving teeth and relieving pain. If you suspect any dental issues, consult your dentist promptly!

How long does a root canal procedure take?

Root canal treatment, also known as endodontic therapy, typically takes between 90 minutes and 3 hours, depending on various factors such as anesthesia and preparation needed, cleaning and disinfection requirements, medication needed and other factors.

What are the potential risks of root canal treatment?

While most people who undergo a root canal don’t experience major problems afterward, it’s essential to be aware of potential risks. Here are some considerations:

1. Failure or Inadequate Treatment:

          – Pain Management: Over-the-counter pain relievers (such as ibuprofen) can help manage any discomfort.

          – Avoid Chewing on the Treated Tooth: To prevent aggravating the area, avoid chewing on the treated tooth until the permanent restoration (crown) is placed.

2. Post-Treatment Discomfort:

          – After the procedure, you may experience mild soreness or sensitivity around the treated tooth.

          – This discomfort usually subsides within a few days.

3. Fractures or Weakness:

          – Root canal-treated teeth become more brittle due to the removal of pulp and blood supply.

          – Over time, the tooth may develop cracks or fractures, compromising its integrity.

4. Reinfection:

          – If the sealant material (gutta-percha) used during the root canal doesn’t create an effective barrier, reinfection can occur.

          – Additional treatment may be necessary to address reinfection.

5. Delayed Complications:

          – Even if the initial root canal seems successful, complications can arise months or years later.

          – These may include abscesses, cysts, or gum infections.

6. Inadequate Restoration:

          – Properly fitting and durable crowns are crucial for long-term success after a root canal.

          – Delayed or improper restoration can affect the tooth’s function.

Remember, regular dental check-ups are essential to monitor the tooth’s health and address any emerging issues. If you experience symptoms after a root canal, consult your dentist promptly

How much do root canal treatment costs in the UK?

For specialized root canal treatment conducted by an expert endodontist, the costs typically range from £950 to £1,200. At Tomas Dental Clinic we provide exceptional care, and our caring staff and experienced, highly qualified dentists (member of British endodontic society) are here to assist you.

We have available a Zeiss Microscope with state-of-the-art magnifying lenses which significantly enhances the precision and effectiveness of root canal treatment.

Additionally, we provide finance options to smooth payments and are here to help you in your journey to exceptional oral health.

If you are a dentist or dental professional, we are more than happy to accept your referrals for root canal treatment and endodontics. Please contact us and we are able to support.

Rebecca HansonRebecca Hanson
20:26 08 Aug 23
First impression upon entering was complete serenity. It’s certainly very different to any other practice I’ve visited.Super high tech equipment and knowledgeable, kind staff made the visit a calming experience.Laura was especially empathetic and certainlytamed any nerves I usually experience at a dentist.So pleased I made the choice to visit.
Gabriella MacariGabriella Macari
20:07 08 Aug 23
THANK YOU so much for squeezing me in as an emergency !!! I can’t thank this team enough for what they did for me from start to finish. Dr Jaume extracted my wisdom tooth that was causing me immense pain and discomfort. The team comforted me and provided me with an amazing after care package and also called me today to check how I was. 5 stars aren’t enough for this clinic ! STATE OF THE ART. Thank you Chloe , Laura and Mia for your comfort and kindness too
Karla OneillKarla Oneill
19:54 08 Aug 23
Dr Faraz did composite bonding for me and the results are even better than I expected. From the initial consultation I felt assured and comfortable. The clinic is luxurious .I’m so happy with my results thank you so much ! Recommend to all
Naoimi ShortallNaoimi Shortall
19:44 08 Aug 23
My Invisalign journey was so easy with Tomas Clinic. I now absolutely love my smile and it was completely painless , Dr Andre was amazing from start to finish and I couldn’t recommend him enough. The staff are professional and friendly thanks to Laura, Chloe and Mia who ensured that I was looked after throughout my journey. I recently recommended them to a friend who has booked a consultation for Invisalign!
Molly HuntMolly Hunt
19:34 08 Aug 23
I was so worried about my teeth staining from excessively drinking tea but I had a scale and polish done today and I am beyond happy with the results! Thank you Suzie , Mia , Chloe and Laura for making me feel so comfortable what a lovely team. See you in a few months for my next visit! The clinic is also even more amazing in person wow!
Stephanie ShoneStephanie Shone
00:07 01 Feb 23
Had a wisdom tooth out here last week and honestly never felt a thing. After not looking after my teeth for years due to fear of the dentist I can’t explain how nice is it to feel comfortable and welcomed in such a beautiful surgery with amazing staff.Price was also surprising low for location and service and so excited to start my whitening and Invisalign.Thank you again
Eva WatsonEva Watson
14:22 16 Nov 22
Just recently started treatment with Tomas Clinic. The friendliest team especially Chloe and Andre - very kind and professional, they always make sure I am at ease and comfortable. Could not recommend them enough!
Jessica CoulsonJessica Coulson
13:36 16 Nov 22
I have wanted Composite bonding all my life, a gorgeous new clinic arrived close to my workplace in city centre, that offered everything I wanted and more at an affordable price that worked for me. I have never looked back. From Chloe on reception to all the dentists/hygienist I have received the best service, knowledge and support and can't wait to finish my journey. Highly recommend!
Ana SimoesAna Simoes
15:20 22 Oct 22
I was a patient of Andre before he opened his clinic, and has always found him very professional. I started my Invisalign treatment in August and so far cannot be any happier. Andre and Chloe has been amazing and professional since day one; as I’m a busy mom of two and also work, they have been very accommodating and flexible with my appointments. Highly recommended to anyone who is looking for a trustworthy dental clinic in the city centre.
Jennifer IvesonJennifer Iveson
15:04 21 Oct 22
The Tomas Clinic was professional to the tee. I was so impressed with their expertise and knowledge - I knew I was in safe hands right away. I did Invasilign and never looked back. The icing on the cake was being treated in such pristine, calm and serene surroundings. Felt more like a Spa than your usual ordeal at the dentist. Definitely recommend!
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