Root Canal treatment
Root canal is one of the most common dental procedures performed, well over 14 million every year. The pulp is at the center of your tooth. Pulp is a collection of blood vessels and nerves that helps to develop the surrounding tooth. When the pulp gets infected for any reason, it will need a root canal treatment to remove the infected pulp and clean and seal the tooth canal. This procedure is called root canal.
This therapy involves an effective dose of local anesthesia and may be completed in one or more visits depending on the treatment required. Success rate for this type of treatment is dependant on several factors which the most important one is the structure of tooth. If your tooth is not amenable to endodontic treatment or the chance of success is unfavorable, you will be informed at the time of consultation or when a complication becomes evident during or after treatment.
After completion of your root canal therapy, you will be instructed to return to your dentist’s office within a couple of weeks for the final restoration.
The costs associated with this procedure can vary depending on factors such as: number of canals in that tooth, access level of the canal and calcification degree of the canals wherever applicable. In general, endodontic treatment is less expensive than tooth removal and replacement with an artificial tooth. At your consultation appointment we will be able to discuss all of your treatment options and provide a custom treatment plan that addresses your needs.
in case of a failed endodontic therapy, re-treatment may still save the tooth. If you face any of the followings in a previous endodontically treated tooth, re-treatment is indicated: persistent pain; abscess formation; fistula formation and pus drainage and non-healing rarifying osteitis.
Peri radicular Surgery
Sometimes in a failed endodontic therapy, re-treatment is contraindicated. In this case, peri radicular surgery may be the treatment of choice. Peri radicular surgery becomes an option when re-treatment was failed; a long/large post is present and cannot be retrieved without damaging the root; tooth is restored the way that restoration cannot be removed.
Management of Procedural accidents
In case of accident most of the time cases can be managed by an experienced endodontist way better than a general practitioner dentist. Therefore, in case of apical perforation, zipping, strip perforation, instrument(file) fracture, unnegotiable ledge, furcation perforation, lateral perforation and hypochlorite accident refer your patient immediately.
Management of Traumatic injuries
This is a critical situation that may determine the existence or loss of a tooth. Hence, if you are not trained to manage dental traumatic injuries, timely referring the patient to an endodontist is definitely the best option.
cases with C-shaped canals; dilaceration; tooth covered by a full coverage restoration; tooth that is associated with a suspicious lesion; patients under radiotherapy, chemotherapy or taking bisphosphonates, and calcified canals should be treated by an experienced endodontist.
this is one of the complicated situations a dentist might face. Proper diagnosis and treatment planning are crucial. So, whenever you have doubts, refer the case to an endodontist.
Sometimes it is the only way to save a multi rooted molar tooth. But it is not a routine nor a simple and straightforward procedure. If you think that a molar tooth might be a good candidate for root amputation, an endodontist can do the procedure with higher chance of success.