Endodontic Root Canal Treatment

Endodontics is a branch of dentistry that deals with advanced problems up to the dental pulp. The pulp is located in the centre of the tooth and in the canals of each tooth root. It consists of connective tissue, blood vessels and nerves that nourish the tooth. After the tooth is formed, the pulp can be safely removed from the pulp chamber and root canals. Endodontic treatment is the process of removing the pulp, also known as root canal treatment.


Why is root canal treatment needed?

Root canal treatment is required if there is an infection or permanent damage to the pulp. Untreated caries can cause pulp infection. Tooth enamel and dentin lose material up to the root canal due to caries, and bacteria caused by caries cause infection in the pulp. Antibiotics are not effective in getting results for these infections in the inner part of the tooth. This infection causes inflammation, which in turn prevents blood from reaching the tooth.

Therefore, it is difficult for antibiotics to reach the infection through the bloodstream. The harder the blood reaches the pulp, the harder it is for the pulp to heal itself. Deep restorative work such as fracture, cracking, trauma or one or more fillings that have occurred in the tooth may damage the pulp after a certain period of time. In addition, any procedure made for the tooth can damage the pulp. People who will be crowned may need root canal treatment before the application.

Although there is no infection in many cases, the pulp can become inflamed and then heal and return to normal. Before root canal treatment, an X-ray of the tooth is taken to determine whether there is such an inflammation. Inflammation in the pulp can cause pain and infection. Infection in the pulp can cause abscess formation and damage to the bone surrounding the tooth. The purpose of root canal treatment is to save the tooth by removing the infected or damaged pulp and to treat any inflammation and to fill the empty canals with a special filling material.

If root canal treatment is not performed, the tooth may need to be extracted. It is always preferable to preserve the natural tooth. One or more missing teeth may cause displacement of adjacent teeth and deterioration of posture. In addition, protecting natural teeth does not require the application of expensive and deep treatments such as implants and bridges. If root canal treatment is not applied to a damaged and infected tooth, the tooth becomes the infection center of the body. Root canal treatment does not mean that the treated tooth will not be extracted after a few years. In general, root canal treatments are performed due to deep and widespread caries. Therefore, the tooth becomes weak.

If the tooth is crowned or filled with a tooth-colored composite filling after root canal treatment, the tooth can be used for life. If there is an infection in the pulp, it is possible not to feel pain. If no treatment is given, the infection can cause pain and swelling. In some cases, an abscess may also occur. As a result, the tooth may need to be extracted.


Duration of treatment

Depending on the condition of the tooth, root canal treatment can be performed in one or two sessions. For an infected tooth, several sessions may be required to make sure that the infection is completely eliminated. Depending on the position of the tooth, treatment can be difficult. In addition, the presence of multiple and curved channels in the tooth complicates the application of treatment.

An uncomplicated root canal treatment is usually completed in one session. After root canal treatment, the tooth is covered with a crown or restored with a filling.

If your tooth hurts noticeably when you bite, touch or push your tooth with your tongue, if you have sensitivity to cold and especially heat for more than a few seconds, if there is swelling around the problem tooth, if you have a painful or painless discoloration or if you have a broken tooth, root canal treatment may be necessary.