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The Fundamentals for a Root Canal Therapy
RCT is one name that gives many patients shivers when told about it. However, in reality, it is not that bad. Infact, it is an instant pain reliever and the best treatment to retain the original teeth. A Root canal treated tooth serves its purpose and function just as a healthy tooth.
A root canal is a capillary, which runs from the base of the root of the tooth to the middle of the crown (the visible part of the tooth). The root canal carries the pulp (a network of blood and nerve cells), which brings the tooth to life.
The nerve of the tooth gets damaged due to many reasons. One of the main causes is cavity in the tooth that grows deeper and touches the nerve. Since the cavity is filled with bacteria, the root canal gets inflamed and causes pain. Other reasons that may damage the teeth are accidental cracks or infection from gums reaching to the base of roots. In such cases, root canal treatments can easily stabilise the position.
There are two ways to get relief from the pain: perform the root canal therapy, or pull the tooth, clean the gum below, and replace the tooth with a denture or bridge. We advise removing teeth as a last resort natural teeth are the ones best suited for the mouth.
It's important to have root canal therapy done quickly. The bacteria will travel down the canal to the root and into the jawbone. If this happens, the pain of your toothache will spread to your jaw. Even more important, the infection can cause your jawbone to deteriorate and weaken the structure that holds your teeth.
The best way to avoid root canals is to take good daily care of your teeth to prevent the growth and spread of bacteria. Brushing and flossing are important. Just as important are regular trips to the dentist, to check for the first sign of decay or cracks that could eventually lead to an infected tooth. In this case, an ounce of prevention really is worth a pound of cure!

Dental Health : Symptoms of Endodontic Disease
Common Symptoms requiring an RCT :

Severe tooth pain, typically relieved by cold water and increases with the intake of hot liquids.
Pain worsens when you lie down and reduces when you sit up.
Pain stays for a long time after consuming cold things.
Swelling around the tooth.
Constant tooth pain
Pain when chewing.
Tooth pain referred to head and ears as well.
Tooth sensitivity on consuming sweets.

If you have any of the above stated symptoms, it would be advisable that you visit your dentist, since he is the best person to judge whether you have a root canal disease or not, as some of these symptoms may be due to other problems as well.

Why May Endodontic Disease Cause Swelling?

When the pulp tissue becomes severely diseased and necrotic, the resultant infection can spread from inside the tooth into the adjacent bone and soft tissues. As a result, swelling can occur in the tissues immediately surrounding the tooth. If this situation is not treated and the disease process is not kept under control by the body's defences, the infection can begin to spread into other tissue spaces, such as those around the eye or in the neck. In some situations, this can become a serious medical emergency.

Root Canal Retreatment

Can an Endodontically Failing Tooth Be Retreated?

Even when pain and/or swelling is present, the majority of failing endodontically-
treated teeth can be successfully retreated in today's world of clinical possibility. By using scientific information gathered from research and clinical studies, clinicians have developed better endodontic concepts, materials, and techniques. Additionally, there are now better-trained general dentists and specialists alike. All of these factors translate into improved care for patients. The significant technological breakthroughs that benefit both doctors and patients in endodontic retreatment include:

  1. Magnification glasses, fibre optic lighting sources, headlamps, have ignificantly improved vision and hence elevated treatment success.
  2. Ultrasonic devices allow doctors to more efficiently and completely remove old root canal filling materials and other intra-canal obstructions so that teeth may be successfully retreated.
  3. Computer digital radiography technology allows the doctor to better diagnose, visualize, and treat root canal disease. Additionally, this technology significantly reduces radiation exposure to the patient.
  4. Improved instruments, better materials for filling and repairing canals, and innovative new technologies have all contributed to significantly improved retreatment success.

Today, well-trained general dentists and specialists alike can oftentimes perform non-surgical endodontic retreatment in a very predictable, cost-effective, and time saving manner when compared to other treatment alternatives. At times, however, retreatment cannot be managed with non-surgical efforts alone. In these situations, and as an alternative to extraction, a surgical approach may be necessary.

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