Root Canal Treatment

Your tooth consists of two main parts:
– the crown, which is that part of the tooth above the gum and visible in your mouth;
– the root(s), which is that part of the tooth that lies beneath the gum and is surrounded by bone. Inside each root is a channel that runs the length of the tooth called the root canal. This contains the pulp (nerves, blood vessels, and soft tissue) and is often referred to as the “nerve” of the tooth.

What is root canal treatment?

Root canal treatment (also called endodontics) is needed when the pulp of the tooth is infected through decay or injury.

Why is root canal treatment needed?

If the pulp becomes infected, the infection may spread through the root canal system of the tooth.
This may eventually lead to an abscess. If root canal treatment (RCT) is not carried out, the infection will spread and the tooth may need to be taken out.

Does it hurt?

No. A local anaesthetic is used and it should feel no different to having an ordinary filling done.

What does it involve?

The aim of the treatment is to remove all infection from the root canal. The tooth is ‘isolated’ by wrapping it up with a clip and rubber sheet (a ‘rubber dam’).The infected pulp is removed and the root canal is then shaped and filled to prevent any further infection. Root canal treatment is a skilled and time-consuming procedure. Most courses of treatment will involve one visit to your dentist, persistent infections may require more appointments to clear the infection prior to sealing the tooth.At the first appointment, .

What if it happens again?

Root canal treatment is usually very successful. However, if the infection comes back the treatment can be repeated or the tooth may be treated via a surgical approach.

What if I don’t have the treatment?

The alternative is to have the tooth out. Once the pulp is destroyed, it cannot heal and it is not recommended to leave an infected tooth in the mouth longterm. It is usually best to keep as many natural teeth as possible.

Will the tooth be safe after treatment?

Yes. However, it is better to restore the tooth with a crown to provide extra support and strength to the tooth.

Immediate Post-treatment care

For the first few days after treatment the tooth may feel a little ‘achy’, especially if there was pain or infection before the procedure. This can be relieved with over-the-counter or prescription medications.

Evidence shows that taking an anti-inflammatory just before and after the treatment (e.g. 400 mg Ibuprofen, “Nurofen Plus”), or if you have a medical condition that precludes you taking his type of painkiller (e.g. asthma, gastric ulcer), then 1000mg Paracetomol will help in minimising the discomfort.

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