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Myths & Facts about Root Canal Treatment

1. A root canal procedure is a painful procedure ?

When somebody says root canal, nervousness on a person’s face is quite evident, as most people think rct is a very painful treatment. But with the advancement of dentistry, things have considerably changed. I am writing this article in order to make things clear about any myths surrounding root canal treatments and help people know the exact facts and what to expect and demand if they ever need one. One thing we all must know that root canals are performed to relieve pain caused by caries or dental infection. And with modern anesthesia, this procedure is no more painful than doing a filling. In case of severe infections dentist may have to prescribe antibiotics prior to root canal therapy. Without a proper magnification visibility is compromised and it can be difficult for the dentist to locate and prepare all the root canals properly. So as a patient all must demand a root canal procedure under the dental microscope.

2. A root canal is a costly treatment?

Although it’s a costly procedure if done properly with modern techniques. But it’s less expensive than extracting a tooth and then replacing it with a bridge or a dental implant. Above all it does save a tooth which can be used to maintain normal chewing functions.. And no money can get us a lost natural tooth.(kotiye dele v gotiye milibani). Costs may vary on how many canals a tooth has, whether it’s a vital tooth or non vital infected tooth, heather it’s a case of re root canal, and if the patent opts for single use files, if done under a microscope, single sitting or multi sitting, manual or advanced rotary or with SAF endodontic system, if IN A PEDIATRIC teeth done, if MTA is induced in for root apex formation, and if surgical enodontics is performed, if revascularization is performed etc. Many factors affect the final cost.

3. A root canal removes pain immediately?

After a root canal, the patient will feel significant improvement. Mild pain still be followed, especially while chewing for few days which should disappear subsequently.

4. Is it possible not to feel any pain at all after a root canal procedure?

Yes it’s possible, and this depends on how complicated was the treatment and on whether or not the tooth was infected before treatment.

5. Root canals do not work?

Although nothing can replace your tooth completely, a root canal if done well has a very high success rate. Treatments can last a lifetime. if a tooth becomes infected after some years after root canal has been done, it can be re treated . However in certain situations, such as tooth fracture, root decay that is too deep, or severe bone loss around the tooth, extraction may be required.

6. It is normal that a tooth remains a little sensitive after a root canal?

It is not normal to experience pain that could last a few months after RCT is completed. Possible reasons could be 1) the operator missed some canal 2) the tooth itself being broken all the way to root.

7. A root canal kills the tooth.

A root canal cleans and disinfects the inside of the tooth to allow it to heal it does not kill a tooth. Later in life, the neve’s function is to cause pain when something is wrong with the tooth, whether it’s decay, infection, inflammation or trauma. Pain is therefore a defense mechanism that alarms a person to seek help.

8. It is necessary to take powerful painkillers and antibiotics after a root canal?

Usually one doesn’t need any medicines unless there is substantial inflammation and infection is present. In most cases we may need to consume mild painkillers for a day or two post rct. And only in severe cases patient is prescribed with antibiotics and painkillers both.

9. Teeth undergoing root canal treatment often need a crown.

Usually teeth that need root canal treatment have big cavities or big fillings. A tooth with a big filling is more at risk to be fractured. For this reason, your dentist may recommend the placement of a post and a crown after the root canal procedure. Some dentists place a post and a filing on a tooth right after the root canal has been done. Altough the post gives more strength to the tooth than placing just a filling alone, a crown is still recommended to make the tooth stronger.

10. Root canal treatment is a lengthy process that requires several appointments.

Today , root canal treatment may take between one and two hours if there are no complications. The number of appointments often depends on the condition of the tooth and the number of and shape of canals it has.In severely infected cases, your dentist may place a drug inside to help disinfect the interior of the roots, and then finish the root canal treatment. a few days later, but if there is no infection or no complications, the procedure can be completed in one single appointment.

11. A tooth with a root canal treatment that has failed should always be extracted ?

The success rate is almost 90% if done properly, and even if pain recurs after few years, the tooth can be often retreated in which the old root canal fillings are removed and the canals are re irrigated with disinfectants and refilled again. Some teeth may require an apicoectomy surgery instead, which is a microsurgery used to remove the tip of the root.

12. Role of a dental microscope in root canal treatment.

Magnification is the key in any dental treatment. As better visibility helps in achieving a more accurate and predictable treatment output, in root canal treatment a microscope helps in locating extra root canals which otherwise could be missed.

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