ROOT

CANAL
TREATMENT 1
INTRODUCTIO
N.

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ROOT CANAL TREATMENT

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 NORMAL TOOTH.
‰.HOW IT LOOKS?

‰.STRUCTURE?

‰.CONTENTS?

‰.IDENTIFICATION OF VARIOUS AREAS/PARTS?

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ENAMEL

DENTIN CROWN

PULP CHAMBER

CEMENTUM

ROOT CANAL
ROOT
PERIODONTAL
LIGAMENT
BONE
END OF ROOT

NERVE & BLOOD VESSELS 5

 QUESTIONS ARISING ABT ROOT CANAL
TREATMENT !!!!

Q.1:- WHAT IS ROOT CANAL TREATMENT ?

Q.2:-WHY WOULD YOU NEED ROOT CANAL TREATMENT

Q.3:- WHY DO WE FEEL PAIN BEFORE ROOT CANAL

TREATMENT ?

Q.4:- SIGNS AND SYMPTOMS ?

Q.5:- HOW DOES THE PULP GET INFECTED ?

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Q.6:- WHAT HAPPENS WHEN A PULP GETS INFECTED ?

Q.7:- HOW IS ROOT CANAL TREATMENT DONE ?

Q.8:- HOW LONG IS THE TOOTH LIKELY TO LAST

AFTER IT IS ROOT FILLED ?

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 Q.1:- WHAT IS ROOT CANAL TREATMENT ?

‰..ROOT CANAL TREATMENT (ALSO KNOWN AS ENDODONTIC

TREATMENT) IS THE PROCESS WHERE THE DENTIST REMOVES
THE PULP. i.e. PULP EXTIRPATION. FROM AN INFECTED
TOOTH AND REPLACES IT WITH DENTAL FILLING.

‰..ROOT CANAL TREATMENT IS ALSO NECESSARY IF THE TOOTH HA

OST IT’S VITALITY[DIED] BUT GENERALLY IS BECAUSE DECAY HAS
ENETRATED BOTH THE ENAMEL AND DENTIN TO THE CENTRE OF TH
OOTH AND IT MAY CAUSE AN ABSCESS ALSO.

‰..IF YOU DON’T WANT YOUR TOOTH TO BE ROOT FILLED THAN

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HE ALTERNATIVE IS USUALLY AN EXTRACTION.
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Q.2:-WHY WOULD YOU NEED ROOT CANAL TREATMENT ?

‰..ROOT CANAL TREATMENT IS NEEDED FOR FOLLOWING REASON

INFECTION OR IRREVERSIBLE DAMAGE. AN UNTREATED CAVITY
IS A COMMON CAUSE OF PULP INFECTION.THE REDUCED BLOOD
SUPPLY ALSO LIMITS THE PULP’S ABILITY TO HEAL ITSELF.

‰..THE PULP CAN BECOME DAMAGED FROM TRAUMA, OR

FACTURE OVER A PERIOD OF TIME.

‰..ONCE THE PULP BECOME INFECTED,THE INFECTION CAN

SPREAD TO THE BONE AROUND THE TOOTH, ABSCESS TO FORM
IF THE RCT IS NOT DONE,THE TOOTH MAY HAVE TO BE EXTRACTED
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BUT THE BONE STILL MAY HAVE TO BE TREATED.
‰..IF AN INFECTED TOOTH THAT NEEDS RCT IS IGNORED, NOT
ONLY CAN U LOOSE THE TOOTH. BUT ALSO INFECTION CAN
SPREAD TO OTHER PARTS OF UR BODY.

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 Q.3:- WHY DO WE FEEL PAIN BEFORE ROOT
CANAL TREATMENT ?
‰..AN INFECTION IN THE ROOT CANAL OF A TOOTH CAN CAUSE…

‰..A SWELLING WITH PUS IN THE AREA AROUND THE TOOTH RO

‰..A SWELLING THAT MAY SPREAD TO OTHER AREAS OF THE FAC

‰..BONE LOSS AROUND THE TIP OF THE ROOT OF THE TOOTH

‰..A DRAIN HOLE (CALLED A SINUS) BETWEEN THE ROOT OF THE

INFECTED TOOTH AND OUTSIDE CAN BE THGH THE SIDE OF THE
TOOTH INTO THE PERIODONTIUM.

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 Q.4:- SIGNS AND SYMPTOMS ?

‰..IF U’VE AN INFECTION OF THE PULP, U MAY NOT FEEL ANY PAIN
AT FIRST. BUT IF LEFT UNTREATED INFECTION’LL CAUSE PAIN AND
SWELLING. IN SOME CASES, AN ABSCESS WILL FORM. EVENTUALLY
TOOTH NEED TO BE EXTRACTED.SOME INDICATIONS THAT A TOOT
MAY NEED A ROOT CANAL TREATMENT R:

‰..A TOOTH THAT HURTS SIGNIFICANTLY WHEN U BITE DOWN ON

T, TOUCH IT OR PUSH ON IT.

‰..SENSITIVITY TO HEAT.

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‰..SENSITIVITY TO COLD THAT LASTS LONGER THEN A COUPLE
OF SECONDS.

‰..FACIAL SWELLING NEAR THE AFFECTED TOOTH.

‰..A DISCOLORED TOOTH, WITH OR WITHOUT ACCOMPANYING

PAIN.

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 Q.5:- HOW DOES THE PULP GET INFECTED ?

‰..SOMETIMES THE PULP INSIDE UR TEETH BECOMES INFLAMED

OR INFECTED.

‰..THIS CAN BE CAUSED BY DEEP DECAY, REPEATED DENTAL

PROCEDURES ON THE TOOTH, A CRACK OR CHIP ON THE TOOTH
,OR A BLOW TO THE TOOTH. THE MOST COMMON CAUSE IS TOOTH
DECAY.

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 Q.6:- WHAT HAPPENS WHEN A PULP GETS INFECTED ?

‰..TOOTH DECAY IF LEFT UNTREATED SPREADS TO PULP THEN IT

BEGINS TO DEGENETRATE.

‰..AS WITH ANY INFECTION THERE IS FORMATION OF PUS,

WHICH TENDS TO GET ACCUMULATED AT TIP OF ROOTS WITHIN
THE JAWBONE, FORMING A “PUS-POCKET” CALLED AN ABSCESS.
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 Q.7:- HOW IS ROOT CANAL TREATMENT DONE ?

‰..FIRST AN OPENING IS MADE THGH THE OCCLUSAL AREA OF

POSTERIOR TEETH AND CINGULUM OF ANTERIOR TEETH.

‰..AFTER THE DISEASED PULP IS REMOVED, THE PULP CHAMBER

& ROOT CANAL IS ENLARGED & SHAPED IN PREPARATION FOR
BEING FILLED.

‰..IF MORE THAN ONE VISIT IS NEEDED, A TEMPORARY FILLING

IS PLACED IN THE OPENING OF THE TOOTH.

‰..THE TEMPORARY FILLING IS REMOVED AND THE PULP CHAMBE

& ROOT CANAL PERMANENT RESTORATION IS TAPERED, SOMETIM
A METAL OR PLASTIC ROD IS PLACED IN THE CANAL FOR SUPPORT
THIS ROD IS CALLED POST. 22
‰..IN FINAL STEP, A CROWN IS USUALLY PLACED OVER THE
TOOTH TO RESTORE ITS NATURAL SHINY APPERANCE. IF THE
TOOTH IS MUCH BROKEN, A POST MAY BE REQUIRED
TO BE BUILD UNDER THE CROWN.

‰..ALL RCT PROCEDURES R DONE BY ISOLATING THE TOOTH

WITH A RUBBER DAM TO PROVIDE SALIVA-FREE ENVIRONMENT.
RCT MAY BE DONE IN SINGLE OR MULTIPLE VISITS DEPENDING
ON COMPLEXITY OF THE TOOTH.

‰..OFTEN..,X-RAYS R TAKEN TO DETERMINE THE LENGTH OF

THE ROOT & TO MONITOR THE VARIOUS ASPECTS OF TREATMEN

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ILLUSTRATIONS:- ROOT CANAL TREATMENT
FROM START TO FINISH.
1.PULP DAMAGE

THE MOST COMMON WAY

FOR THE PULP TO BECOME
INFECTED IS FROM AN
UNTREATES CAVITIES
THAT CONTAINS BACTERIA
WHICH RELEASES ACID.THAT
CAUSE PULP DAMAGE.

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 2.PULP REMOVAL

PULP IS REMOVED BY
BARBED BROUCHES.

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ENDODONTIC
3. REMOVING THE
FILE
INFECTED TISSUE.

SPECIAL FILES R USED

TO CLEAN THE INFECTION
& UNHEALTHY PULP OUT
OF THE CANALS. IRRIGATION
IS USED TO CLEAN SMALL
OFFSHOOTS OF MAIN CANAL
CALLED LATERAL CANAL.

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 4. FILLING THE CANALS
PLUGGER

GUTTA- THE CANALS R FILLED WITH

PERCHA A PERMANENT MATERIAL GUTTA-
PERCHA. THIS HELPS TO SAVE
TOOTH & KEEP THE CANALS
FREE OF THE CONTAMINATION.
A THIN, METAL INSTRUMENT
PLUGGER, IS USED TO PUSH
THE GUTTA-PERCHA IN CANALS
SO THAT IT BECOMES COMPACT

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FILLING 5.REBUILDING THE TOOTH
MATERIAL

A TEMPORARY FILLING MATERIAL

IS PLACED ON TOP OF THE GUTTA-
PERCHA TO SEAL THE OPENING UNTIL
THE TOOTH IS READY TO BE PREPARED
FOR A CROWN. A CROWN, SOMETIMES
CALLED CAP, IS MADE TO LOOK LIKE
A NATURAL TOOTH, AND IS PLACED
ON TOP.

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FILLING 6. EXTRA SUPPORT
MATERIAL

POST

IN SOME CASES, A POST IS

PLACED TO CROWN THE EXTRA
SUPPORT.

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 7. THE CROWNING TOUCH
CROWN GUMS

POST FILLING THE CROWN IS CEMENTED

,ATERIAL INTO THE PLACE.

BONE
GUTTA-
PERCHA
LATERAL PERIODONTAL
CANALS LIGAMENT

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 Q.8:- HOW LONG IS THE TOOTH LIKELY TO LAST
AFTER IT IS ROOT FILLED ?

‰..ROOT FILLED TEETH OFTEN LAST FOR MANY YEARS. IT IS,

HOWEVER, VERY DIFFICULT FOR A DENTIST TO COMPLETELY
ERADICATE THE INFECTION INSIDE THE TOOTH. AS A RESULT,
IT IS IMPOSSIBLE TO GUARANTEE THAT THE TOOTH WILL
SURVIVE FOR A PARTICULAR LENGTH OF LENGTH OF TIME.

‰..IN ANY EVENT, THE LIFE EXPECTANCY OF ANY TOOTH ISN’T

ENTIRELY DOWN TO UR DENTIST, BUT IS GREATLY INFLUENCED
BY FACTORS UNDER UR OWN CONTROL, SUCH AS UR DIET & HOW
WELL U LOOK AFTER UR TEETH.

‰..IF THE INFECTION COMES BACK IT IS OFTEN POSSIBLE FOR

UR DENTIST TO REPEAT THE RCT TO GET RID OF THE INFECTION
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AGAIN & AVOID EXTRACTING THE TOOTH.
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