Root canal therapy started after the diagnosis of tooth discomfort. The diagnosis involves discussions with patients about signs and symptoms. Dental examination, X-rays and examinations in the oral cavity. Based on all the information collected, if has irreversible pulp inflammation is dying, the root canal treatment is determined. Irreversible pulpitis is a condition in which the dental pulp of the tooth is inflamed and cannot be recovered. Necrotic teeth are conditions in which the pulp has lost important blood supply and neurological function.
Root canal treatment under local anesthesia. Prior to treatment, a rubber dam is placed in the mouth to insulate the teeth to be treated and protect the rest of the mouth during treatment
First, make a hole in the tooth with a dental drill. For the posterior teeth, it is made on the chewing surface, while for the anterior teeth it is made into the tongue surface of the teeth. This access hole allows the dentist to reach the medullary cavity and the root canal. Next, use a small instrument to remove the pulp contents. Afterwards, rinse the inside of the teeth thoroughly with an antibacterial solution to eliminate the infection. Small instruments are used to broaden and shape the medullary canal and canal. Widening and shaping the canal can thoroughly and properly clean the entire tooth. During the instrumentalization of the canal, a large amount of irrigation was performed intermittently. Finally, the properly cleaned and shaped chambers and root canals are filled with sealant and a warm soft rubber material called "gutta".
Next, check and adjust the bite to ensure that there is no serious bite of the contralateral teeth on the treated teeth. For posterior teeth, root canal-treated teeth require a crown. The lost vitality of the posterior teeth is more likely to fracture due to chewing, and the crown needs to be protected. In contrast, front teeth often do not bear much force and usually do not need crowns. The dentist can make this assessment to determine the best case for each case. Dental surgery is usually done by an ordinary dentist.
