Root canal treatment becomes necessary when decay reaches the innermost part of a tooth, where nerves and blood vessels reside. As decay progresses, it infiltrates the pulp chamber, leading to inflammation and infection of the nerves. This results in intense pain and swelling around the affected tooth, often exacerbating at night. To salvage the tooth and alleviate the patient’s discomfort, root canal therapy is performed. By removing the infected tissue, cleaning the canal, and sealing it, the procedure aims to restore oral health and preserve the natural tooth structure.

While a filling may temporarily alleviate symptoms and address superficial decay, it is not a sufficient treatment when infection has reached the nerves and bone beneath the tooth. In cases where the infection has progressed to this extent, root canal treatment (RCT) becomes necessary to thoroughly remove the infected tissue and alleviate the source of the pain and swelling. Ignoring the need for RCT in such situations can lead to worsening infection, pus accumulation, and intense discomfort for the patient. If financial constraints allow, opting for RCT followed by a crown (CAP) is the recommended course of action to preserve the tooth. However, if RCT is not feasible, extraction may be necessary to prevent further complications.

• Root canal treatment, often abbreviated as RCT, is a dental procedure aimed at saving a tooth that has been severely damaged due to infection or decay. The process typically involves several steps to remove the infected pulp and nerve tissue from the tooth’s interior, clean and shape the root canals, and seal them to prevent further infection.
• The procedure begins with administering local anesthesia to numb the affected area and ensure the patient’s comfort. Once numb, the dentist accesses the tooth’s pulp chamber by creating an opening through the crown.
• Specialized instruments, including drills and files, are then used to carefully remove the infected or damaged pulp tissue from the root canals.
• After thorough cleaning and shaping of the canals, they are filled with a biocompatible material, such as gutta-percha, to seal off any remaining space and prevent bacteria from re-entering the tooth. In some cases, antibiotics may be placed inside the tooth to further eliminate infection.
• Once the root canals are sealed, the access opening in the crown is filled with a temporary or permanent filling material to restore the tooth’s structure and protect it from further damage. In cases where the tooth has been significantly weakened, a dental crown may be placed over it to provide additional support and strength.
• Throughout the procedure, dental X-rays are often used to ensure the thorough cleaning and sealing of the root canals. Once completed, the tooth is effectively “sealed” from future infection, allowing it to function normally and without pain.
• In summary, root canal treatment involves removing infected or damaged tissue from the tooth’s interior, cleaning and shaping the root canals, and sealing them to prevent further infection. It is a highly effective way to save a tooth that would otherwise require extraction, allowing patients to maintain their natural smile and oral health.

• Root canal treatment, commonly known as RCT, is often associated with concerns about pain. However, it’s important to understand that RCT is a crucial dental procedure aimed at saving a severely damaged tooth and relieving pain. At our clinic, we have performed countless root canal treatments with mild to no degree of discomfort experienced by patients.
• For many individuals, the procedure is relatively painless, thanks to advancements in dental techniques and anesthesia. With the expertise of our skilled dentists, most patients undergo root canal treatment smoothly, without significant discomfort.
• However, in cases where there is extensive infection or inflammation, some patients may experience mild discomfort during or after the procedure. This discomfort is usually manageable with over-the-counter pain relievers and typically subsides as the tooth heals.
• It’s important to emphasize that any discomfort experienced during root canal treatment is temporary and outweighed by the long-term benefits of preserving the natural tooth and restoring oral health. Our team is dedicated to ensuring a comfortable experience for every patient undergoing root canal treatment, prioritizing their well-being throughout the process. 

There are several factors contributing to the variation in costs associated with root canal treatment (RCT). Root canal treatment is called RCT in simplified way. One primary reason is the method used during the procedure. RCT can be performed using hand files or rotary systems. The latter, involving motor-driven drills and bits, which tends to be more expensive due to the equipment costs incurred. Consequently, RCT done using rotary systems typically commands higher fees. However, this method is often associated with better quality outcomes. Another aspect affecting costs is that some dentists may opt for specialized or higher-quality cements, which can contribute to increased costs for the procedure.

Furthermore, the expertise and reputation of the dentist or endodontist performing the RCT can influence pricing. Ultimately, the total cost of RCT can vary widely based on these factors and others, with prices potentially ranging from relatively affordable to significantly expensive. It’s crucial for patients to discuss pricing and treatment options with their dentist to understand the specifics and make informed decisions regarding their dental care.

• Root canal treatment (RCT) can fail due to various reasons. Firstly, if the infection is severe and uncontrolled, despite attempts to manage it, it may persist even after RCT. In such cases, the patient may experience persistent pain and discomfort, needing multiple visits to the dentist and potentially delaying the completion of RCT.
• Additionally, inadequate understanding of the root canal system by the dentist can lead to failure. If all the canals in the tooth are not properly identified and treated, the infection may not be completely eradicated, resulting in RCT failure.
• Furthermore, timing is crucial in the success of RCT. If the infection is not entirely eliminated before sealing the canals, or if the sealing material is placed too soon, it can trap bacteria inside the tooth, leading to failure.
• Moreover, if the filling material used to seal the canals does not adequately fill the space or if there are gaps or voids, bacteria may re-enter the tooth, causing infection and RCT failure.
• In summary, root canal treatment can fail due to reasons such as persistent infection, inadequate understanding or treatment of the root canal system, improper timing of the procedure, and issues with the filling material used. It is essential for dentists to thoroughly assess and treat each case to ensure the success of RCT.

Sometimes, after undergoing root canal treatment (RCT), patients may experience mild discomfort or soreness in the treated tooth. Such discomfort is common and usually subsides within a few days to a couple of weeks following the treatment. However, if the discomfort persists or becomes severe, it’s essential to contact your dentist immediately

Yes, if someone experiences trauma to their front teeth resulting in damage such as a fracture or discolouration, it is crucial to seek prompt dental attention. In cases where the trauma has caused damage to the nerves and blood vessels within the front teeth, a root canal treatment may be necessary.

Here’s why root canal treatment may be recommended:

When trauma occurs, the blood vessels and nerves inside the teeth can be severed or damaged. This can lead to the death of these tissues, resulting in discoloration of the tooth and potential infection.

Damaged or dead tissue within the tooth can become a breeding ground for bacteria, leading to infection. The nerves within the tooth become inflamed, it can cause significant pain. Root canal treatment removes this damaged tissue, preventing the spread of infection.

Without intervention, a tooth with damaged nerves and blood vessels may eventually need to be extracted.

After root canal treatment, the tooth is typically restored with a crown to protect it and restore its appearance and function.

In summary, root canal treatment is recommended in cases of trauma to the front teeth when there is damage to the nerves and blood vessels within the teeth. Root canal helps to preserve the tooth, prevent infection, relieve pain, and restore function and appearance. It’s essential to seek prompt dental care if you experience any trauma to your teeth to prevent further complications.

After the root canal, in some cases, why is the surgery called for episectomy in such teeth?

Sometimes the infection develops and subsides for long period of times, so the patient neglects to go to the doctor. As this has been going on for a long time, the infection develops under the tooth and forms an infection pouch below the tooth.

No matter how well the root canal is done in such teeth, if the infection pouch is not removed by surgery, the infection may grow severely in the pouch under the root of the tooth. And cause swelling. In such situations, doctors perform a surgery called ePiseCtomy in order to save the tooth. In this surgery, a drill is made into the bone under the tooth and all the infection accumulated under the tooth is completely removed with instruments and the tissues around the teeth are sutured back. Swelling developed after surgery will subside in three to four days and the patient recovers completely. This is a surgical procedure called an ePiseCtomy.

Episectomy, is a surgical procedure performed when an infection persists or recurs following a root canal treatment. Here’s why episectomy might be necessary after root canal treatment:

Despite a root canal treatment, sometimes an infection may persist or recur due to various reasons such as incomplete removal of infected tissue, complex root canal anatomy, or presence of untreated canals.

In some cases, when infection persists, it can form a pocket or pouch below the root of the tooth. This pocket of infection can be difficult to reach or treat through non-surgical means alone.

Episectomy is performed with the aim of saving the tooth. By removing the infected tissue and cleaning out the infection pouch surgically, the tooth can be preserved rather than resorting to extraction.

During an episectomy, a small incision is made near the affected tooth to access the underlying bone and infected tissue. The infected tissue and the tip of the tooth’s root (apex) are then removed. The area is thoroughly cleaned, and the incision is sutured. This procedure helps to eliminate the source of infection and promote healing.

Swelling and discomfort following an episectomy typically subside within a few days, and the patient can expect to recover fully with proper care and follow-up appointments.

In summary, episectomy is a surgical procedure performed when infection persists or recurs following a root canal treatment, particularly when an infection pouch develops below the tooth. It aims to save the tooth by surgically removing the source of infection and promoting healing. It’s important for patients to seek prompt dental care if they experience persistent or recurring symptoms after root canal treatment to prevent further complications.