ENDODONTICS
(CANAL TREATMENT)
Canal treatment is the treatment of root canals in the teeth.
CANAL TREATMENT
Human health starts with oral and dental health. If the necessary importance is not given to oral and dental cleaning, the bacteria that accumulates in the mouth after the meal produce acid. The resulting acid dissolves the tooth enamel, causing the dentin layer to be destroyed and results in tooth decay. One of the treatment methods of tooth decay is the treatment of the canal (endodontics). Canal treatment is the treatment of root canals in the teeth. In the root of the tooth, there is a vein-nerve bundle that supplies the tooth known as the ‘nerve of the tooth’. The nerve is damaged due to decays, trauma and infection. The cleaning, shaping and filling of this area is called canal treatment. Canal treatment provides the tooth function properly without having nerve and veins inside.
In which situations root canal treatment is applied?
– Spontaneous pain
– Pain that awakens from sleep, especially at night
– Long-term sensitivity to cold
– Having infection at the root end of the tooth
– Color change of the tooth, swelling of the tooth, pain in the lymph nodes near the tooth, or swelling felt by hand.
– It is applied in cases of irritation caused by deep decays
Is canal treatment a painful procedure?
With modern anesthesia techniques, the pain during treatment is minimized. Therefore it is not a painful procedure. However, some very painful or infected teeth may experience numbness problems. In this case, teeth can be anesthetized using advanced methods of anesthesia.
How long does the canal treatment take?
Thanks to the developing technology and drugs, a troublefree or uncomplicated canal treatment is usually completed in a single session. Depending on the condition of the tooth, the canal treatment can be performed in one or two sessions. A few sessions may be required to ensure that the infection is completely eliminated for an infected tooth
What should be done for the canal treatment that has ongoing pain?
If pain still persists in the future, the canal filling may be incomplete or insufficient. In this case, the root canal is generally cleaned and refilled after removing the canal filling. If no results are taken by this treatment, the tooth can be treated by the so-called ‘root end resection’ surgical technique.
What are the benefits of canal treatment?
It prevents tooth extraction. Even if it is dead, our own tooth root is healthier than an artificial tooth root.
After tooth extraction, loss of function, aesthetic problems and problems with speech occur.
Does canal treatment can be done to children?
In children, canal treatment is a sensitive issue. At the age of six , the first great fangs start to teeth. These teeth can rapidly decay when adequate cleaning and hygiene are not provided. If filling is not done and the caries reach the pulp, the canal treatment is required. Sometimes the root of the tooth has not completed its development and may remain open. In these cases, it may be necessary to administer aspecification therapy. Compliance of the child is the most important criterion affecting the success of the treatment. Sometimes, because of trauma, the teeth break and the pulp is exposed. In such cases, children may need to be treated with a canal treatment.
How canal treatment is done?
From the crown of the tooth that appears in the mouth, a cavity opening into the nerve layer of the tooth (pulp) is introduced into the root portion from a hole of the jawbone of the tooth. The nerves of the tooth are found in the root canals. The treatment of the canal begins with the removal of the nerves. It ends with shaping the channels and removing them from microorganisms and then filling the expanded channels.
How is the tooth restoration done after the canal treatment?
The crown portion of the tooth is restored according to the size of the damage, and the aesthetic and functional continuity of the tooth is ensured. If canal treatment is done to one of the anterior teeth or there is a small amount of material loss, the tooth is re-filled with filler. However, the back teeth usually require crown. Some teeth need an infrastructure to be supported before the crown is made. This infrastructure is called ‘core’. ‘Post’ is used to fix this infrastructure. A portion of the filling material in the root canals should be removed and a place for the post should be prepared.
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