Root canal treatment (RCT) is carried out when decay/infection involves the ‘nerve’ of the tooth leading to the following signs & symptoms:
- Frequent, spontaneous & throbbing toothache especially while lying down.
- Pain mostly occurring at night.
- Sensitivity to both hot and cold.
- Pus or abscess in the gums around the affected tooth.
- A fractured/traumatized/broken tooth manifesting the above mentioned signs & symptoms.
- At times, the advanced decay renders the tooth dead/necrotic. In these cases, no symptoms are present.
How and why do we do a Root Canal?
The decision to perform a Root Canal treatment depends on various factors:
- The extent of decay.
- The prognosis/outcome/success rate of the treatment.
- Clinical and radiographic findings (X-RAY).
- Patient’s needs & consent.
Extraction vs Root Canal Treatment
Performing Root canal is the treatment of choice to save a tooth after decay has involved the nerve of the tooth leading to irreversible damage. It is a myth that the solution for a painful & decayed tooth is removing the tooth (Extraction), but what is not realized is that extracting a tooth will ultimately cause significant problems for adjacent teeth like bone loss, abnormal tooth movement etc.
The 3 steps to a pain-free, long-lasting tooth:
- Clearing the root canals of all the infection, debris & bacteria and irrigating the canals with medicaments.
- Filling the root canals with medicated dressing which prevents further infection.
- Permanent filling and replacement of crown/cap to restore the tooth to it's functional form.