What's the proper root canal treatment?

Detailed. A good root canal involves removing all the diseased pulpal tissue, cleaning and shaping the canals, and sealing the canals with a dense thorough filling material! this principal is sometimes easier said than done. Root canals are like fingerprints. No two are exactly alike. Knowledge of anatomy and attention to detail are critical to a successful result.
Three main steps. Root canal therapy first involves accessing the nerve of the tooth. Next, the dentist determines the length of each canal in the tooth either with x-rays or by an electrical apex finder, then he instruments or cleans each canal to a specified size and disinfects with various solutions. Finally, the canals are filled or obturated with a material and the tooth is sealed.
Complete cleaning. By proper, i take it to refer to the actual treatment. Complete cleaning of each canal is a must along with ultrasonic disinfection. Sealing is critical to within a millimeter of the end of the canal with materials that act as sealers into accessory canals. Root canal treatment has become a very predictable way to save teeth.
Explained. Root canal treatment usually needed when the tooth nerve(pulp) gets infected from decay or fracture , and to be done properly all nerve tissues must be removed and canals reshaped and cleaned and filled and sealed with filling material, then to protect your investment you have to have a post placed inside the tooth for internal support followed by a crown as rct treated teeth are more fragile .
See your Dentist. Proper root canal treatment involves the diagnosis and eradication of an infection located in and possibly around the root. This process should be carried out painlessly. Upon completion of the treatment a well placed restoration should be placed to return the tooth to normal function and help avoid a new infection. The success rate is usually around 90-95%.

Related Questions

Do people ever get a proper root canal treatment without having a crown placed?

Crowns & Root Canals. When a tooth has a root canal treatment, the diseased nerve tissue which had previously provided internal lubrication to the tooth, is removed and replaced with a cement filling. As a result of loss of the internal moisture the tooth becomes brittle. Typically a tooth that has undergone root canal has lost a lot of tooth structure and is heavily stressed. A crown is the best protection for it. Read more...
Yes but it depends.. If there is not much tooth structure missing beyond the root canal entry point and if there is no decay within the tooth structure, then it is possible to not need a crown. However, i would recommend all crowns be placed within a reasonable period of time if indicated. Without crowns some of these root canal treated teeth can crack or break. I would definitely crown molar teeth. Read more...
Yes but. In the vast majority of cases, it is better to safeguard the tooth against breakage and further decay by having a crown placed within in a reasonable time. More often than not, patients end up, some time in the future, being sorry that they did not head their dentist's advice regarding this issue. You have spent a lot of money and time having rct and it's best to protect that investment. Read more...

What is root canal treatment?

Necrotic tissue out. When the nerve of the tooth gets infected, the dead nerve and blood vessel are removed from the canal in the root of the tooth (like taking a bad electrical wire out of a conduit). Then after the bacteria has been cleaned out, a special type of filling material is packed in this open canal to seal it from having bacteria seep in from the end of the root in the bone. Read more...
Root canal. Root canal treatment is the complete removal of the nerve or pulp as it is called for the roots of the tooth. It is usually done when the pulp is infected . It involves opening the canals in a tooth which carry the pulp tissue. The canals are cleaned using small needle like instruments called files and then the canals are filled with an inert filling material. The tooth is anaesthetized prior. Read more...
Infection control. Teeth exist in an environment teeming with bacteria. These germs digest the sugars in our diet and excrete an acidic metabolic waste product that demineralizes the tooth. The process can progress to the point where the bacteria expose an organ in the tooth called the pulp. This results in an infection. The treatment of this infection is called root canal therapy and preserves the tooth. Read more...
Root Canal Treatment. Root canal treatment is done when the nerve of the tooth is either irreversible damaged or dead. The treatment involved drilling the tooth kind of like a filling, removing the nerve/s of the tooth, and filling the previous nerve canal space with an intert rubber like compound called gutta percha. Most root canal treated teeth require a crown afterwards. Read more...

Can root canal treatment be painful?

Yes, But Not Usually. At times, root canal therapy can be painful; i promise that is the exception and not the normal! if that is the case, your dentist should be able to tell you well in advance. Root canals are intricate procedures that require many special instruments, if your dentist does not have the required training, see an endodontist. I'm a general dentist, but have done lots of endo training and love it! Read more...
Not Usually. Root canal treatment has a bad rep that it usually does not deserve. The pain is caused by an infection in the nerve space of the tooth. Root canal solves this problem and eliminates the pain. However, if you wait to long and have a large infection under the tooth it may be difficult to make the tooth adequately numb. Root canal done in a timely manner are not painful. Read more...
Rarely. The only time you will feel pain is if you have a severe inflammation, called acute pulpitis in a lower posterior tooth. Even then there are anesthetic techniques where this i. Read more...
Possibly. If you have a long-standing uncontrolled infection it may be difficult to achieve anesthesia. Root canal specialists, endodontists, have 5, 000+ hours additional training beyond dental school in resolving just these issues. Read more...

Could root canal treatment always work?

No. Root canal treatments, just like everything else have a failure rate. Nothing is a 100% guarantee. Even the best dentists have failures due to conditions out of their control. Root canals however can work great and are usually a good option to save a tooth. Ask you dentist about it and ask what, if any, options there are. Read more...
Nothing is 100% However the best success rates are root canals performed by a microscopically trained endodontist that has much experience! Read more...

What does "widening" mean in root canal treatment?

Opens canal. The dentist widens the canal and cleans it, the widening allows a better fit for the root canal filling material. Read more...
Shaping or Flaring. Flaring and shaping the canals allows the methodical cleaning of infected root canal spaces. It allows for safe, efficient removal of tissue in the lower 1/3 of the root where it is hardest to reach to disinfect. Read more...

Can there be an alternative to root canal treatment?

Extraction. Usually, the only other option to having rct is having the tooth exracted. Read more...
Removal. Extraction is the other option if the pulp is infected/damaged beyond recovery and root canal procedure is denied. Read more...
Pulpectomy. Although extraction is an alternative to root canal treatment, it is a bad alternative if if occurs to a first molar. Replacement of a missing tooth is a lot more costly than a root canal. To save money, i would try root canal and a filling and do the crown later when i can afford it. If that is still expensive, remove the tooth nerve (pulpectomy) and have couple years to save for root canal. Read more...
Extraction! If a tooth requires a root canal it most likely that decay or damage has involved the tooth's pulp. Root canal will allow a tooth's hard tissue to be saved and restored, but one can always opt to have the effected tooth extracted to avoid future pain, suffering and potential bodily harm. Read more...

What can I do to make a root canal treatment painless?

Pain is not usual. There is a lot of fear associated with root canals. It gets a bad RAP from comedians. Todays root canals can be painless and a valuable treatment to keep your teeth. I suggest you go to an specialist called an endodontist for your treatment. Do your research, read reviews and don't be afraid. Take your music and earbuds with you. Also, you will need a crown on the tooth when you are done. Read more...
Root canal. A root canal procedure is not necessarily always painful. When there is a severe infection it is more difficult for the local anesthetic( novocaine) to work efficiently. If you are told by your dentist that you need a root canal don't delay treatment to avoid this. Read more...
Root canal. Normally if you are properly numb in the area you do not feel any pain. Get it done as soon as possible. If you have an infection sometimes antibiotics are given in advance. Read more...
Don't worry . The procedure for root canal treatment has improved. You will not feel any discomfort during the procedure and if place ice pack and your face and take the prescription medications exactly as directed you probably will not feel any pain. Read more...
Dentist. See a dentist who focuses on comfortable dental care. Make sure they use 4% articaine as this is the best dental anesthetic available. Read more...

Is a crown always required after root canal treatment?

No. A crown is not always required after a root canal. After a root canal, a tooth becomes more brittle and more likely to break. A crown helps prevent the tooth from breaking. If you decide not to get a crown placed on the tooth then you are taking a chance of losing that tooth although you spent the time and money doing the root canal. Take your dentist's advise. Read more...
Depends. If a molar or chewing tooth needs a root canal because of extensive decay or large filling then it should always be crowned. If any tooth that gets a root canal has sufficient supporting tooth structure a crown may not be needed. Your dentist will be able to determine what is best for any tooth that gets a root canal. Read more...
No. It is dependent upon how much tooth structure remains after removal of tooth decay and the root canal procedure. Molar or back teeth may require crown placement as chewing forces can cause repeated stress to the tooth structure resulting in fracture. If one or more walls of the tooth have been removed then a crown may be indicated. Consult your dentist for the optimum long term treatment options. Read more...
Most of the time. The root canal procedure removes the tooth's primary source of nutrition and moisture, the pulp. As a result posterior teeth generally require a crown in most cases to help reinforce the tooth. Sometimes a very conservative access hole can be made to treat front teeth, a crown may not be necessary. Read more...