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Expert Article: What Is Root Canal Therapy? Can A Root Canal Treated Tooth Pain Again?
In today's dentistry, root canal therapy (RCT) is a very common procedure. When a cavity is too severe to treat and damages internal nerves, we must also fill the tooth's roots. That's when RCT comes into the picture. Modern dentistry has made RCT less painful and quicker to complete.
The area of dentistry that deals with RCTs are known as endodontics, and endodontists are experts in RCTs. The RCT procedure can be completed in one appointment or over the course of two or three.
Why does your tooth pain after an RTC, though?
●
The
most
frequent
cause
of
your
pain
is
the
altered
bite
brought
on
by
the
ceramic
cap
on
your
teeth.
●
The
cap
doesn't
fit
snugly.
●
Gum
infection
results
from
severe
food
accumulation
near
the
cap.
●
The
tooth
roots
are
now
once
more
infected
by
the
gum
infection.
●
The
RCT
did
not
completely
seal
the
root
tips.
●
Infection
in
the
root
canals
is
regenerating,
Let's tackle each problem one at a time.
1. Fixing the ceramic cap's issues:
●
Ask
your
dentist
to
identify
any
interference
points
and
smooth
them
if
the
bite
still
feels
uneven
after
the
cap
has
been
fixed.
●
Please
get
that
cap
replaced
if
there
appears
to
be
a
clear
misfit
and
you
can
feel
a
large
gap.
●
Metal-free
ceramic
caps
made
of
zirconia
are
the
best
quality
currently
on
the
market.
2. Gum-related problems:
●
The
problem
is
fixed
with
some
polishing
and
scaling
around
the
tooth.
●
Make
it
a
habit
to
rinse
your
mouth
after
each
meal
and
to
floss
the
area
around
the
cap.
●
Observe
proper
oral
hygiene.
3. Re-infection of the tooth with RC treatment:
a. Re-infection factors:
●
It
can
be
challenging
to
thoroughly
clean
root
canals
that
are
curved
or
narrow.
●
Regular
x-rays
cannot
detect
accessory
root
canals,
so
they
go
uncleaned.
●
Seepage
from
beneath
the
cap
is
causing
new
decay.
●
When
the
patient
demands
a
single-sit
RCT
and
the
tooth
is
not
given
enough
time
to
heal.
●
when
the
lesion
spreads
to
the
nearby
bone
and
becomes
persistent.
●
In
case
the
tooth
is
fractured.
b. Restoring an infected RC teated tooth:
●
With
the
help
of
your
endodontist,
determine
the
root
of
the
infection.
●
Learn
about
the
tooth's
prognosis.
●
Getting
a
CBCT
(3D
xray)
is
advised.
●
After
removing
the
root
fillings,
the
canals
are
examined.
●
The
canals
are
repeatedly
flushed,
cleaned,
and
sealed
with
medicinal
pastes.
●
Look
for
any
indications
of
discomfort
in
the
tooth.
●
A
final
cleaning
is
performed
before
sealing
the
canals.
●
The
tooth
is
kept
under
observation
before
a
new
cap
is
applied.
In summary,
Re-root canal therapy sounds like a time-consuming, laborious process. However, the strength and comfort of a natural tooth cannot be matched. Always make an effort to preserve your natural teeth before considering options like extractions, dental implants, and ceramic bridges.
- When should you follow up with their endodontist?
The next time your RC-treated tooth hurts.
- Does that mean it won't ever experience pain or other sensations?
That's not true. It is an established fact that an RC-treated tooth can elicit pain and sensations again.
- Q: Following an RCT, what happens to the tooth?
Simply put, a RCT restores a tooth's functional capacity, but because the tooth lacks nerves, it is not responsive to any sensations.
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