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Root Canal Treatment
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Treatment of Root Canal Treatment (RCT)
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My teeth is yellow in colour and I always do all the thing what the doctor tell like brush 2 times in a day and giving me very hi-fi toothpaste etc but my teeth never change the colour from yellow to white.
Good afternoon noon, my problem is that I have mouth eucler (chole) on my tongue and lives for last 1 weeks, I had taken homeopathy medicine but after some time it again develop. Please suggest me to rid from this problem. Thanks
I saw my teeth mirror. I saw calcium deposited in my teeth. What remedies should I take to avoid this? I have a layer of yellow stains in my teeth. How can I make my teeth look bright?
Those who have experienced it would vouch for the fact that toothache is one of the worst pains. There could be times when the attack happens out of nowhere and you are crying for relief.
The tooth has 2 parts - the visible part called the crown and the invisible part called the root which is embedded in the jaw bone and covered by the gums.
Both the crown and the root have 3 layers from inside out. The crown has enamel, dentin, and pulp. The enamel is the mineralized part of the tooth, dentin has fine sensory dentinal tubules, and the pulp receives nerve and blood supply to the tooth through a small orifice at the end of the tooth called the apex. On the root surface, instead of enamel, there is a softer substance called cementum. The dentin and the pulp continue through the tooth, but are thinner in the root portion of the tooth.
The mouth has the largest amount of bacteria in the body. These act on the food deposits on the tooth and produce acid which leads to breakdown of the enamel. The only symptom when enamel breakdown happens is food lodgment, and it continues till treatment ensues. Once the breakdown reaches the dentin, sensitivity sets in, and most people go for treatment then. If not, the next layer is the pulp, when there is severe pain. This acute pulpitis causes pain in spurts and can be unbearable.
On the root surface, if there is periodontal disease and the gum line goes down, then cementum gets worn off (far more easily than enamel) and decay reaches the dentin and pulp (again faster than in the crown).
Whatever the case, the treatment would be the same:
- Dental examination, clinical testing, and x-rays would be diagnostic. Tapping the tooth would reproduce the same pain and that is indicative of acute pulpitis
- Antibiotics and pain killers would be given to control the pain
- Once the infection subsides, root canal therapy is initiated. Using the decayed portion to gain access to the root, thin instruments called reamers and files are used to clean out the pulp space completely. They are then shaped to accommodate an inert substance called gutta percha which ensures infection does not seep into the tooth again.
- With RCT, the tooth is weakened, and therefore a crown needs to be placed. This could either be a ceramic crown or a full metal crown based on economic and esthetic reasons.
The best way to avoid this is regular visits to a dentist so that decay is identified in the early stages and treated with the minimal cost and maximum natural tooth preservation.
What if you have tooth decay?
If you have developed black or brown spots of decay on your teeth either in the fissures or on the smooth surfaces and it is associated with discomfort and / or sensitivity to hot and cold and / or frank pain, it is likely that you have tooth decay. Your dentist will evaluate you comprehensively and based on his clinical and radiographic findings he will do one of the following;
1. Make an opening in the crown and remove decay, shape the cavity and fill it with a tooth colored filling or an amalgam filling. This could also be done under local anaesthesia.
2. If the decay is very deep and the pulp (nerve, root canal) is involved in the decay process he will, under local anaesthesia go deeper into the pulp chamber, remove the pulp and the nerve, render it free of infection, do a root filling and later put an amalgam or a tooth colored filling. Subsequently he will put a veneer or a crown on the tooth as the case may be.