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Root Canal Treatment
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Treatment of Root Canal Treatment (RCT)
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I am having tooth decay with third molar, second molar and first molar . One teeth is almost gone . Center of teeth hole is coming . What i need to do to prevent that
I have slight yellow teeth. How can I whiten my teeth using home made remedy? What will be the best to whiten the teeth and in how many days it will show its result?
The root canal treatment is done for the whole mouth at once or only for the tooth which has problem.
Often paraesthesia is caused due to the needle injury. When the dentist inserts the needle for a block, the patient might experience a sharp sensation on the tongue equivalent to that of an electric shock. This is known as paraesthesia and is defined as a change in the sensation or anesthesia that is persistent and the duration generally extends. This condition cannot be prevented and is a complication in some patients who undergo a dental treatment. Though it is commonly seen in the implant therapy, paraesthesia is more of a dental malpractice.
The feeling of the electric shock is felt when the needle comes in close contact with a nearby nerve. This is enough to develop paraesthesia. Severing of the nerves with a local anesthesia and small gauge needle is uncommon. The exact cause of paresthesia has not been ruled out, but it is believed that the block happens because of using 4% solutions of local anesthesias. In case a paresthesia occurs, then it usually gets resolved within some days, weeks or months, but if it lasts for more than 6-9 months, then it is considered to be permanent.
When the paraesthesia is due to a surgical trauma, then getting help from an oral and maxillofacial surgeon is recommended. They assess that if a surgical intervention can be used to fix the problem. In case the paraesthesia is due to the anesthesia given locally by the dentist, then he/she does the following:
- Patient Management: Reassurance of the patient is must as they get jittery about the situation. The dentist often speaks about the condition with the patient personally. The patient is made to understand how a paraesthesia might have occurred and how much time it would take to resolve. This is also recorded in the patient book so as to avoid any such incidents in the future.
- Examination of the patient: The dentist should discuss the whole phenomenon and procedure of how paraesthesia can take place. It is important to let the patient know that the condition subsides, but it might take some time. The extent and the degree of paraesthesia should be assessed and the findings should be noted in the examination records.
- Follow up with patient: It is the dentist's duty to keep a tab on the follow up with the patient. The patient should go for a re-checkup within 1 month of developing a paraesthesia and then again in 1-2 month intervals. The visits could be more and can last until the paraesthesia completely resolves. Improving signs and symptoms usually promise that the paraesthesia is getting better. If paraesthesia is still persistent, then help from an oral and maxillofacial surgeon should be taken for a surgical approach.
Hi Doctor, I am a former jaundice patient. But now at times I am getting stomach often my mouth smells very bad. But I brushes 2 times a day. Please say me a solution and tablets to be taken.
When a small cavity isn't treated in time, the tooth decays badly that normal filling cannot solve the problem. In such cases, your dentist will probably advise you to undergo, a root canal. When performing a root canal, the dentist will remove the nerves and pulp within the tooth, clean the inside of the tooth and seal it. After this procedure your tooth will not sense anything and should be pain free.
However, in some cases you may still experience pain after root canal and there are four main causes of this pain:
- Swelling of ligament around the tooth: One of the signs that you need a root canal is swelling of the gums. Even after the nerves and pulp within the tooth are removed, the ligaments around the infected tooth may still be swollen. This can take some time before the tissue is normal again. In most cases this is the cause for pain after a root canal procedure.
- Damaged tissue: Part of the root canal procedure is to clean the insides of the tooth. Here the dentist must be very careful to not go beyond the tooth. In some cases the file used to clean the tooth may go beyond the root and damage the tissue there. Another possibility is that the sealant used to fill the tooth may go beyond the root, thus aggravating the tissue. This can take some time to heal and may cause pain.
- Excess filling: After the tooth has been cleaned, the dentist fills the tooth with a sealant. If excessive sealant is filled in the tooth, it may become taller than the surrounding teeth, which puts extra pressure on the tooth and results in soreness and pain. The dentist will have to remove the excess sealant in order to resolve this issue.
- Phantom pain: Phantom pain is rare when it comes to root canal. This occurs when the nerve leading up to the tooth still behaves like it were connected to the tooth despite the nerve within the tooth being completely removed. The peripheral nerves will need to be treated to resolve this issue.
In most cases, these events cannot be prevented. There is also no reason to expect that this is a symptom of your root canal being a failure. Stay in touch with your dentist and brush and floss your teeth regularly. You will soon notice the pain subsiding.