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Overview

Root canal: Treatment, Procedure, Cost and Side Effects

What is the treatment?

Root canal treatment is an often straightforward procedure to relieve dental pain and save your teeth. Root canal treatment (endodontics) is a dental procedure used to treat infection at the centre of a tooth (the root canal system). The infection is caused by bacteria that live in the mouth and invade the tooth. This can happen after: tooth decay, leaky fillings, damage to teeth as a result of trauma, such as a fall.

Root canal treatment (RCT) and endodontic treatment are the more correct terms for a procedure that treats the nerve of the tooth. Endodontics is a specialty of dentistry that deals specifically with the tooth pulp and tissues surrounding the root of the tooth. A root canal problem may be treated by a general dentist or by an endodontist. An endodontist is a dentist who has gone to multiple years of specialty training after dental school to focus exclusively on root canal treatments. General dentists are qualified to perform root canals but may refer a patient to an endodontist if the tooth is particularly complicated or is being treated for the second time.

Endodontic therapy, also known as endodontic treatment or root canal therapy, is a treatment sequence for the infected pulp of a tooth which results in the elimination of infection and the protection of the decontaminated tooth from future microbial invasion. Root canals, and their associated pulp chamber, are the physical hollows within a tooth that are naturally inhabited by nerve tissue, blood vessels and other cellular entities. Together, these items constitute the dental pulp.

How is the treatment done?

The procedure involves removing the damaged area of the tooth (the pulp) and cleaning and disinfecting it, then filling and sealing it. Root canal treatment consists of a number of steps that take place over several office visits, depending on the situation. These steps are: The endodontist examines and x-rays the tooth, and then local anesthesia is administered to the affected tooth. A dental dam is usually placed over the affected tooth to isolate it and keep it free from saliva. The endodontist makes an opening through the back of a front tooth or the crown of a molar or pre-molar to remove the diseased pulp, called a pulpectomy. Next, the pulp chamber and root canals are cleaned and shaped in preparation for a filling. The endodontist fills the root canal with gutta percha material. If more than one visit is needed, a temporary filling is placed in the crown opening to protect the tooth between dental visits. The temporary filling is removed and the pulp chamber and root canal are permanently filled with gutta percha into each of the canals and is sealed in place with cement. Sometimes a metal or plastic rod is placed in the canal for structural support. In the final step, a crown is usually placed over the tooth to restore its natural shape and appearance. If the tooth is broken, a post may be required to build it up prior to placing a crown.

Who is eligible for the treatment? (When is the treatment done?)

Root Canal Treatment is unavoidable when the nerve or blood supply of the tooth is infected through decay or injury. The root canal procedure is performed to save a damaged or badly infected tooth, instead of extracting it. The most common causes of tooth damage or infection are, cavities occurring due to plaque accumulation, cracked or broken tooth due to any accidents or trauma, gum diseases, and repeated dental treatment to a particular tooth. These issues can cause pulp inflammation, infection and damage the pulp irreversibly. The person will at times experience excruciating pain. The pain may subside when the pulp dies, but very often returns as the infection spreads.

Who is not eligible for the treatment?

Information not available

Are there any side effects?

In some cases there is a possibility of some side effects or re-occurrence of pain. Some after effects of root canal treatment are listed below in detail.

Slight Discoloration of tooth : As nerve is removed from tooth it causes slight discoloration. And in most cases as a crown is required after root canal treatment this discoloration is never visible.

Reduced capability of treated tooth : As tooth structure is slightly weakened after Root canal treatment, it will not have its original capabilities. And it at slightly higher risk of tooth fractures compared to other tooth. Those who have tooth with Root canal treatment, should avoid eating hard food like almonds, or use other teeth to eat them.

Root canal treatment itself may fail : Root canal treatment can fail in around 5% patient. This will lead to extraction of tooth. Such failure mostly occurs because of unknown reason and it is unavoidable.

Infection : Root canal treated tooth may become infected like other teeth.

What are the post-treatment guidelines?

Below is a quick guide to making sure that the affected tooth heals quickly and returns to its normal function: Swelling, tenderness, and pain on and near the affected area are normal occurrences during the first few days following treatment. Such signs are actually indicators of your body undergoing the natural healing process. Keep in mind that pain medications may cause you to be more drowsy than usual so caution should be exercised when operating heavy machinery or when driving.

Do not attempt to bite or chew on the treated tooth until your dentist tells you that it has completely healed.

Brush and floss as you normally would, but avoid the area near the affected tooth.

Stick to a soft food diet until normal teeth function has been restored.

How long does it take to recover?

Root canals are extremely successful, and can bring real relief to a painful tooth. However, there will probably be some tenderness in and around the tooth for a few days, and perhaps even a few weeks (for most folks, it’s not very long) Remember, you just got a tooth hollowed out -- it may be sensitive for a short while. In most cases, this goes away after a few days/weeks.

What is the price of the treatment in India?

The cost of root canal varies from clinic to clinic deoebding upon the infrastructure, vincity,Doctor's Experience, Qualification etc. Normaly Price starts from INR 2000 and go upto 8000. Post root canal you require a crown which is excluded in your treatment cost, the crown pricing starts at 1500.

Are the results of the treatment permanent?

A treated and restored tooth can last a lifetime with proper care. Root canals have a high success rate.

What are the alternatives to the treatment?

Here are the alternatives: Extraction -- less expensive on short run, and very expensive long term.

Do nothing -- the tooth may eventually become un-restorable, more infected, calcified, which may end up in tooth loss or higher costs;

Implant -- not really an alternative in cases when root canal procedure can be performed because it is often more expensive. Implants are only good when root canal treatment is not possible due to extensive root decay, large fractures, severe calcification; it is not a good alternative if previous root canal treatment did not succeed.

Some dentists are ok with trying a very large filling instead of a root canal (although most won't, because the success rate is not high.)

Pulp capping offers an alternative to root canal treatments. If the tooth's nerve is still alive, pulp capping can be used to restrict the tooth decay from infiltrating the pulp chamber.

Safety: Procedure Effectiveness: High Timeliness: High Relative Risk: High Side Effects: Low Time For Recovery: Medium Price Range:

Rs. 2,000 - Rs. 1,5000

Popular Health Tips

Is Dentistry Expensive!

MDS - Orthodontics, BDS
Dentist, Meerut
Is Dentistry Expensive!

Is dentistry expensive? 

One word answer to this will be a No!

Dentistry is not expensive, delay is.

Usually we dentist recommend to come for check up every 6 months, but we all are lazy especially for our own health. Going for a picnic or going to mall is all right but going for health check up is a big no.
As a result the small cavities which were possible to treat in 1 sitting, half an hour & less expense turns into a deeper cavity, reaching pulp & causing painc  & that is when we run to our dentist. We do get calls at midnight or early morning when we are not out of bed! pain is there since 2-3 days but now it has become severe! most of the time tooth requires root canal treatment or extraction.Patients do complain very time I come to you, you suggest root canal to which my reply is only time you come to me when you have pain. 
Now the same tooth which was possible to treat in 1 sitting becomes 6-8 sittings, half an hour becomes 5 hours & expense becomes 8-15 times.

Root Canal Treatment!

BDS
Dentist, Betul
Root Canal Treatment!

When the pulp of the tooth becomes inflamed, septic or lifeless, one needs to go through the root canal treatment.

Root Canal Treatment!

BDS
Dentist, Delhi
Root Canal Treatment!

Taking a good meal before the rtc is advised as the process can take as long as three hours in some cases.

Root Canal Treatment - Know How It Can Be Your Rescuer!

MDS - Orthodontics, BDS
Dentist, Meerut
Root Canal Treatment - Know How It  Can Be Your Rescuer!

A root canal is a treatment to repair and save a badly damaged or infected tooth. The procedure involves removing the damaged area of the tooth (the pulp), cleaning and disinfecting it and then filling and sealing it. The common causes affecting the pulp are a cracked tooth, a deep cavity, repeated dental treatment to the tooth or trauma. The term "root canal" comes from cleaning of the canals inside the tooth's root.

Millions of teeth are treated and saved each year with root canal, or endodontic, treatment. Learn more about root canal treatment and how it can relieve your tooth pain and save your smile.

The Procedure-

  1. A root canal procedure begins with an X-ray to determine the shape of the root canals and whether the infection has spread to the adjoining bone.

  2. Local anesthesia is then administered to numb the affected area.

  3. A rubber sheet is then placed around the tooth to keep the area and prevent it from the saliva.

  4. A hole is then drilled in the affected tooth, following which the decayed pulp and nerve tissues are removed.

  5. The removal is done by using root canal files which are inserted into the hole and then used to scrape and scrub the insides of the tooth.

  6. After the scraping, water is used to clean and flush out the debris.

  7. After the tooth is cleaned, it is sealed after administering medications to prevent infection.

  8. The sealing process involves filling the inner portion of the teeth by a rubber based compound and a sealer paste.

Modern endodontic treatment is very similar to having a routine filling and usually can be completed in one or two appointments, depending on the condition of your tooth and your personal circumstances. You can expect a comfortable experience during and after your appointment.

  • Saving the natural tooth with root canal treatment has many advantages:

  • Efficient chewing

  • Normal biting force and sensation

  • Natural appearance

  • Protects other teeth from excessive wear or strain

Post-obturation:

  1. Once the surgery is done, the tooth may become sensitive due to inflammation of the tissues for the first few days.

  2. This pain and inflammation can be limited by pain medications such as ibuprofen.

  3. It is advised to avoid any chewing by the affected teeth as it can slow down the repair process. You can brush and floss your teeth regularly.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4696 people found this helpful

Root Canal Treatment - How It Can Relieve Tooth Pain?

BDS
Dentist, Mumbai
Root Canal Treatment - How It Can Relieve Tooth Pain?

A root canal is a treatment to repair and save a badly damaged or infected tooth. The procedure involves removing the damaged area of the tooth (the pulp), cleaning and disinfecting it and then filling and sealing it. The common causes affecting the pulp are a cracked tooth, a deep cavity, repeated dental treatment to the tooth or trauma. The term "root canal" comes from cleaning of the canals inside the tooth's root. Millions of teeth are treated and saved each year with root canal, or endodontic, treatment. Learn more about root canal treatment and how it can relieve your tooth pain and save your smile. 

The Procedure- 

  1. A root canal procedure begins with an X-ray to determine the shape of the root canals and whether the infection has spread to the adjoining bone. 
  2. Local anesthesia is then administered to numb the affected area. 
  3. A rubber sheet is then placed around the tooth to keep the area and prevent it from the saliva. 
  4. A hole is then drilled in the affected tooth, following which the decayed pulp and nerve tissues are removed. 
  5. The removal is done by using root canal files which are inserted into the hole and then used to scrape and scrub the insides of the tooth. 
  6. After the scraping, water is used to clean and flush out the debris. 
  7. After the tooth is cleaned, it is sealed after administering medications to prevent infection. 
  8. The sealing process involves filling the inner portion of the teeth by a rubber based compound and a sealer paste. 

Modern endodontic treatment is very similar to having a routine filling and usually can be completed in one or two appointments, depending on the condition of your tooth and your personal circumstances. You can expect a comfortable experience during and after your appointment. Saving the natural tooth with root canal treatment has many advantages: 

  1. Efficient chewing 
  2. Normal biting force and sensation 
  3. Natural appearance 
  4. Protects other teeth from excessive wear or strain 

Post-treatment: 

  1. Once the surgery is done, the tooth may become sensitive due to inflammation of the tissues for the first few days. 
  2. This pain and inflammation can be limited by pain medications such as ibuprofen
  3. It is advised to avoid any chewing by the affected teeth as it can slow down the repair process. You can brush and floss your teeth regularly.

In case you have a concern or query you can always consult an expert & get answers to your questions! 

4876 people found this helpful

Popular Questions & Answers

I need to place a tooth While placing tooth by bridge method. The near toots needed trimming and root canal? Both needed? Yy spoiling the the other 2 tooth by root canal method.

BDS
Dentist, Bangalore
At some cases, root canal is indicated for the adjacent tooth in case of a bridge. It will help you to reduce accidental pain arising during the trimming of the adjacent tooth while going for a bridge.

I am taking Eco spring 75 mg for the last two months due to some blockage in heart as advised by doctor. Simultaneously I am having Rct dental treatment which is yet to be completed. Please suggest can I go for rct after stopping Eco Spring 75 mg as advised by doctor for some days.

MDS - Prosthodontics
Dentist, Ranchi
For rct it is not mandatory to stop your present medication. You can continue your rct without stopping your medication. But if there is any doubt you should consult your cardiologist.

Sir, My age is 23 years. I had 2 wisdom tooth discoloration and cavities. Doctors suggested to go for a root canal. I don't want to go for a root canal sir. I wanted to know whether there is any treatment & cure available in ayurvedic without doing root canal.

MD - Ayurveda, Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Bangalore
For cavities: Triphala kashaya— gargle once a day KPN paste — twice a day Salt water gargle— once a day.

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Play video
Whether to Save a Tooth or Extract it ?
Know how Root Canal treatment helps to save a tooth
Know how Root Canal treatment helps to save a tooth

Hi friends I am doctor Premendra Goyal. Lot of questions are asked to us about whether to save a tooth or to extract it. I will talk to you about root canal treatment today which is a treatment by which we can save your tooth and it can serve for a lifetime with good maintenance. A tooth basically is a lot of hard tissue with some tissue in the center, you can it the heart of your tooth which in our language is called as pulp and layman end up calling it something as nerve. Once that nerve or pulp portion of your tooth is exposed to the oral cavity in some way may be a fracture of your tooth, may be decay, cavities- as we call them, once the heart of your tooth, the pulp of your tooth, the nerve of your tooth is exposed to the oral cavity your tooth is in danger. Tissue goes bad, infection travels, it goes deeper and it enters your bone area.

Now to save that tooth or not that is the first question that comes to the mind. By saving that tooth we are saving the natural thing that nature has given us. We have been trying to replace or replicate what nature has given us, but 100% replication of what nature has given us is not possible till date. So the best option is always to save a natural thing, and that can be easily done by root canal treatment. In root canal treatment I will try to explain in as simple language as simple the procedure is for the patient. I will reiterate- for the patient, for the clinician or for your dentist it definitely is a process which involves a lot of intricacies but for a patient it is a very simple procedure, wherein local anesthesia is given and the area is numbed and you don t feel any pain when you undergo the treatment.

A small hole is drilled on the top of the tooth, if it is a grinder, if it is the front tooth the hole is drilled on the back side of your tooth and the nerve area is accessed. And through small instruments the inside and the root area of your tooth is cleaned, up it is shaped, it is disinfected with lot of medicaments and then it is finally filled up with artificial material and then your tooth is restored to normalcy with a cap sometimes or a post which is a support inside the root and building up with the tooth canal material or a material of your choice.

I will give you a broad overview about how a root canal treatment goes about in the pictorial representation. (Displaying pictures) Suppose this was the decayed tooth, a small opening is made on the top of the tooth, we enter the tooth with small instruments, and with the advent of newer technologies it is possible today to complete your root canal in one single sitting, a half an hour to 45 minute appointment and you can end up with a painless tooth. First the root canal is cleaned, it is disinfected with certain medicaments, a artificial filling is placed in the root and then the tooth is restored on the top. So the question of whether to save a tooth or whether to extract it ends up with a proper restored tooth which works for a very long time serving you, thank you.

For more information you can contact us via Lybrate.
Play video
Root Canal Treatment
Root Canal Treatment
Dear friends, I m Dr. Pankaj Dhawan. I m a trained Prosthodontist and Implantologist. I m practicing in Vasant Kunj, New Delhi. Today, I m going to teach you something about root canal treatment.
Our teeth are very precious to us, they are very important for us because we break our food with the help of our teeth. We would not be able to get nutrition from the teeth if we do not break the food in suto. That s why the teeth play a very important role in mastication and breakage of the food to get the nutrition to the body.

Today, I m going to tell you about root canal treatment and how to preserve the teeth. Over a period of time, because of constant use and not keeping proper hygiene, teeth do accumulate little bit of plaque and calculus around them. These are nothing but colonies of bacteria. These bacterial colonies secrete acid at night and this acid attack the calcified structure of the tooth. These cause decalcification of the teeth. This decalcification of the teeth causes the denaturing of the teeth and when this bacterial invasion goes little deeper into the teeth, we have dental cavities, we have dental caries. Dental caries is a microbial infestation of the teeth. When dental caries reaches the pulve or you may say in common words the nerve and the blood vessels of the teeth then, they cause immense pain and the pain of teeth is always unbearable.

Most of our patients in our country access dentist when they are having severe pain and extreme tenderness, therein, we have to do nothing but root canal treatment to save the teeth. Root canal treatment is a mummification of the teeth or in other words, trying to preserve the teeth without taking the juice out of the teeth. What we do is, we take the nerves and blood vessels out of the teeth, and put an inert material like Gutta Percha inside the teeth to preserve the teeth so that the teeth can function normally for rest of the time.

In metros, the root canal treatment can cost approximately 5000 Rs per teeth. In a root canal treatment the infected nerves and blood vessels are taken out with the help of rotary endodontics or hand endodontic instruments and then they are debrided, clean and all the materials which are inside are totally thoroughly clean and then, there are inert materials, used to seal the root canals of the tooth. After the sealing, the tooth is definitely needs to be capped. The capping of the teeth is important because tooth becomes brittle after root canal treatment and the cost of the cap in metro cities would be from 5000 Rs. to 15000 Rs. depending on the material used so, you may say a root canal treatment with the cap can cost you anytime between 10,000 to 15000 rupees for one teeth. It is always better to prevent the root canal by regular cleaning, visiting you dentist every six months and getting scaling and polishing done for the teeth.

For root canal treatment and crown therapy, if you need any further query, or if you need any further knowledge please feel free to contact me on the Lybrate platform.

Play video
Tips on Root Canal Treatments
Root Canal


I m Dr Mehul Chawla, practising, in Gurgaon. I m practising dentistry since 2011. Since inception, I was always into two things, first was root canal treatments and second is dental implants. Both these fields are closer to each other. Root canals help to save the tooth the implants help to replace the tooth that is spoilt. So let me just tell you briefly about root canal treatments. So root canals, a root canal is a procedure of aeronautic and causative department of dentistry. So it is a procedure to save a tooth for a long time that has been decayed due to the past neglect of the person.

In root canals, they clean the canals of the tooth with an instrument so that to make sure there is no microorganism remaining. Finally, the root of the canal is filled with dental filling material. So let's come to implant now. See implants are not very recent procedures. They are in the market for the past 30 years now but these days they are very famous in India now because the implant cost has drastically decreased.

Implants is basically a procedure to replace one or number of teeth with better than before fixed prosthesis. Also, the implants are more promising replacement options than others because it gives a success rate of more than 98%. So replacement of one tooth to the number of teeth is actually possible with the help of dental implants.

So thanks for watching me. If you wish to see me again or wish to know more about dentistry, just put on the Lybrate. You can email me, you can call me. You can go online and do the video chatting with me.

I will be very happy to share my knowledge with you.

Thanks.


Play video
About The Root Canal Treatment
Hello, everybody, I am Dr Priyanka Puri. I am an Implantologist and a cosmetic/ aesthetic specialist. I have been practising for the past 12 years now. Today we are here to discuss some common topics which everybody faces in dental. First, I would like to talk about the root canal.
A root canal is a simple procedure. Basically, in a root canal procedure, we make the tooth non-vital and in the procedure basically, there is 2-3 part of the procedure.

The first part involves the opening of the tooth.
The second part involves cleaning of the tooth nerves and the third part involves filling it with an artificial material which is bio compatible with the tooth structure and facing a cap over it for strengthening it.
And now, with latest technologies, a root canal can be done in single sitting also. When it is single sitting, the important part of single sitting is that your bone should not have any abscess or any pus discharge there. If it all it is there, then you will not probably want to finish it in a single sitting. And apart from that, the patient fears like how long the tooth will be there, how long the treatment will last for me and all those things. If you take good care of your root canal and if you maintain it well, the tooth is going to last you lifelong.

There is no issue that a patient should be facing with a root canal and then you are on your antibiotics and pain killers while you are going for a root canal procedure.

There are some symptoms which are very specific for a root canal like recurrent pain in mouth while eating, while not eating, while sleeping having shooting pain. Lot of pain while eating hot food or hard food probably that side will not be functional for the patient. So, all these symptoms also guide to a large extent that a patient is requiring or a tooth is requiring a root canal treatment.

A simple cavity is very different from a root canal with the symptoms itself. A simple cavity would not have all these symptoms aligned with it and root canal would be having these symptoms aligned with it. So, I should request all the people that you should be aware of the dental hygiene and in your mouth, if you see some cavities starting up, you should always get the preventive treatment done.

You should not wait for the decay to convert it to a root canal. Because then the tooth will be non-vital and will not help you with the preventive treatment.
Play video
What You Must Know Before You Get ROOT CANAL Treatment
What you must know before you get root canal treatment

Root canal treatment also known as endodontics is performed to treat and heal an infected or badly damaged tooth rather than removing it. When your teeth start decaying, you do not feel any pain for a very long time. However, gradually the darkening of your tooth color may become prominent which could mean that the tooth nerve is dying or has died. That's the time you will need root canal treatment which involves cleaning of the canals inside the roots of your tooth.

Why you may need the root canal treatment

Teeth consist of a soft core known as dental pulp. This pulp goes beyond the crown – the noticeable part of your tooth to the root tip inside your jawbone. The pulp contains blood vessels, nerves, and connective tissue. So when your tooth is damaged or has a severe cavity, bacteria can easily make their way through the pulp. Symptoms and signs of a sore tooth include a hole in your tooth, a swelling around the regions of your face and neck, gum swelling, tooth pain or a toothache and temperature sensitivity. If it is left untreated, the decaying material and bacteria can cause a tooth abscess or severe infection, resulting in a bone loss, pulp death and even loss of the tooth itself. The root canal treatment is the best way to save the damaged teeth and escaping the painful process of extraction.

What does the treatment involve?

The purpose of the treatment is to free your root canal from every possible infection. The root is then cleaned and filled to avoid any further infection.



Root canal treatment is a skilled procedure which is time-consuming and usually requires from 2-3 visits to your dentist.


In the initial stage, the infected pulp is isolated to drain out abscesses (if any), followed by the cleaning of your root canal which is then prepared for a temporary filling.


Your tooth is then left to settle down.


In the next visit, your tooth is checked to see whether it’s free from all forms of infection so that it can be permanently filled.



If you would like to consult with me privately, please click on 'consult'.

Related Tip: Only 6 Basics That Beat Bad Breath
Having issues? Consult a doctor for medical advice