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Root canal Tips

Root Canal Procedure For Infected Tooth Nerve!

Dr. Banashri Bordoloi Bhuyan 90% (11 ratings)
BDS (Implantologist)
Dentist, Guwahati
Root Canal Procedure For Infected Tooth Nerve!

Root canal treatment is a procedure to save or repair a decayed tooth. Without proper treatment, the decayed tooth might get infected and adversely affect the health of the gums as well as rest of the teeth. Abscessed tooth (pus formation in a tooth owing to an infection) may also pose as another major complication if this condition is not treated at the right time. In this procedure, the pulp and the nerve of the decayed tooth are removed; this absence of a nerve in your tooth should not affect your daily routine and also not inflict any pain.

When is root canal treatment needed?
Root canal treatment is only required when dental X-rays show that the pulp has been damaged by a bacterial infection. The pulp will begin to die if it's infected by bacteria, allowing the bacteria to then multiply and spread.

The symptoms of a pulp infection include:

  • pain when eating or drinking hot or cold food and drink
  • pain when biting or chewing
  • a loose tooth

As the infection progresses, these symptoms often disappear as the pulp dies. Your tooth then appears to have healed, but the infection has in fact spread through the root canal system.

Further symptoms eventually occur, such as:

  • pain when biting or chewing returning
  • swelling of the gum near the affected tooth
  • pus oozing from the affected tooth
  • facial swelling
  • the tooth becoming a darker colour

It's important to see your dentist if you develop toothache. If your tooth is infected, the pulp can't heal by itself.

Leaving the infected tooth in your mouth may make it worse. There may also be less chance of the root canal treatment working if the infection within your tooth becomes established.

Antibiotics – medication to treat bacterial infections – aren't effective in treating root canal infections.

What happens during a root canal procedure?
A root canal can be performed by an endodontist (root canalling specialist) or a dentist. To treat the infection in the root canal, the bacteria need to be removed. This can be done by either:


  • removing the bacteria from the root canal system (root canal treatment)
  • removing the tooth (extraction)

At the very onset, an X-ray will be performed to see the size of the infection and the condition of the surrounding gums. The dentist will then apply anesthesia on that spot. It is important to keep the spot as dry as possible. Next, the dentist will put a rubber sheet around your teeth, after which a hole will be drilled to remove the decayed tissues. After the process, you wash your teeth, either with sodium hypochlorite or normal water.

Before having root canal treatment, you'll usually be given a local anaesthetic. This means the procedure shouldn't be painful and should be no more unpleasant than having a filling.

Root canal treatment is usually successful. In about 9 out of 10 cases, a tooth can survive for up to 10 years after root canal treatment. In case you have a concern or query you can always consult an expert & get answers to your questions!

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Root Canal Treatment

Dr. Mithunesh Sayasikamal 90% (1471 ratings)
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

Dr. Neha Joshi Raina 87% (68 ratings)
Dentist, Dehradun
Root Canal Treatment

Getting a good night sleep before the root canal treatment is the best way to go as it would reduce anxiety and maintain the overall well being.

When To Visit Endodontists?

Dr. Neha Joshi Raina 87% (68 ratings)
Dentist, Dehradun
When To Visit Endodontists?

Patients should visit their endodontists (especially trained to perform root canal treatment) or general dentist after the root canal treatment to have proper restorative work completed on the tooth.

Root Canal Treatment

Dr. Mithunesh Sayasikamal 90% (1471 ratings)
Dentist, Betul
Root Canal Treatment

After root canal treatment capping your tooth is necessary otherwise your tooth may fracture and break.

Root Canal Treatment

Dr. Mithunesh Sayasikamal 90% (1471 ratings)
Dentist, Betul
Root Canal Treatment

Usually in second sitting your root canal treatment is completed your tooth is filled with permanent filling.

3 Dimension RCT

Dr. Swasti Jain 89% (242 ratings)
Dentist, Ghaziabad
3 Dimension RCT

Thrill to fill

3-dimensional obturation/filling in root canal treatment (RCT)

Root canals are now painless, faster and more accurate with latest rotary devices and 3 dimension filling system. Least failure and better prognosis of the tooth.

Why remove when we can save?

There is a myth among all people that a dentist is confined to 32 teeth and he doesn’t know other medical knowledge but I want to share some points with you:

  • Dentistry is a specialty which involves oral cavity and surrounding structures (similar to skin, ent, etc)
  • It doesn’t deal only with 32 teeth
  • A dentist is a surgeon
  • A dentist deals with all the diseases with oral manifestations
  • No other speciality in medicine has been further divided into specialities
  • A dentist is an anaesthetist (he gives anesthesia for many procedures)
  • A dentist is a radiographer (he takes the x-ray of his patients himself)
  • A dentist is a children’s specialist (he is the only surgeon who can make children to sit for a surgery without general anesthesia)
  • A dentist deals with oral cancer (he knows to take biopsy. Oral cancer tops the various other cancers which occur in humans)
  • A dentist is an bone specialist he deals with double joint i. E temporomandibular joint which is only one double joint in the body
  • A dentist deals with trigeminal neuralgia so a neurologist
  • A dentist knows the aids symptoms which manifest mainly in oral cavity
  • As a surgeon he knows how to control bp and sugar so a diabetologist
  • He makes smiles and helps to make love

Happy dentists day to all my dentist friends!

Root Canal Treatment

Dr. M. R. Pujari 91% (609 ratings)
Dentist, Bangalore
Root Canal Treatment

Getting a good night sleep before the root canal treatment is the best way to go as it would reduce anxiety and maintain the overall well being.

Create a Pain Free Future For Your Next Generation

Dr. Diksha Tahilramani Batra 90% (11 ratings)
Dentist, Mumbai
Create a Pain Free Future For Your Next Generation

“Brush Kar lo nahin toh doctor injection de dega"

“Please Chocolate mat khaana tumhare daant sad jayenge"

Remember as children if we wouldn’t brush,the myriad threats we would face from doctors,injections or even the fear of tooth extractions would suffice to make anything to do with teeth-brushing or treatments absolutely dreadful!

My childhood was spent avoiding brushing at night and sneaking in sweets and my only dental visits were for braces and they started of on an unpleasant note with 4 extractions and that’s the only memory I have when someone says Dentist!!

Until I became one and started realizing that we could affect this change ONE SMILE at a time.Dentistry has changed drastically if we are willing to adapt to that change. National Children’s Dental Health Month should be more than a calendar month.Let’s make a positive change for our future generations.

Here are 5 key factors to eliminating fear in a child’s mind.

1. No More Threats

If you’re a parent,teacher,caregiver or even a doctor stop threatening.Start at home by eliminating threats from your vocabulary.

We transmit our fears unknowingly to our young ones it’s time we became conscious of the impact our words have on their psyche.

2. Make It Fun

As parents we are diligent in our research to figure what’s the best way my child should brush or the best product to use but we seldom look into how to make it more fun.We just impose brushing and expect the child to follow suit.

We often advise parents that making your child’s brushing activity fun by using apps,games,gadgets and music can go a long way in their dental health for life.

So don’t stress about what to brush with but rather how should your child be taking up to brushing and oral hygiene in general.

3.Research a Painfree specialist

The term family dentist is totally passé there is no such concept anymore.With a wide variety of specialisations and recent advances just one person is not expected to handle the dental needs of your entire family.Pediatric dentists are specialized to work on children and there adult specialists who treat different dental maladies be it your root canals,gum problems,teeth alignment and even teeth replacement.

Be sure to choose a compassionate care provider whose prime concern is to ensure that pain should be the last thing you or your child are feeling in the chair.

4. Memorable First Visit

It’s a special day when a child visits a dentist for the first time. It can be the start of a life long relationship with the dental care provider and even their concept in general with their own dental health.

The doctor must ensure they take all the measures to make a positive impact on the patients mind always maintaining an encouraging tone rather than an intimidating authoritative attitude.

A variety of exciting surprises can be prepared for your child’s dental visit based on their age so that they walk out smiling.

5. Rewards

If your child was brave enough to go through a dental visit and battle the demons that we have so meticulously planted in their minds,let us at least make sure they’re rewarded starting from the clinic itself and even back at home.

Be it their favorite thing to eat or a small present that they have been vying for try and create a positive memory association or rewarding good behavior at the dentist.

This will ensure that your child is ready for the next visit.

Let me summarize with every parents checklist for their child’s healthy dental future

If you have

  • refrained from threatening or bullying your child into brushing,
  • he finds it a fun activity,
  • has been to Painfree expert and

had an excellent first dental visit with

  • a reward commemorating his behavior

need I say you’ve done your best!

Dental Pain: What Is It?

Dr. (Major) Varun Nischal 89% (317 ratings)
BDS (Gold Medalist)
Dentist, Gurgaon
Dental Pain: What Is It?

Dental pain is an especially difficult situation to handle on your own. True dental pain usually doesn’t respond to common over the counter pain control options. Let’s go over the different types of dental pain, what you can expect with each, and what you can do temporarily in each case.

Toothache (Severe Constant Throbbing, Hot and Cold Sensitivity)

Dentists call this type of toothache “irreversible pulpitis”. The nerve of the tooth has been traumatized and is in the process of dying. While this lasts you’ll have severe throbbing pain as well as pain from hot and cold. Many times the pain is enough to wake you up at night. I’ve had many patients tell me that it is worse than giving birth or having kidney stones. There are very few things you can do to help with this type of pain because of it’s severity. 800 mg of Ibuprofen every 6 hours will sometimes take the edge off. Anesthetic gels or crushed aspirin tablet around the tooth will be ineffective. The only solutions to this problem are to wait for it to go away, have the tooth extracted, or have a root canal. If you decide to wait it out, you should realize that the tooth will likely become infected at some point in the future.

Toothache (Severe constant pain especially if any pressure is placed on the tooth, No hot and cold sensitivity)

Once the nerve of the tooth has died, the area inside the tooth becomes infected. This infection will often spread out of the tooth and into the bone around the tooth. This is known as a dental abscess. You won’t have any sensitivity to temperature in this case but you can still have severe throbbing pain and pain when you bite or anything touches the tooth. You can use 800 mg of Ibuprofen every 6 hours to take the edge off. Again any anesthetic gel or similar preparation around the tooth will not help. Antibiotics will help in this case to reduce the infection and relieve some of the pain temporarily. The pain will come back at some point in the future. The only permanent options for treatment are to take the tooth out or do a root canal.

Toothache (Pain only when biting)

If you have pain on biting after having fillings done, your bite is usually a little bit high (called a 'high-point') and needs to be adjusted by the dentist. Avoid biting on that area as best you can until you can get it adjusted. If you haven’t had any dental work done recently, this can be the result of a crack developing in the tooth. The best thing to do is avoid chewing on the tooth until you can see the dentist. Most of these teeth end up needing a crown and occasionally need a root canal if the crack goes into the nerve.

Mouth Ulcer

Ulcers in your mouth can mimic the pain from the a toothache. These can develop all on their own or sometimes they are the result of biting your lip or cheek. If you see a roundish white area surrounded by a bright red halo, you likely have an ulcer. Any over-the-couter available anesthetic gel (e.g. Mucopain, Hexigel, Soregel) placed on the ulcer will help numb it and reduce the pain. Most of these will heal on their own within a week.

Sinus Pain

Sinus pain is another one of those situations that can mimic a toothache. The roots of your top molars literally sit right next to your sinuses and any type of sinus pressure from a cold, etc can cause your teeth to ache. You’ll usually feel a minor to moderate constant ache in those areas. One of the best tests of this is to bend your head and upper body down towards your feet and then straighten up suddenly. If this causes additional pain it is usually sinus related. Decongestants like Otrivin will help relieve some of this pain.

TMJ Pain

Lastly, many people develop TMJ pain. The Temporomandibular Joint (TMJ)  is the joint that connects your jaw to your skull. When this joint is injured or damaged, it can lead to a localized pain disorder called Temporomandibular Joint (TMJ) syndrome. Temporomandibular Joint (TMJ) syndrome often responds to home remedies, including ice packs to the joint, over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs), massage or gentle stretches of the jaw and neck, and stress reduction. The prognosis for TMJ syndrome is generally good as the disorder can usually be managed with self-care and home remedies. If it doesn't respond to any medication, you must see your Dentist for further care.

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