Generally, people are less concerned when it’s about dental treatment. However, in most cases patient avoids getting dental treatment done. Dental treatments generally create anxiety, feels expensive and time-consuming. Root canal treatment in one day is the most common dental procedure, extensively carried out in the dental field. Know more about Root Canal Treatment Steps in One Day below.
A person’s dentition consists of a set of teeth that include; incisors, canines, premolars, molars. Teeth have single or multiple canals that needs cleaning during root canal procedure. The root canal of multi-rooted teeth takes longer and may require more than one sitting if multiple teeth involved. In addition, the root canal of the third molar or wisdom tooth has a complex anatomy and thus is very much time-consuming.
Some teeth which have long-standing chronic infections, swelling, abscesses may require multiple sittings for various steps of root canal treatment. However, accessibility to a particular tooth, complex anatomy of the tooth such as curved and number of the canal all these factors play a major role that determines the time factor required to carry out the procedure, patient’s corporation plays a major role.
Conditions for multiple sittings for Root Canal Treatment Steps:
Prolonged or long standing carious tooth. In-order to eradicate a periapical infection, one needs to thoroughly deb-ride the canal and that takes multiple visits.
Seeping canals. During RCT one would encounter constant puss oozing out from the canals, bleeding from the canals. This could be the reason of an already present abcess with that particular tooth. So multiple visits required in such cases to help ooze out the infection in increments.
Patients with reduced mouth opening. Access to a particular tooth for complete debridement hampered. The instruments do not reach the end of the canals for cleaning and shaping. Such cases too need handled in 2-3 visits asking the patients to undergo warm salt water gargles for relaxation of the muscles and ease mouth opening.
Calcification of canals. Such canals encountered in long standing chronic infections and elderly patients. In such canals, EDTA chemical used for dissolution of calcium. In addition, during every sitting, a new dressing of EDTA given to break down the calcified dentin in order to access the apex for debridement.
Time constraint. If it is not possible for the patient to give time on a single day for various steps in root canal treatment; then the dentist along with patient’s consent would opt for multiple sitting root canal treatment.
Apart from all the factors mentioned above; root canal treatment can be performed in single sitting.
Pre-Clinical Root Canal Treatment Steps in One Day at Royal Dental
Step 1: On your first visit, you will provided a case paper. You must fill your Name, Age, Gender, Address and Occupation details & hand it over back to the receptionist.
Step 2: You inquired a number of questions by the attending dental surgeon and your case history would be recorded. Even though the attendant knows of your allergies, you should once again inform the attendant about any allergies.
Step 3: You examined and all necessary details for treatment planning will be recorded.
Step 4: In most cases, an OPG or CBCT or RVG X-ray investigation taken with all details before your final Consultation.
Step 5: You explained possible treatment options and plans with advantages and disadvantages. You have the liberty to ask as many relevant questions as you want. Treatment plans written down on the case paper and given to you.
Step 6: As a confirmation of your acceptance to the Terms and Conditions; you may sign the case paper and retain a copy with you at all times. At this stage you require to pay consultancy charges of INR 1500 or 25 US$.
Clinical Root Canal Treatment Steps in One Day at Royal Dental
Step 7: Impression of single or both jaws may be taken. On your request we shall proceed with the plans discussed and agreed by you.
Step 8: Immediately within 2-5 minutes your model preparation would begin and in about 30 minutes your teeth model would be ready. Thereafter, your model would be scanned and a computer image of the model fed into the CAD machine for your digital teeth design.
Step 9: Within about 30-60 minutes your design would be ready and sent for machining. The CAM machine would prepare your final teeth in about 10-15 min per tooth. Simultaneously your upper and lower jaw teeth can prepared in multiple CAM machines which would reduce the net time to 50%.
Step 10: While your teeth preparation is on, you may feel comfortable in a waiting room with your relative and refreshments.
Step 11: Thereafter; the area to be operated is locally anaesthetised to give numbness during surgery/operation. If you are going for root canal treatment; depending upon the severity of pulp infection it may become necessary to take certain precautionary steps. This would help prevent any post-operative sensitivity or pain.
Step 12: In most cases, your final restoration is fixed on the same day or the next day. In some cases the fixation may be scheduled for some other day.
After that, you will be given instructions so as to make optimum use of your teeth. Additional care would be required if there are any habits like pan, supari, tobacco etc or para-functional habits like bruxism etc. Please keep in touch for follow up with your dentist.
If you have pain or swelling or infection of pulp due to a cavity/ decay, which is near the pulp of your teeth, you may need;
Indirect or Direct Pulp Capping: :
This pulp treatment is done when the decay is very near the pulp but just not reached the pulp. Further, the pulp remains intact and is not exposed even after the decay is completely removed by your dentist.
Partial Pulpectomy / Pulpotomy:
The pulp therapy treatment is done when the decay has reached the pulp. Further, the pulp is partially intact and partially damaged. However, your dentist here exercises its discretion as to whether he should completely remove both your damaged pulp and the intact pulp or remove only the damaged pulp alone.
Complete Pulpectomy / RCT:
This pulp therapy treatment is done when the decay or damage has reached the pulp. Further, the pulp is partially or completely damaged. Your dentist here removes the entire damaged pulp from the pulp chamber as well as the roots. After that, the roots filled (usually with Gutta Percha) immediately or after few dressings of cotton embedded in medicine. The treatment process complete Pulpectomy or Root Canal therapy.
During the dressing phase, if you neglect to keep your appointments and dressings, and in such a case filling your root canal may become difficult. You must adhere to your appointment schedule especially during this phase. Your tooth is then restored with or without posts, pins etc., as per the discretion of your dentist. Subsequent to this treatment, sometimes you may again get pain and in such cases your tooth may require repeating of the Complete Pulpectomy procedure or surgically the infection would have to be removed usually by removing the tip of your tooth roots.
Surgical treatment can be performed with or without removal of your tooth. The pulp therapy treatment has a success rate of about 90% and in rare cases your tooth may have to be removed.
Patient Maintenance after Root canal Treatment in One Day
In order to keep the restorations looking their best, you must get a professional cleaning twice a year. The reason for such frequent cleanings are to remove food stains that accumulate in microscopic spaces on the surfaces of the teeth. You should follow all the instructions given meticulously and inform the attending dental surgeon for any uneventful happening during your next visit. This will enable the dental surgeon to guide you and also take suitable remedial measures promptly.
Your experience will depend on many factors, only some of which you and your dentists can control. Certain factors like bruxism and or clenching of teeth can play a major role in the life of your restoration and also implant. Use of polymers would enhance the life of bone, natural teeth, implants beneath your restoration and also when compared with ceramic or zirconia. Your following the instructions and proper follow up visits would also enhance the success and life of your implant and the restorations.
Dr. Arun Chamria (Dental Surgeon)
Information on Gum Surgery: For cases where not only the tooth but the gums also have become unhealthy, then gum surgery warranted. The gum surgery includes removal of infection, gum grafting and periodontal reconstruc- tion using bone grafts. In cases of gum surgery, the final prosthesis delayed by a few weeks to allow for the new gums to heal well.
The bridges/prosthesis placed with specialized materials like glass cements. In addition, the occlusion adjusted for a balanced bite . Esthetic adjustments done. Medications such as antibiotics , pain killers , corticosteroids, antiseptic gargle and mouth wash prescribed. After that, patient recalled after 1 week for follow up for adjusting final occlusion and esthetic corrections.
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Root canal treatment in just one day in royal dental clinic. Nice clinic.