Around 1.5 crore people undergo root canals in the western world, it is estimated that in India this number would be way higher. As a nation the amount of time & effort which a multiple sitting root canal therapy would take would amount to huge costs when compared with single sitting root canal therapies. These could be due to various reasons, to name a few:
Broken Tooth: Having a broken tooth is no joke. When your teeth break, you are in jeopardy of losing the tooth or spreading an infection to other teeth. There are many ways someone can break a tooth, when playing sports, slipping, falling, or eating really hard foods, to name a few. The pain from a damaged or broken tooth can be excruciating if not treated quickly and effectively.
Dental Pain: A toothache or Dental Pain is caused when the nerve in the root of a tooth or surrounding a tooth is irritated. Dental infection, decay, injury, or loss of a tooth are the most common causes of dental pain. Pain may also occur after an extraction.
Dental Cavity: A Teeth Cavity, also called tooth decay, is a hole that forms in your tooth. Cavities start small and gradually become bigger when they’re left untreated. Because many cavities don’t cause pain in the beginning, it can be hard to realize that a problem exists. Regular dental appointments can detect tooth decay or Teeth Cavity early.
If you have pain or swelling or infection of pulp due to a cavity /decay, which is near the pulp of your teeth or involving your tooth or following deep filling; you may need:
- Indirect Pulp Capping: This pulp treatment is instituted 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. The usual material used for this purpose is calcium hydroxide, which not only soothes the pulp but also plays an important role in re-mineralization near the affected area. Thereafter, the tooth is filled by teeth color resin or any other filling material which your dentist may decide for you. Subsequent to this treatment, sometimes the pulp may get irritated or inflamed in such cases you may have severe pain. You may then require the Pulp therapy treat- ment involving the pulp.
- Direct Pulp capping: This pulp treatment is instituted when the decay is very near the pulp but just not reached the pulp. Further, the pulp remains intact, but is exposed after the decay is completely removed by your dentist. The usual material used for this pur- pose is calcium hydroxide, which not only soothes the pulp but also plays important in re-mineralization near the affected area. Thereafter, the tooth is filled by tooth colored resin or any other filling material which your dentist may decide for you. Subsequent to this treatment, sometimes the pulp may get irritated or inflamed and in such cases, you may have severe pain, you may then require the pulp therapy treatment involving the pulp.
- Partial Pulpectomy /pulpotomy: The pulp therapy treatment is instituted when the decay has reached the pulp. Further, the pulp is partially intact and partially damaged. 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. If the damaged pulp alone is removed time treatment is called partial pulpectomy or pulpotomy. The pulp is than mummified with cotton dressing containing medicine. The cotton is removed on a later visit and the tooth is restored with or without use of pins etc. as per the discretion of your dentist. During the dressing phase. If you neglect to keep your appointment, you may need more appointments and dressings in such case com- plete pulpectomy may be required. You must adhere to your appointment, some- times the intact pulp may get irritated, inflamed, and in such cases, you may have severe pain, you may
- Complete Pulpectomy/RCT: This pulp therapy treatment is instituted when the decay has reached the pulp. Further, the pulp is partially or completely damaged. Your den- tist here removes the entire damaged pulp from the pulp from the pulp chamber as well as the roots. The roots are then filled (usually with Gutta Percha) immediately or after a few dressings of cotton embedded in medicine. The treatment is called com- plete Pulpectomy or Root Canal therapy. During the dressing phase if you neglect to keep your appointments and dressings and in such 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 Pulpec- tomy procedure or surgically the infection would have to be removed usually by removing the tip of your tooth roots. This surgical treatment can be performed with or without removal of your tooth as per discretion of your dentist. The Pulp therapy treatment has a success rate of about 90% and in rare casesyour tooth may have to be removed.