IS ROOT CANAL TREATMENT APPLIED ON AN INFECTED TOOTH OR IN THE CASE OF A SEVERE ACHE?
When there is a severe (similar to heart beat) toothache, the dental pulp should be removed immediately. The reason is that there is increased blood flow to the tooth in a lateral position and the substance, causing the ache, is produced in higher amounts at nights. In this case, emergency endodontic treatment is needed. Anti-inflammatory drugs are generally insufficient. The use of anti-biotics on its own is wrong. Anti-biotics do not stop the pain. The tooth needs to be cleaned to decrease the pressure. When regarded necessary, the treatment is reinforced with anti-biotics.
When there is a tooth abscess related to decay, emergency endodontic treatment should be applied when there is adequate opening of the mouth. Inside of the tooth should be cleaned, and the infected parts should be removed. The rule, “Infected tooth should not be interfered,” is only applicable to tooth extraction. Mechanical cleaning is necessary for a tooth abscess to heal, resulting from decay, and the treatment is reinforced with anti-biotics when regarded necessary.
HOW IS ENDODONTIC TREATMENT PERFORMED?
In endodontic treatment, the infected pulp and the decayed tissue are removed. The resulting gap is cleaned using anti-bacterial and antiseptic agents, followed by the filling of the tooth. The procedure generally takes a single session. The number of sessions might increase depending on the status of the infection.
The teeth, on which the endodontic treatment is performed, are not dead teeth; only the pulp tissue is removed. There is not much of a difference from other teeth in appearance. As there is a lot of tissue loss in teeth which require endodontic treatment, they need to be supported with prosthetic restorations.
IS THERE ANY PAIN DURING OR AFTER THE TREATMENT?
During the treatment, the patient does not feel any pain thanks to anesthesia. However, it is normal to feel pain up to a few days or a week after the treatment (decreasing over time). The post-treatment process is supported with anti-inflammatory drugs when regarded necessary. In some cases, antibiotics treatment is required between or after operations.
WHAT IS RETREATMENT (RENEWAL OF THE ROOT CANAL)?
When old root canal treatments are not sufficient, or an infection or abscess occurs in the bone on the root of the tooth, the retreatment procedure is performed. After the old filling is removed, the tooth is cleaned with antiseptic and anti-bacterial solutions. The treatment is supported with anti-biotics when regarded necessary. The functional period of the tooth is extended via the retreatment procedure.
ENDODONTIC TREATMENT IN THE PRESENCE OF A CYST OR GRANULAMA
When the tooth becomes necrosis, that is the pulp turns into dead tissue, a chronic infection can occur in the bone surrounding the tooth. When it is not intervened, this infection might turn into lesions that look like a granuloma or cyst. These cyst-like lesions can be receded, shrunk and healed with root canal treatment. After the treatment, the course of the lesion is checked once every three months. When regarded necessary, these lesions are surgically removed. Before (or during) the surgical procedure, endodontic treatment must be applied.
INTRACORONAL (WALKING) BLEACHING
After endodontic treatment, coloring might be experienced on the teeth based on the filling materials used in the procedure. In this case, intra-coronal bleaching treatment is applied. Before the application of this treatment, it is necessary to ensure that the older root canal treatment is not insufficient or that the tooth or the bone on the root of the tooth is not infected. In cases where root canal treatment is the ideal solution, the filling in the tooth is removed. Following that, the bleaching agent is applied on the root canal filling, and the tooth is left to wait for some time (for a few days) based on the intensity of the coloring. When decolorization (bleaching) is done, fixed restoration is performed on the tooth.