Common causes of tooth damage include cavities occurring due to plaque accumulation, cracked or broken teeth due to an accident or trauma, gum diseases, and repeated dental treatment of a particular tooth. These can cause pulp inflammation, infection, or cause irreparable damage to the pulp which can cause excruciating pain. The pain may reduce as the pulp dies but recur as the infection spreads. Removing injured pulp is the best way to preserve the structure of the tooth. Root canal is carried out by a general dentist or endodontist while the patient is under local anesthesia.

As one of the Top dental institutes in Ernakulam, We Cochin Dental Institute provides  all the information you need to know about root canal treatments including the purpose, procedure and the risks involved.

PROCEDURE

1. Anesthesia: A numbing medication is administered on the gum adjacent to the affected tooth. Once the effect has taken place, a local anesthetic will be injected into the gums.
2. Removing the pulp: After the tooth and its surrounding areas become numb, an opening is drilled through the crown or the biting surface of the tooth by the endodontist to access the pulp chamber. Once the infected part is exposed, it is carefully removed by the specialist using files. The specialist also cleans out the canals in your tooth carefully.
3. Antibiotics: Once the infected area is removed, the area is coated with antibiotics to avoid the possibility of reinfection. Once the canals are cleaned and disinfected, the dentist seals the tooth with a sealer paste and a rubber-like material called gutta-percha. They may also prescribe oral antibiotics
4. Temporary filling: The end of the procedure consists of filling the small opening in the tooth with a soft temporary material. This sealant prevents damage of the canals by saliva.

POST TREATMENT

1. Take the antibiotics prescribed by the dentist regularly.
2. Maintain good oral hygiene, with regular brushing and flossing
3. It is advised not to drink or eat anything for a couple hours after root canal treatment.
4. Avoid hard and crunchy foods for a few days after treatment.
5. If the opening in your teeth was filled with the help of temporary filling, chances are it may wear off between appointments. If the entire filling wears off, consult your dentist immediately.

ELIGIBILITY

The following people are not eligible for root canal treatment:

• People suffering from hypertension or high blood pressure
• People who take blood thinners
• People suffering from diabetes
• People suffering from autoimmune diseases
• People suffering from infections and fever
• People suffering from osteoporosis

SIDE EFFECTS

• A common side effect is a dull pain in the tooth which usually vanishes a week after the treatment. However, by any chance, if the bacteria remain after the procedure, the infection may begin again. Which is why it is advised to visit the dentist if the pain stops after a while and recurs again.
• At times there may be a crack in the tooth which may go unnoticed by the endodontist. If so, the crack leaves the area exposed for infection.
• The crown may come loose which may expose the treated tooth. If left exposed for too long, the seal may erode leaving the area exposed to bacteria and infection.
• The use of defective materials during the filling process, can cause the seal to erode which may lead to recurrence of bacterial infection.

COMPLICATIONS

As with all medical and dental procedures, there are certain risks involved in root canal surgery. Listed below are some factors that can cause root canal complications such as:

• Persistence of bacteria

The presence of bacteria within the treated tooth or at the tip of the root can cause root canal failure. This is why it is important to properly clean and sterilize the canals during treatment. You might also need a course of antibiotics to prevent risk of infection.

• Inadequate filling

Underfilled or overfilled canals have a higher chance of failure.

• Improper sealing

A final restoration that not only strengthens the tooth but also provides an adequate sealing to prevent infections through bacteria is important. Which is why the dentist assesses the treated area to make sure that the crown fits perfectly over your tooth.

• Broken instruments

Root canals are carried out with the help of fine instruments that can help the dentist clean out any bacteria and residual tissue in the canal while preparing it for sealing. Sometimes, these delicate instruments may be damaged. This can affect the success of the treatment.

• Untreated canals

Sometimes, teeth may have more canals than roots which may be difficult to find and navigate. If a canal goes unnoticed, it may cause additional complications.

RISKS

1. Color change

Dental pulp is the living part within your teeth. When this is infected, it must be removed through root canal therapy. Whilst this saves your tooth from extraction, the living part of it is taken away. Tooth pulp consists of connective tissue, blood vessels and nerves. Once the pulp is taken away, the tooth essentially dies. Due to this, some patients experience some form of discoloration in their teeth.

2. Sinus congestion

A fairly common risk with root canals is that they can cause sinus problems. This is due to the slight leak of the liquid of your jaw through the membranes in your nose. While this is not life threatening, inflammation in sinus cavities can cause congestion and headaches.

3. Reinfection

Reinfection can happen if the treatment is carried out incorrectly. Before using fillers, it is important to clean and disinfect the tooth canals. If not carried out by a specialist, these passageways can be overlooked or inaccessible. The most common risk is that of seal failure. Once treatment is over, the access hole used for the procedure must be sealed. Any cracks or gaps in the seal can increase chance of reinfection.

4. Cracked tooth

As the tooth dies during root canal procedure, the treated tooth may not be as strong as it was before and could be quite brittle. Its because the main role of the pulp was to keep the tooth nourished and moisturized. It is why crowns are recommended post root canal treatment to strengthen the outer area of the tooth again.

5. Other complications

It is possible that the surrounding nerves around the affected tooth can be disrupted after treatment. In some cases, numbness surrounds the area. Another root canal risk is allergy to anesthesia. If you have experienced an allergic reaction to anesthesia during a medical procedure, it is important to inform your dentist immediately.

COST

Typically, the cost of a root canal ranges between 2000 INR to 10,000 INR. The cost of a root canal also varies depending on the city or locality, clinic, work experience, the number of teeth, the type of crown material used etc.

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Dental implants have considerable advantages over dentures, which are removable artificial teeth.

The advantages are as follows:

• More natural and comfortable.
• Improvement in speech
• Improvement in appearance
• Improved self esteem
• Improved oral health
• Higher success rate
• Improvement in chewing function
• Have a lower risk of cavities
• Better maintenance of bone at the site of the lost tooth
• Decreased tooth sensitivity
• They need not be taken out and cleaned every night
• Durable
• Convenient

However, there is one disadvantage- dental implants are not suitable for everyone. The implanting devices and the jawbone must bond perfectly, hence, a person’s bone must be healthy before they can undergo surgery.

TYPES OF DENTAL IMPLANTS

There are two types of dental implants:

1. Endosteal implants- These are the most common types of implants. They are embedded in the jawbone and each one can hold at least one or more artificial teeth.
2. Subperiosteal implant- These are affixed to the top of the jawbone. This is an option chosen by surgeons for patients who do not have much height to their jawbone.

STEPS INVOLVED

• The first step is an individualized treatment plan which addresses a patient’s specific needs and is prepared by professionals specially trained in oral surgery and restorative dentistry.
• Root Implant is the next step. It is a small post made of titanium which is placed into the bone socket of the missing tooth. When the jawbone heals, it slowly grows around the implanted metal post, securing it in the jaw. The healing process takes around from six to twelve weeks.
• Once the implant has bonded securely to the jawbone, an abutment (a small connector post) is attached to the post to secure the new tooth tightly in place.
• The new tooth, or teeth, is made with the help of the impressions of your teeth, which then the dentist uses to create a model of your bite. The new tooth is based on this mode. The dentist then attaches the replacement tooth, or crown, to the abutment.
• The implant is created in such a way that it matches the color of your natural teeth. As the implant is tightly secured within your jawbone, it looks, feels and functions just like regular teeth.

EXCEPTIONS

Not all people are eligible for dental implants. It is not safe for surgeons to operate on patients with:

1. Acute illness
2. Uncontrollable metabolic disease
3. Bone or soft tissue disease or infection

These people can undergo surgery only if these issues are resolved.

There are some cases in which the surgeons refrain from operating on the patients with-

1. Heavy smoking habits
2. Parafunctional habits (tooth clenching or grinding)
3. Psychiatric or behavioral disorders
4. HIV
5. Diabetes
6. Osteoporosis
7. AIDS

These patients have a higher risk of facing dental implant failure.

In some situations, like the following, the surgeons may choose not to operate on the patients due to an increased risk of complications.

1. Bisphosphonate drug treatment (for bone loss diseases)
2. Chemotherapy
3. Radiation therapy for head and neck

FACTORS INFLUENCING DENTAL IMPLANTS

The experience undergone by each patient is different. The factors that may influence dental implants are as follows:

1. The number of teeth that require replacement
2. The location of the implants within the jaw
3. The quality and quantity of bone at the implant site
4. The patient’s oral and systemic health

Depending on these procedures, additional procedures such as sinus augmentation or ridge modification may be necessary.

MAINTENANCE

A person that has underwent dental implant surgery must brush and floss their teeth regularly. Artificial teeth must be maintained and cared for in the same way as natural teeth. Follow-up visits to monitor the health of your teeth and gums would be scheduled by your dental surgeons.

It is important to visit your dentist every six months for professional clean-ups.

COST

The cost of dental implants can be influenced by the following factors:

1. Number and types of implants required.
2. Location of the implants within the jaw.
3. The need for additional procedures to prepare the mouth before surgery.

A close estimate for the cost of dental implant surgery can be determined by your dentist in the initial examination. Other tooth implants, like bridges, may be less expensive, but they are harder to clean and often require replacement and repair, thereby increasing overall cost. Dental implants, though expensive are much preferred as they offer long-term benefits if taken care of properly.

In conclusion, dental implants are bone fixtures used to replace missing teeth. They have a higher success rate and long-term benefits as long as they are maintained with utmost care and perfection. A person who has undergone dental implant surgery has to visit the dentist regularly in order monitor the health of your teeth and gums.

Dental implants are known to increase a sense of self esteem and confidence. They also are more durable, convenient, natural and comfortable. In some cases, additional procedures are involved before the patient undergoes dental implant surgery. The number and the types of implants required decide the cost of the surgery.

It is important to ask the surgeon if undergoing an implant surgery is suitable for you or not.

If anyone is interested to build a career as a Dental Lab Technician, Please Visit our Website here : Cochin Dental Institute .

As one of the Top dental Institute in Ernakulam , We provides the best Dental Technician Course in Kerala.

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