Endodontics is the main branch of medicine where root canal treatments are performed. Today, root canal treatment is performed in one session if your tooth is alive, and usually in two sessions if they're dead.
About Dental Anatomy
The part of the tooth that is visible in the mouth is called a crown and the part that isn't seen in the mouth is called root. Our teeth consist of several layers. The outside of the crown, that is the part seen in our mouth is called enamel. The cement layer covers the root part of the tooth which is under the gum and is surrounded by bone. There is also a dentine layer beneath the enamel and cementum layers. Dentin is characterized by the largest layer of the tooth and, unlike the enamel layer, contains nerve endings. With this feature, it plays a role in the mechanism of pain.
There is a dental pulp beneath the dentin layer. This part of the teeth of the veins and nerves are found. The Pulp plays an important role during the development and maintenance of the tooth. It also transmits the pain mechanism and the problems faced by our teeth after the tooth is applied
How İs The Pulp İnfected?
Every person has bacteria in the oral cavity. Bacteria combine with many of the foods that we take, and they create acids in our mouths. If we cannot remove these acids from our mouths, these substances will damage the enamel and cause the formation of caries in the enamel layer. If the caries formed in the enamel are not treated, they pass to the dentine layer under the enamel layer. Although the dentin layer stimulates us through pain, if the caries formed are not treated again, the microorganisms move to the pulp. The pulp then engages in various ways to protect itself. One of these ways is to stimulate us through pain, but if we do not treat our teeth again, after a while, the microorganisms will destroy the vessels and nerves in the pulp and cause inflammation.
Another way to develop inflammation in the pulp is trauma Pulpa .A blow to the tooth may cause the rupture of the vessels and nerves entering the root of the tooth from the root tip, thus causing the tooth to lose its vitality. Addition of microorganisms by any means leads to inflammation of the pulp. Another way of pulp infection is to have long-term periodontal disease around the tooth.
How to tell if a tooth is infected?
Toothache and sensed tooth sensitivity that occur during consumption of cold and hot food can herald an onset of inflammation. Excessive color changes in the teeth may be included in these symptoms of inflammation. In addition, in untreated teeth where caries reach the pulp, infection rises from the root tip to the jawbone and can cause small, large swollen face. In this case, antibiotic use can be applied as well as combating infection, dentist procedures. The general belief is that the swelling of the face should be removed after swelling, but this is a very old idea. At this point, even teeth causing infections can be kept in the mouth by channel treatment and this tooth can serve you for years like healthy teeth.
What are the Root Canal Treatment processes?
1. To determine the problematic tooth by taking radiography.
2. If the tooth is alive, under local anesthesia, the sensitivity of the teeth and surrounding tissues will be eliminated.
3. To remove the caries in the enamel and dentin layers of the tooth, to form the cavity to reach the pulp.
4. Determination of working length using electronic devices and confirmation by radiography.
5. Destruction and removal of infected dentin layers and microorganisms within the root canal using rotary instrument systems.
6. Destruction of microorganisms with various root canal disinfectants when using rotary instrument systems in root canals.
7. When starting the root canal treatment, if the tooth is not alive, wait a certain period of time with a root canal antiseptic to be placed in the root canal and fill the root blood in the next meeting.
Today, the success rate of canal therapies applied to the right treatment method reaches 90%.
After root canal treatment, the tooth is cut off from the relationship with the surrounding tissues, so that the infection does not occur again and the tooth is repaired if there is any damage to the surrounding tissues.