ROOT CANAL TREATMENT
When a tooth has to get root canal treatment, it is often due to caries (hole) in the tooth which have become deep and reach the nerve of the tooth or by a crack (infraction) from an old filling. Typically, this is associated with symptoms of varying degrees, but most often in the form of toothache.
You have no doubt about this if you are prone to toothache, as it will annoy your everyday and night (in the form of sleep problems). However, analgesic tablets may have a fairly good effect until you get by.
Antibiotics can dampen the symptoms, but do not eliminate the cause and the inflammation will not disappear.
A root treatment is to remove all infected tissue from the crown and root/roots of the tooth. This is done by using advanced instruments and numerous rinsing with disinfectant fluids. When the channels of the roots are fully purified to the full length of the roots, they are filled with a root filling material which closes off additional bacteria from the environment to the root of the tooth and surrounding bone.
AFTER THE TREATMENT
After a root treatment you will often be sore in the tooth and in the surrounding gums for some time. The success rate for a root treatment is about 80-90% if this is done according to the correct drilling and rinsing protocol. That is, in 10-20% of cases one will experience a persistent inflammation of the tooth, where root treatment itself is not enough and where the root of the tooth must be surgically treated.
After 6-12 months, it is recommended, especially on cheek teeth, to put a crown on the tooth, which protects it from fracture, since about 75% of root-treated teeth break within 3 years. The root-treated teeth become more brittle and porous, since both blood vessels and nerves have been removed, giving this increased fracture risk. In addition, the tooth is drilled to remove caries and tooth tissue so that the tooth’s walls become thin and vulnerable to loads.
There are some horror stories about root treatments, but in us we spend time giving good and sufficient anesthesia to the tooth so that we make sure the treatment becomes painless. It provides peace of mind for both patient and dentist.