Your Guide to Microscope-Enhanced Root Canal Treatment

Root Canal Treatment or Endodontic Therapy is a safe predictable procedure designed to save your tooth and relieve pain. An endodontist (root canal specialist) is experienced to carry out complex root canal treatment and retreatments.

The use of the Dental Operating Microscope by a micro-endodontist enables visualization inside the canal and treatment is rendered more precise and predictable with higher success rates.

When do teeth need root canal treatment?

Your teeth consist of an inner pulp tissue (ie. the specialized soft tissue containing nerves and blood vessels) encased in an outer hard covering of enamel and dentine. As shown in the image, the pulp is present in the pulp chamber and root canals.


Enamel is the outermost protective covering and is the hardest substance in the human body. Like your hair and nails, it has no nerve supply and no sensation. If this coating is damaged, due to reasons such as decay, wearing of the teeth or fracture, the inner dentine gets exposed and becomes sensitive. Dentine receives its nerve supply from the pulp. The pulp is so to speak like the heart of the tooth, bringing in both nerve (sensation) and blood supply (nutrients) to the tooth. Once the pulp is damaged and infected, there can be pain. An infected root canal can further cause an abscess in the periapical area ie. in the bone beneath the apex of the tooth as shown in the image. An infected pulp or an abscessed tooth now requires root canal treatment.


The procedure

Root Canal Treatment relieves pain by removing the infected pulp tissue and microbes from the root canal system, disinfecting, and finally filling the root canal with an inert material to prevent reinfection. Using the dental operating microscope, minimally invasive 3-dimensional cleaning of the root canal system is possible.

A root canal treated tooth requires a permanent restoration to restore it to proper form and function. The filling maybe in the form of indirect partial restorations like onlays / overlays or a full crown. At times a post may be placed in a canal for additional support to the filling.


After root canal treatment

Your root canal treated tooth may feel a little different, but with regular oral hygiene maintenance, your natural root canal treated tooth will last you a lifetime! After all, remember nothing looks feels or functions like your natural tooth -- artificial replacements are at best an expensive adjustment.

(Images and videos reproduced with permission from the American Association of Endodontists)

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