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                                    Root canal treatment

In the current situation. We have to work against the clock. Sometimes you’re so busy that you forget that you’ve made an appointment with your doctor for fillings, or are so busy that you don’t have time to visit the dentist for fillings. and then let the caries continue to spread until the tooth decays until it penetrates the tooth nerve cavity Inflammation and abscess or sac at the tip of the tooth root suffering from pain It is also a source of spreading germs.

Constantly undermining the health of the body. This tooth will begin to show symptoms with tooth sensitivity and toothache. When it comes to filling the teeth, it can’t be done. Because tooth decay has spread to the tooth nerve cavity, it has to be treated by root canal instead, which will be more painful, harder to treat, of course, the cost will also cost more.

Sometimes if you lose a lot of dentin After the root canal treatment is completed, there will be another cost to make a crown. So if it’s good If you know that you have cavities, you should hurry up and fill your teeth…..Wait, I won’t warn you.

 Although a dentist can help But the treatment method is quite complicated and complicated. It only requires more time and cost. In particular, molar endodontic treatment, which has 3-4 roots, therefore, in order to achieve the desired results, Therefore, it is necessary to waste time visiting the dentist several times for root canal treatment.

 

รักษารากฟัน ฮีโร่ตัวจริงชุบชิวิตฟัน ไม่ต้องถอนฟันออก

What is root canal treatment?

Root canal treatment is Excision of the infected tooth nerve cavities or a small tissue in the center of a dead tooth which when the nerve cavity is damaged, inflamed or dead, is cut off The rest of the area will be cleaned. By using an enlarging tool to make the root canals wider and cleaner, root canals can be used to clean the root canals.

And disinfectant can be placed in the root canal, can be shaped, and when the germs in the root canal have been eliminated, the root canal will be filled to prevent germs from returning to the root canal again. This process will cover the root of the tooth. That tooth will continue to be usable. don’t have to withdraw.

Causes of tooth nerve damage or death

Deep decayed teeth to the dental nerve cavity.

Until the tooth nerve becomes inflamed If more invasive, it will cause the tissue in the teeth to die. and cause infection in the root canal which causes pain. These symptoms can be treated with root canal treatment.

Broken tooth from accident or misuse of teeth Tooth injury, such as a hard blow to the tooth Whether recently or in the past When the tooth nerve is infected or dead If we leave it untreated There is a formation at the tip of the tooth root in the jawbone. can form an abscess and can destroy the surrounding bone teeth causing pain.

Severe bruxism

Have a rather violent chewing behavior clenching teeth or use harsh teeth This is a disturbance in the dental nerve cavity. As a result, teeth are cracked until germs can infiltrate the tooth nerve.

Have gum disease

Spread to the tip of the tooth root causing germs to enter the dental nerve cavity causing symptoms similar to tooth decay through the tooth nerve

ฟันผุทะลุโพรงประสาทฟัน ต้องรักษารากฟัน

Tooth decay spreads until it penetrates the tooth nerve cavity.

ฟันแตก ทะลุโพรงประสาทฟัน ต้องรักษารากฟัน

Accidental teeth broken until it penetrates the nerve cavity

ฟันสึก ทะลุโพรงประสาทฟัน ต้องรักษารากฟัน

The tooth is so worn that it penetrates the tooth nerve cavity.

โรคเหงือก ติดเชื้อที่ปลายรากฟัน ต้องรักษารากฟัน ร่วมกับการรักษาโรคเหงือก

Gum disease is an infection at the tip of the tooth root. need root canal treatment together with gum disease treatment

When to have root canal treatment

  • Tooth decay that is so deep that it penetrates the tooth cavity.
  • Broken teeth or broken through the tooth cavity
  • Broken or broken teeth that do not penetrate through the tooth cavity But the remaining dentin cannot be restored.
  • There is pus at the end of the root. but no pain at all.
  • A tooth that has been severely affected by an accident causes inflammation. or death of tissue in the tooth cavity.

  • It is a gum disease that has spread to the tip of the tooth root. The teeth can be infected from the tip of the tooth root.
  • Shadow at the tip of the tooth root Even though that tooth had no symptoms at all For some people on X-ray images, it can be seen that There is a dark shadow at the end of the root in spite of The teeth have no symptoms at all. Often, we tend to find that If the dentist fills one tooth and will examine the tooth decay

Symptoms indicating the need for root canal treatment.

  • Pain when chewing or biting food feeling loose or rocking teeth
  • Toothache when drinking hot or cold beverages
  • Toothache comes up on its own May have intermittent pain or severe pain until insomnia
  • Purulent discharge from an infected tooth or there are pustules on the gums, similar to acne heads
  • The color of the teeth is darker, sometimes there are no symptoms at all. need root canal treatment
  • Swollen gums, pustules or swelling on the face

Pros and cons of root canal treatment

strength

  • Heal from pain without having to extract teeth
  • The teeth can be used to chew food as usual.
  • Has retained the structure of the permanent teeth, which is a natural tooth Instead of losing your teeth completely and replacing them with dentures

weakness

  • Root canal treatment is a complex and time consuming task.
  • The cost of treatment is higher than tooth extraction.
  • Once endodontic treatment is complete, abutments are inserted and crowns are made, resulting in additional costs incurred in addition to endodontic costs.
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How many types of root canal treatment are there?

Root canal treatment is divide into two methods.

1. Treatment with normal methods

2.Treatment with root canal surgery (if method 1 doesn’t work)

1. Root canal treatment with normal methods

Measure the length of the root canal by taking X-rays and then use a small file to treat the root canal. and clean the inside of the root canal to remove problem tissue and bacteria. The tooth is not permanently fill until sterile removal in the nerve cavity and root canal after ensuring that the inside of the tooth is sterile. Then the root canal filling material (Gutta percha) will  use to fill the root canal.

2. Root canal treatment by root canal surgery

This method  use when the first method fails which will be surgery into the position of the root of the tooth that is Pus, partially cut off the tip of the root of the tooth. After filling the material into The tip of the tooth root that has clean This material is neither toxic to tissues nor causes tissue damage around the tip of the tooth root.

Root canal treatment procedure

In general, endodontic treatment takes approximately 1-2 sessions (depending on the underlying infection), with intervals of approximately 1-2 weeks after each endodontic visit. Root canal treatment procedures are as follows:

  1. Before starting root canal treatment  The dentist will take X-ray pictures of the teeth to be treated. To clearly visualize the damaged area of ​​the tooth root Also consider whether there is an infection around the bone in the area.
  2. Injecting local anesthesia If necessary to make the area feel insensitive And there is no pain or irritation during root canal treatment.
  3. Put a rubber stopper   Placed around the tooth to maintain root canal to keep the area clean and also to prevent accidents that may be caused by the material or root canal rinse solution flowing down the throat.
  4. Drill the teeth in the upper part of the teeth to eliminate cavities. 

    And opening the entrance to the tooth nerve, opening the entrance to the tooth nerve and root

  5. Eliminate the inflamed tooth nerve  or infected by using a small tool
  6. Wash, clean and use tools to widen the dental cavity.  So that it can easily fill in this gap. Each tooth has a different number of roots, which can range from 1-4 roots. The more roots, the more complex it is.
  7. The presence of pus at the tip of the tooth root  Sometimes it may take several times to clean. and change the medicine in the root canal and temporarily blocked the material This is to prevent re-infection until the inflammation has healed.
  8. Root canal filling  

    WHen the root canal is clean. The dentist will fill the tooth with a material called gutta-percha, which is added to the root canal to keep the cavities closed and prevent re-infection.

  9. Restoration of teeth  May be done in many ways such as fillings Insertion of abutments, crowns, depending on the condition of the remaining dentin But most often, crowns are required to prevent fractures of the teeth. Crowns are used to prevent future fractures and restore the teeth to function normally. Because dead teeth are more brittle and crispy than usual.

Piercing a tooth with an infection in the cervical canal Prepare for the next step.

อุดคลองรากฟัน ด้วยวัสดุคล้ายยาง

The root canal has been filled. If there are no symptoms, prepare for dentures.

ขยายและทำความสะอาดคลองรากฟัน

Eliminate germs and expand root canals. to eliminate infection and shape

ใส่เดือยฟันหลังรักษารากฟันเสร็จเพื่อใส่ครอบฟันต่อไป

Add the dowels to strengthen them in preparation for the crown insertion.

อุดคลองรากฟัน หลังจากกำจัดเชื้อในคลองรากฟันหมดแล้ว

Injecting root canal filling material rubber-like appearance to fill the root canal

Wearing a crown, this tooth can be used for further use. don’t have to withdraw.

What are the side effects after root canal treatment ?

The following instructions should  follow. To provide effective and long-lasting root canal treatment

  1.  After new root canal treatment In the beginning, the pain is often dull, especially at first. It may hurt a little for the first few days and will gradually fade away on its own. It can  relieve with general pain relievers and disappears in a few days. If symptoms are severe or painful for longer, immediately inform the treating dentist.
  2. After the treatment should stop eating until the numbness of the mouth is gone. This is to prevent accidentally biting your tongue or bulging your cheeks.
  3. Care should be taken when handling root canal teeth. This is because the amount of dentin is less and the teeth become more brittle. to reduce the chances of tooth cracking during unfinish treatment
  4. Chewing food on only one side It’s an improper way of behaving.

  5. During endodontic treatment, if temporary fillings come off, the patient must return immediately. See a dentist as oral germs can enter the root canal.
  6. Can  keep clean by brushing and flossing normally. Keeping oral health and teeth clean always.
  7. Root canal treatment is an ongoing task. according to the appropriate time if the patient neglects to show up on the appointment date That tooth may need to  extract.
  8. Leaving a diseased tooth for a long time also allows germs to destroy the bone around the tooth, causing painful chewing or pustules in the mouth. or around the face In the event that a large amount of the supporting bone is destroy, the tooth cannot be preserve.
  9. Should follow a doctor’s appointment to reduce the risk of tooth extraction in the future if neglect.

Causes of pain after treatment

It can be divided into 2 cases:

  1. Pain during treatment
  2. Painful after treatment has finished

Pain during treatment

Especially after the first treatment, it occurs frequently and may be accompanied by swelling of the gums. It most often occurs with endodontic treatment in pained teeth. Or starting to have pain (Acute pulpitis) already or is starting to have inflammation.

but rarely occurs in teeth that have died (pulp necrosis) or teeth with pus (periapical abscess) or teeth that have just penetrated the nerve mostly pain

  • Caused by not getting rid of the tooth nerve in the nerve cavity
  • The pressure to cause the cleaned dirt to push into the root tip area. while expanding and cleaning root canals
  • Open the hollow that has  fill in before. to help better drainage But it will make the treatment take longer. Because leaving the pollen open can cause contamination of saliva germs.
  • Insert the pill and close the cavity next time.

Pain after treatment

If not a lot of pain which is cause by the root canal is not clean and filling the canal, the root canal is not complete or the tooth break. Treatment may require dismantling and re-treatment.

The dentist will clean Root canal enlargement or nerve elimination. which will relieve pain If there is swelling May need to open the drainage and give antibiotics as well.

Could  cause by many reasons? For example, the root canal is not clean and has been fill. Incomplete root canal expansion or broken teeth Treatment may require dismantling and re-treatment. or surgery on the tip of the tooth root, or if it cannot be treat The tooth may eventually have to  extract.

However, endodontic treatment is a complex treatment especially in molar teeth with 3-4 root canals, making it difficult to treat. All require the cooperation of the patient to come to the appointment. and expert dentists with careful attention to detail

Frequently asked questions about root canal treatment

รักษารากฟันเจ็บไหม

There may be pain or sensitive teeth for about 2-5 days after treatment Take painkillers to relieve the pain and the pain will go away gradually. respite until it disappears on its own

In some cases, the root canal treatment still hurts. It may  cause by that the infection is not completely eradicate the first time, or
Increased decay or subsequent fracture of the tooth causing re-infection back into the root canal

Root canal treatment price

 

รักษารากฟัน ราคา

Cost of root canal treatment depending on the difficulty and complexity such as

  • Characteristics of the shape of the root canal, if it is narrow or block, or the more it curves, the higher the price, and there is also a chance to lose it easily.
  • Number of root canals The front teeth have a single root. Treatment costs are cheaper than molar teeth. with the number of root canals 3-4 roots
  • Can contact for free consultation at the link below

    LINE  SRIRACHA

    TEL  SRIRACHA

    LINE  PATTAYA

    TEL  PATTAYA

Root canal treatment

รักษารากฟันหน้า

Root canal treatment It is something that should be greatly preserve due to its high success rate, easy to do, and cheap price. Face holes will not look old.

Root canal treatment side effects

รักษารากฟัน อาการข้างเคียง

Patients may have pain or sensitivity of the treated teeth, which will last for about 2-5 days. After treatment, the patient can take painkillers to relieve this pain and the pain will gradually fade. respite until it disappears on its own

Root canal treatment or removal

รักษารากฟันหรือถอนดี

Root canal treatment The teeth can be preserve for further use. Better than wearing dentures Because rooted teeth are like other teeth in the mouth, they have bone sockets that hold them firmly and strong. and feel better than wearing dentures

How many days for root canal treatment?

รักษารากฟัน กี่วันเสร็จ

The duration of RCT depends on the complexity and infection of the treated tooth. In some cases, treatment can  complet in one go. But in case the root canal is complicate  or have a severe root canal infection It is necessary to take 2-4 treatments after endodontic treatment.

How to treat root canal yourself

วิธีรักษารากฟันด้วยตัวเอง

There is no RCT on its own. Must  treat by a dentist only

How long will a tooth undergoing root canal treatment last?

ฟันที่รับการรักษารากฟันจะอยู่ได้นานเท่าใด

Treated or restore teeth can last a lifetime if properly care for. Because cavities can still recur in the treat teeth. good oral and dental hygiene as well as regular visits to the dentist Teeth that have been treat with root canal No nerve cavity left It may be brittle and break easily, so teeth that have complete RCT. by crown to prevent fractures.

No tooth decay and pain, do I need root canal treatment?

ฟันไม่ผุแล้วปวดต้องรักษารากฟันหรือไม่

Sometimes the teeth look and do not decay. But there was severe bruxism. or have severe chewing, clenching teeth, using very severe teeth which is disturbing the dental nerve cavity The teeth will begin to crack first. and then there is the penetration of germs into the tooth nerve cavities along the cracks This may require RCT.

If that tooth is unable to promptly correct the stimulus, such as a high point of contact and a severe impact on the tooth. timely removal of these stimuli It can reduce the penetration of pathogens.

So it’s best for a dentist to diagnose? If there are any symptoms such as sensitive teeth or biting hurts. Or knock and feel itchy, that means “you should go to the dentist immediately”

If there is a dead tooth, do I need root canal treatment in every case?

ถ้าเป็นฟันตายต้องรักษารากฟันทุกกรณีหรือไม่

Dead teeth are teeth that are lifeless, asymptomatic, discolored, or may have pustules. RCT is require in all cases.

the teeth that are alive If there is a throbbing pain at night, before bedtime and the pain intensifies It is an irreversible neuropathy. Root must  treat as well.

Unfinished root canal treatment

รักษารากฟันไม่เสร็จ

Should hurry back to see the same dentist. to complete the treatment But if it’s not convenient Try to consult with a dentist near your home. Or you can come and consult with us. At Modern Smile Free Consultation..

 

 

Dentist specializing in root canal treatment

A dentist specializing in root treatment | Thor.9755 ทันตแพทย์เฉพาะทางรักษาราก | ท.9755

1) ทพ.พร้อมเทพ ตระกูลวงศ์งาม (พร้อม) 1) Dr. Promthep Trakulwongngam (Prom)

                                                                                                                                     Educational background

Bachelor of Dentistry, Chulalongkorn
University, Master Degree Clinical Dentistry Srinakharinwirot University

2) ทพ.รัฐพล จงกลรัตน์ (บอม) 2) Dr. Ratthaphon Jongkonrat (Bom)

                                                                                                                                         Education background

Bachelor of Dentistry, Prince of Songkla University
Dental Implant Mahidol University