Root Canal Treatment is the procedure by which the teeth in which the pulp that is the portion of teeth available with all the nerve supplies get infected. Root Canal Treatment involves the procedure by which all the pulp got excavated and then filling of pulpal canals is being done with some biocompatible material.
Root Canal Treatment is only decided with the help of some diagnostic procedures and these include both the clinical and radiographic examination. After properly visualizing the radiographs the decision is made whether the Root Canal Treatment is required or not as the specialist can recognise the radiolucency properly which shows the spread of infection to the particular part of teeth and the Root Canal Treatment required only is case when the bacteria has find the vicinity up to the pulp chamber.
In clinical diagnosis of the determination of requirement of Root Canal Treatment the particular tooth is checked for the pain, tenderness and this is checked by the specialist by doing slight percussion with the back side of mouth mirror. Also the sensitivity to hot and cold is one of the determinants of Root Canal Treatment.
Main determinant of required Root Canal Treatment is done with the help of Radiographs. The main radiographs that are helpful are the periapical radiographs that can also tell the condition of periapical area along with the condition of pulp as in cases where all the pulp got infected the bacteria found its way to the periapical region and because of the body defence system the bacterial fighting cell comes to the sight and the result is pus formation which also requires the Root Canal Treatment.
Immediate Treatment done after diagnosis
In case the person is having pus but the symptoms of pain and swelling are absent then the first priority is given towards the medication before Root Canal Treatment and the medication includes the medicines targeting both infection and pain but if there is swelling and also the pus accumulation that causes the patient a great discomfort then the first step of Root Canal Treatment i.e. Access Opening is performed after anaesthetising the tooth. The tooth is anaesthetise either with the help of local block or giving some infiltration to the local area.
After being done with the Access opening in performing Root Canal Treatment, the nickel titanium files are taken up to the end of canals of the tooth so as the pus finds the way to escape out and the tooth is kept opened for 1-2 days and after that this requires irrigation so as to get the debris out of tooth and this is done unless the pus ends.
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