Endodontics (Root Canal Treatment)

Root canal treatment is a dental procedure that replaces a tooth’s damaged or infected pulp with a filling. The pulp is the tooth’s lifeline – its vessels, tissue fibres and nerves in the central hollow of the tooth keep it alive. The procedure to replace this damaged or infected pulp is also known as endodontic treatment.

Success rates for endodontic treatment are generally good. About 90 to 95 per cent of people who undergo root canal treatment can expect a functional tooth after the treatment. The treated tooth should last a very long time, provided that you maintain good oral hygiene and generally look after your teeth. Of course, no therapy or replacement will last as well as a healthy tooth.

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Root canal procedure

  • You may need more than one visit to complete the treatment, depending on the difficulty of the procedure. The exact procedure chosen by your dentist may differ from the procedure outlined here. Ask your dentist for further information. 

    Root canal treatment has four main aims:

    • injections – anesthetic solutions are injected to the affected tooth, so no pain should be experienced.
    • removing active decay and infection – any old or leaky fillings, tooth decay, infected nerve tissue, pus and debris are removed
    • shaping the canals – in order to be filled well, the canals within the tooth root need to be shaped into smooth, hollow tunnels that are free of irregularities where residual bacteria may sit. This shaping process involves small instruments, special disinfectants and medication. It may take a few weeks to months for these solutions to take maximum effect against stubborn bacteria within the tooth, and this step may have to be repeated several times
    • filling the canals – to prevent bacteria from re-infecting the empty canals in your tooth, they are permanently sealed with a long-lasting barrier material
    • making the tooth functional again – to make sure no bacteria from the oral environment can leak back into the tooth, a large, well-sealed restoration is put on the tooth (such as a crown). Teeth that require root canal treatment have sometimes lost considerable tooth structure due to previous decay or cracks, and may require further protection in the form of porcelain, gold alloy crowns or other similar materials.

    After root canal treatment you may experience some pain and sensitivity during chewing. You may use some antiinflamatuar or analgesic drugs.

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