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Sometimes, it is difficult to decide whether you want to remove an injured or severely worn tooth or restore that. Injury to tooth can be so severe that crown (upper part of a tooth) has the high level of break. Also, when a tooth is endodontically (interior structure of a tooth) in a bad situation, the pulp can be infected or damaged. Pulp is the vital part of teeth made up of living tissues. This pulp damage needs endodontic treatment to restore the health of the tooth. Root canal treatment is the dental procedure to solve the pulp necrosis or infection and problems in the canal space of the pulp.
Steps of root canal treatment
In children with immature root growth or open apex teeth, additional procedures like apexification is necessary before root canal treatment. Children’s teeth can survive with infected or necrotic pulps by closing open apices in the root. Steps of root canal treatment include:
Preparation steps of root canal treatment include: the removal of tooth tissue to get to the endodontic structure of tooth and the removal of dead structure of the pulp.
The canals are cleaned from any abscess, infection. Then comes the application of anti-bacterial or medications like antibiotic. The shaping and cleaning of the root canals is necessary for filling materials.
3- Permanent filling
Filling materials should have anti-bacterial and biocompatibility features because of their contact with living tissues in the root canal. Also, root obturation (the capability of the filling materials to tightly fill the empty spaces) is important in sealing the root canal. Therefore, dentists use successful root canal filling materials in the dentistry like gutta-percha and zinc oxide-eugenol-based sealing cements.
Restoration after root canal
Depending on the severity of the dental injury or dental caries, restoration methods vary. For example, dental amalgam or composite resin are restorative options for moderate endodontically diseased teeth.
On the other hand, teeth that have little remaining structure may need post and core system, which needs post placement in the root canal. This restorative technique is great for the core material retention. This kind of dental restoration is great in terms of balancing the force of pressures on the teeth.