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can someone tell me specifically what a root canal is? what happens during one and how much does an average one cost?

2007-01-26 10:54:54 · 5 answers · asked by hilariouslol 1 in Health Dental

5 answers

This is not my own written work, I found this on the web for you:
Root canal treatment


Sometimes a tooth is considered so threatened (because of internal cracking, etc.) that future infection is considered likely or inevitable, and a pulpectomy is advisable to prevent it. But usually some inflammation and/or infection is already present, within or below the tooth. To cure the infection and save the tooth, it is necessary for the dentist to drill into the pulp chamber, and remove the infected pulp by scraping it out of the root canals. Once that is done, the dentist fills the cavity with an inert material and seals up the opening. This procedure is known as root canal therapy. If enough of the tooth has been damaged, or removed as a result of the treatment, a crown may be required.

The standard filling material is Gutta-percha, a thermoplastic polymer of isoprene, which is melted and injected to fill the root canal passages. Barium is added to the isoprene so the material will be opaque to X-rays, allowing verification afterwards that the passages have been properly completely filled in, without voids.


Lower right first molar (center) after root canal therapy and crown: right-most two nerves have incomplete root canal and may need further therapy.For patients, root canal therapy is one of the most feared procedures in all of dentistry; dental professionals assert that modern root canal treatment is relatively painless because the pain can be controlled. Lidocaine is a commonly used local anesthetic. Pain control medication may be used either before or after treatment. However, in some cases it may be very difficult to achieve pain control before performing a root canal. For example, if a patient has an abscessed tooth, with a swollen area or "fluid-filled gum blister" next to the tooth, the pus in the abscess may contain acids that inactivate any anesthetic injected around the tooth. In this case, it is best for the dentist to drain the abscess by cutting it to let the pus drain out. Releasing the pus releases pressure built up around the tooth; this pressure causes much pain. The dentist then prescribes a week of antibiotics such as penicillin, which will reduce the infection and pus, making it easier to anesthetize the tooth when the patient returns one week later. The dentist could also open up the tooth and let the pus drain through the tooth, and could leave the tooth open for a few days to help relieve pressure. At this first visit, the dentist must ensure that the patient is not biting into the tooth, which could also trigger pain. Sometimes the dentist performs preliminary treatment of the tooth by removing all of the infected pulp of the tooth and applying a dressing and temporary filling to the tooth. This is called a "pulpectomy". The dentist may also remove just the coronal portion of the dental pulp, which contains 90% of the nerve tissue, and leave intact the pulp in the canals. This procedure, called a "pulpotomy", tends to essentially eliminate all the pain. A "pulpotomy" may be a relatively definitive treatment for infected primary teeth. The pulpectomy and pulpotomy procedures eliminate most all pain until the follow-up visit for finishing the root canal. But if the pain returns, it means any of three things: the patient is biting into the tooth, there is still a significant amount of sensitive nerve material left in the tooth, or there is still more pus building up inside and around the infected tooth. All of these cause pain.


Lower right first molar (center) after root canal therapy, this time complete and without crownAfter removing as much of the internal pulp as possible, the root canals can be temporarily filled with calcium hydroxide paste. This strong alkaline base is left in for a week or more to disinfect and reduce inflammation in surrounding tissue [1]. Ibuprofen taken orally is commonly used before and/or after these procedures to reduce inflammation.

After receiving a root canal, the tooth should be protected with a crown that covers the cusps of the tooth. Otherwise, over the years the tooth will almost certainly fracture, since root canals remove tooth structure from the tooth and undermine the tooth's structural integrity. Also, root canal teeth tend to be more brittle than teeth not treated with a root canal. This is commonly due to the fact that the blood supply to the tooth, which nourishes and hydrates the tooth structure, is removed during the root canal procedure, leaving the tooth without a source of moisture replenishment. Placement of a crown or cusp-protecting cast gold covering is recommended also because these have the best ability to seal the root canaled tooth. If the tooth is not perfectly sealed, the root canal may leak, causing eventual failure of the root canal. Also, many people believe once a tooth has had a root canal it cannot get decay. This is not true. A tooth with a root canal still has the ability to decay, and without proper home care and an adequate fluoride source the tooth structure can become severely decayed – without the patient's knowledge since the nerve has been removed, leaving the tooth without any pain perception. Therefore it is very important to have regular X-rays taken of the root canal to ensure that the tooth is not having any problems that the patient would not be aware of.

The procedure is often complicated, depending on circumstances, and may involve multiple visits over a period of weeks. The cost is high, by local standards. In the United States, it would typically cost US$400-1,000—though exceeded by the even more expensive related crown procedure, typically around US$500-1,500 with usually only 50% being covered by the dental insurer (DMO or DPO). In India, the root canal procedure would typically cost INR 1,500, when performed by an endodontist — and the crown procedure, for a ceramic crown, would cost around INR 2,000

2007-01-26 11:01:04 · answer #1 · answered by Anonymous · 0 2

A root canal is like removing a wick from a candle. A small hole is drilled to open the tooth and then the nerve tissue is cleaned out of the tooth. The dentist will clean and shape all the canals in the tooth.Once that is done he will then fill the tooth with a rubber type material called gutta percha and a tempory filling is then placed.

2007-01-26 13:22:14 · answer #2 · answered by sissy 5 · 0 0

Root canals can be anywhere between 8 and 1200 Dollars. The first part of it is the worse. The dentist basically gets into the bad tooth drills all of the junk out of it and you have a dead hollow tooth. He then puts a temporary fill and cap on it and then he makes a cap for you and you go back when the cap is finished and they put the permanent posts in and a permanent cap. Before the procedure, they mold the tooth so that they can make a cap for it.

It's not as bad as people say, but if you don't have insurance, the bill is going to be worse than the procedure.

2007-01-26 11:02:18 · answer #3 · answered by HappyCat 7 · 0 1

I think you also need read here: http://dent.info.md/?p=35
About "main misconceptions surrounding Root Canal treatment"

2007-01-26 12:41:21 · answer #4 · answered by Ales Normales 2 · 0 0

https://www.youtube.com/watch?v=I_Y1O8yHXTE

2016-06-01 16:00:15 · answer #5 · answered by Anonymous · 1 0

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