ArtsAutosBooksBusinessEducationEntertainmentFamilyFashionFoodGamesGenderHealthHolidaysHomeHubPagesPersonal FinancePetsPoliticsReligionSportsTechnologyTravel

Root Canal Treatment

Updated on February 16, 2017

Root Canal Treatment Steps

What are the Root Canal Treatment Steps?

1-Removing the infected/Inflamed root canal: The pulp tissues have been invaded by bacteria which comes from the dental caries. The pulp becomes infected, inflamed and necrotic. The dentist removes the infected root canal tissues.

2-Filling the root canal: After the canal is cleaned and all the infected pulp tissues are removed it is filled with an inert filling material.

3-Rebuilding the tooth: To get access to the root canals tooth crown is drilled. Some part of tooth is also removed for dental caries. To withstand the occlusal forces, the tooth is filled with a strong material in the crown portion.

4-Extra Support: In most cases, an extra support is necessary for the tooth to withstand the mechanical occlusal forces of mastication. This is achieved with a crown placement.


Do I really need a Root Canal Treatment?

The very important question is " Do I really need a Root Canal Treatment?"

The decision to perform root canal treatment depends on the signs and symptoms of the patient. It includes presence of severe pain, swelling, tooth is tender to percussion, pus discharge, sinus/fistula formation.

The final decision is being made by your dentists, but sometimes its a better idea to do your own research.

If you can see a dental caries in your tooth with no sign or symptom and your dentist insists for a root canal treatment; you might want to have a second opinion. Sometimes the dentists are very aggressive to recommend root canal treatment over filling because of various reasons. One of them is cost. Of course the dentist makes more money if you get root canal treatment done rather a simple filling.

Root canal treatment is done when the root is infected and inflamed to a point of no return. A stage at which a filling will only further complicate the situation. To do a successful filling there needs to be a significant amount of healthy tooth structure between the pulp and the filling material.

Dentists use radiographs to assess the propagation of dental caries towards the dental pulp. You can always ask for a copy of dental Xray for second opinion.

Rotary Endodontics

Rotary Root Canal Instruments have made single visit root canal treatment incredibly easier.
Rotary Root Canal Instruments have made single visit root canal treatment incredibly easier. | Source

Is it normal to have pain after root canal?

A very important question after Root Canal Treatment is " Is it normal to have pain after root canal?"

A lot of people thinks that after getting root canal treatment done they will not experience any pain. This is incorrect. After the root canal treatment a patient does not experience sensitivity to hot and cold stimulus but will experience pain.

Patients experience most pain after the first appointment of root canal cleaning of infected pulp. Just like any other part of the body, the dental pulp was a living tissue. Once infected it is removed surgically with the help of dental files. Dentists prescribe analgesics for the pain (usually non-narcotic analgesics) which is sufficient. NSAIDs( Non steroidal anti inflammatory drugs) are the drugs of choice.

Single Visit Root Canal Treatment-Source : Dr Ali Edalat

Root Canal Treatment under Sedation

Sleep is a physiologic, Sedation is pharmacologic.

Sedation Dentistry is a current trend in dentistry specially for complicated dental procedures.

Dentistry uses pharmacologic sedation techniques to improve the quality of dental treatment due to the following reasons:

-Previous negative dental experience (often as a child)

-Phobia of Dental Drill (Sound)

-Involuntary movement of head or neck (Dyslexia)

-Failure to tolerate rubber dam (Very sensitive Gag-Reflex)

-Limited mouth opening (Trismus)

-Complicated Medical History

-Complicated Dental procedure

There are three different levels of sedation.

1-Conscious Sedation

2-Deep Sedation

3-General Anesthesia

In conscious sedation the patient is awake but calm. This can be achieved with a pill of benzodiazapenes given few hours before procedure or Nitrous Oxide gas (Laughing gas) during procedure.

In Deep Sedation, patient experiences twilight sleep. This is achieved by using IV drugs.

In General Anesthesia, patient is completely unaware of the surrounding.

Although the more sedated the patient, the more comfortable the dental treatment becomes; both for the patient and dentist. But keep in mind that Sedation Dentistry do hold its fair share of complications.

Root Canal Treatment Procedure Duration

What is the root canal treatment procedure duration?

The various steps of root canal treatment (mentioned above) can be completed in "n" number of visits.

There are two trends in dentistry.

1-Single visit root canal treatment.

2-Multi visit root canal treatment.

A multi-visit root canal treatment can be done is two visits or "n" number of visits depending on dentist availability, time, patients willingness and costs.

Current literature suggests that there is no clinical advantage of Single visit or Multi visit Root canal treatment over each other. Both types of Root Canal Treatment shows equally effective post operative results.

As mentioned before, the number of visits depends on dentist and patients preferences.

Single Visit vs Multi Visit Root Canal Treatment

Would you prefer Single Visit or Multi visit Root Canal Treatment?

See results


    0 of 8192 characters used
    Post Comment

    No comments yet.


    This website uses cookies

    As a user in the EEA, your approval is needed on a few things. To provide a better website experience, uses cookies (and other similar technologies) and may collect, process, and share personal data. Please choose which areas of our service you consent to our doing so.

    For more information on managing or withdrawing consents and how we handle data, visit our Privacy Policy at:

    Show Details
    HubPages Device IDThis is used to identify particular browsers or devices when the access the service, and is used for security reasons.
    LoginThis is necessary to sign in to the HubPages Service.
    Google RecaptchaThis is used to prevent bots and spam. (Privacy Policy)
    AkismetThis is used to detect comment spam. (Privacy Policy)
    HubPages Google AnalyticsThis is used to provide data on traffic to our website, all personally identifyable data is anonymized. (Privacy Policy)
    HubPages Traffic PixelThis is used to collect data on traffic to articles and other pages on our site. Unless you are signed in to a HubPages account, all personally identifiable information is anonymized.
    Amazon Web ServicesThis is a cloud services platform that we used to host our service. (Privacy Policy)
    CloudflareThis is a cloud CDN service that we use to efficiently deliver files required for our service to operate such as javascript, cascading style sheets, images, and videos. (Privacy Policy)
    Google Hosted LibrariesJavascript software libraries such as jQuery are loaded at endpoints on the or domains, for performance and efficiency reasons. (Privacy Policy)
    Google Custom SearchThis is feature allows you to search the site. (Privacy Policy)
    Google MapsSome articles have Google Maps embedded in them. (Privacy Policy)
    Google ChartsThis is used to display charts and graphs on articles and the author center. (Privacy Policy)
    Google AdSense Host APIThis service allows you to sign up for or associate a Google AdSense account with HubPages, so that you can earn money from ads on your articles. No data is shared unless you engage with this feature. (Privacy Policy)
    Google YouTubeSome articles have YouTube videos embedded in them. (Privacy Policy)
    VimeoSome articles have Vimeo videos embedded in them. (Privacy Policy)
    PaypalThis is used for a registered author who enrolls in the HubPages Earnings program and requests to be paid via PayPal. No data is shared with Paypal unless you engage with this feature. (Privacy Policy)
    Facebook LoginYou can use this to streamline signing up for, or signing in to your Hubpages account. No data is shared with Facebook unless you engage with this feature. (Privacy Policy)
    MavenThis supports the Maven widget and search functionality. (Privacy Policy)
    Google AdSenseThis is an ad network. (Privacy Policy)
    Google DoubleClickGoogle provides ad serving technology and runs an ad network. (Privacy Policy)
    Index ExchangeThis is an ad network. (Privacy Policy)
    SovrnThis is an ad network. (Privacy Policy)
    Facebook AdsThis is an ad network. (Privacy Policy)
    Amazon Unified Ad MarketplaceThis is an ad network. (Privacy Policy)
    AppNexusThis is an ad network. (Privacy Policy)
    OpenxThis is an ad network. (Privacy Policy)
    Rubicon ProjectThis is an ad network. (Privacy Policy)
    TripleLiftThis is an ad network. (Privacy Policy)
    Say MediaWe partner with Say Media to deliver ad campaigns on our sites. (Privacy Policy)
    Remarketing PixelsWe may use remarketing pixels from advertising networks such as Google AdWords, Bing Ads, and Facebook in order to advertise the HubPages Service to people that have visited our sites.
    Conversion Tracking PixelsWe may use conversion tracking pixels from advertising networks such as Google AdWords, Bing Ads, and Facebook in order to identify when an advertisement has successfully resulted in the desired action, such as signing up for the HubPages Service or publishing an article on the HubPages Service.
    Author Google AnalyticsThis is used to provide traffic data and reports to the authors of articles on the HubPages Service. (Privacy Policy)
    ComscoreComScore is a media measurement and analytics company providing marketing data and analytics to enterprises, media and advertising agencies, and publishers. Non-consent will result in ComScore only processing obfuscated personal data. (Privacy Policy)
    Amazon Tracking PixelSome articles display amazon products as part of the Amazon Affiliate program, this pixel provides traffic statistics for those products (Privacy Policy)