Endodontics/Root Canal Treatment

Who is an Endodontist?

The Endodontic therapy needs specialized hands as it is all related to the soft inner tissues of the gum and jaws and the teeth. The process of protecting these tissues and maintaining the health of the gums and teeth is referred as endodontic therapy and the dentists who are specialized and authorized to carry on this procedure on their patients are known, Endodontist. The Endodontist needs to be prudent and highly efficient in their work.

The soft tissues of the teeth are known as pulp. The word “endodontic” means inside – ‘endo’ and tooth – ‘don't’, in the Greek language.

To become an Endodontist, a prospective candidate needs to complete the basic education in dentistry and then go for further 2-3 years of specialization in Root Canal Therapy. There they need to get the whole idea of the RCT process and must get the practical experience along with deep knowledge of the complete therapy.

What is Conservative Dentistry?

When there is need to conserve or protect the teeth and also to restore the oral health, conservative dentistry is referred by the dentists and the Endodontist. Under this process, there is various techniques and process which are used to directly or indirectly restore overall health of teeth and gums.

Why is RCT important?

The process of RCT or Root canal therapy is provided to the inside part of the individual teeth. If the pulp is infected or has inflammation, then RCT is the most prescribed treatment. There are various reasons which can infect your pulp such as an excessive dental procedure on the teeth, crowns or bridges which aren’t set properly, the tooth might be cracked or injured or decayed etc. Pulp damage is also caused by trauma in the tooth/teeth and the damage is huge in such case. Moreover, when tooth suffers trauma, there are no visible cracks to identify the damage from outside and that is more dangerous. This is why RCT is recommended as it treats the teeth from inside. The reasons behind Endodontic or RCT gaining so much value and importance are as follows:

  • The infection or the injury/inflammation is healed from within and permanently within a short span of time. It retains the natural look of the teeth as it protects the natural tooth/teeth itself.
  • If the patient is not treated at the right time and RCT is not done, then the overall health of the oral hygiene degrades leaving the teeth, gums and jaws damaged severely.
  • One can have better functioning of the teeth after RCT is done. It improves the overall structure and functionality of the teeth and related areas.
  • Once RCT is done, teeth are less subjected to staining and wearing process.

Why should patients go to an RCT specialist, instead of the general dentist?

The RCT comprise various critical issues of the teeth and that is why the Endodontist have to have the efficient hands on the therapy which is not possible for normal dentists. RCT is provided to the patients for complex issues of the oral health and hygiene and the main reasons which call for the need of Endodontist are:

  • Experience: The Endodontist, during the higher studies of 2-3 years after basic graduation in dentistry have to do at least 25 RCTs in a week whereas the undergraduate students do only 2-3 RCTs per week. This accounts for the massive experience that the Endodontist has over the normal dentists in the field of the genre of RCT.
  • Efficiency: Efficiency comes with experience and when the Endodontist has almost 2-3 years of practical experience in this treatment, efficiency is not a concern. They can do the treatment way faster than nr dentists and you can feel safer in their hands too.
  • Availability: Endodontist are not rare and you can find them almost in every dental clinic. You can fix an appointment beforehand or you can visit and have a talk with them about your dental issues. They work round the corner and also are very responsive to calls and texts from the patients.
  • Advanced Technology: The new generation Endodontist uses various new technologies to treat the patients. With state-of-the –are dental clinics and equipment for the RCT procedure such as digital imaging, ultrasonic devices, and instruments, optics made of fiber etc., the treatment can be done efficiently. Moreover, the RCT is itself complicated so the new technologies make it simpler and easy to deal with both for the patient and the Endodontist.

Importance of Crown after RCT

Crowns are placed after RCT to provide the extra support and strength to the tooth/teeth. To get back the natural tooth with all its strength and functionality, crowns are important.


Q1. Does it hurt?
A. There is no pain involved in this process as local anesthetic is used. The patient can feel same like having an ordinary filling. The patient might feel a little bit of tenderness after the procedure is over but that also varies according to the patient's oral health and hygiene.

Q2. What does it involve?
A. It is aimed to remove the infections of the root canal. The filling in done after the roots are cleaned.

It requires time and you might have to visit the Endodontist few times. It also needs expert hands.

The infected pulp is wiped out in the first session and if there are any abscesses, that is also removed. A temporary filling is done and then after it is settled, permanent one is done after a proper check-up.

Q3. How does tooth look like after treatment?
A. Mostly, the tooth/teeth look completely natural after RCT. If there is any discoloration, then you can have procedures to treat the same.

Q4. What if it happens again?
A. The RCT can be repeated if there is the comeback of the infection but that is rare as RCT is various much effective.

Q5. What is the treatment is not carried out?
A. If RCT is not done at the right time, the patient has to remove the whole tooth/teeth as infected teeth cannot be there inside the mouth as it will infect other teeth. It better has the natural teeth over the artificial one that is why RCT should be done at the right time.

Q6. Will the tooth be safe after treatment?
A. It is completely safe. With the support of a crown, the natural tooth is restored and that is why there are no issues involved in the treatment.

Q7. What about aftercare?
A. Fluoride toothpaste has to be used for cleaning the mouth regularly twice. The tooth/teeth must be treated as a natural one. Decrease the consumption of items full of carbohydrates and sugar. Go for regular checkups.

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