Tuesday, May 23, 2023

During instrumentation, sudden disappear of root canal due



During instrumentation, sudden disappear of root canal due to: 

  • a- Bifurcation of main canal. ***
  • b- Apical perforation.
  • c- Calcification.

What is a root canal?

Every time you hear the phrase "endodontics" in the middle of a conversation about dentists, you shudder a bit.
It sounds painful, especially because it goes to the core of your most sensitive teeth.
But a root canal is actually a channel full of pulp and nerve that runs the length of each tooth.
The amount of root canals a tooth can have depends on the type of tooth, but it still varies between teeth.
The molars can have two to four, the premolars and the cusps can have one or two and the incisors usually have one.
What you probably think more about when the “root” is crushed and the “canal” is the procedure that involves serious dental perforation.
When these precious root canals become infected or begin to deteriorate, something must be done to save the tooth and maintain excellent oral health.

This is where the root canal procedure comes in and something like this goes:

  • An x-ray is done to determine the condition of the tooth and where the infection is.
  • Once the infected area is determined, it will be numbed and a rubber sheet, better known as rubber dam: it will be wrapped around the tooth to keep it dry during the procedure.
  • Then, a hole is drilled down into the tooth to access the pulp chamber.
  • Then, they will remove the infected pulp and nerve using various file sizes to ensure that all infected material is scraped from the canal.
  • After thorough cleaning, the hole will be sealed to prevent the entry of bacteria or debris.
  • Sealing usually occurs on the same day but, in some cases, the dental professional may think that it is necessary to put medicine on the tooth to eliminate all bacteria.
  • In those situations, a temporary seal will be in place until a permanent seal occurs approximately one week later.
  • When it is permanently sealed, the canal will be filled with sealant paste and a rubber compound called gutta hanger and then sealed with a permanent filler.
  • Sometimes, the tooth will require some other restoration technique in addition to a seal, such as a crown.
  • Of course, the last of all this depends on the state of the tooth and how much it may have decayed. A diagram of a root canal procedure.

A diagram of a root canal procedure:

It may sound painful, despite the promise of numbing.
Honestly, numbness is just a precaution and to help you feel better.
If a root canal procedure is necessary, then it is very likely that the nerve in the canal is dead, which makes it very difficult to feel something.
So, don't be afraid because the procedure is painless.
Then, the area can be understandably tender and sensitive, but nothing that cannot be solved with a simple soothing.
You may be wondering if it is okay to remove the nerve and pulp from your tooth.
It has to be there for a reason, right? Once the tooth has come out of your gums and has become a permanent home, the nerves in your teeth are unnecessary.
So, losing that nerve will not affect your daily life in any way.
But if you have a root canal infection, you may not have symptoms.
If you have symptoms, you will probably experience some pain when you chew or when you consume hot or cold food.
Sometimes, the infected tooth will have some discoloration or the gums surrounding the tooth will become sensitive and inflamed.
An infection of this type can be caused by some things, such as severe tooth decay, a crack or a chip in the tooth or trauma to the face.
It can also be caused by having repeated dental procedures on the same tooth or a large filling.
If the infection is severe enough, a dental abscess may form, which is a bag of pus at the tip of the tooth and is very painful.
Hopefully you have healthy and strong teeth.
But if you suspect that there is some kind of problem with your teeth, you should consult your dentist immediately to make sure.
The infection will be effectively demolished and you can chew your steak again with a smile.