Root Canal Treatment In Islamabad
Root canal treatment in Islamabad can be a very tough decision for a patient. Patients are usually terrified of a root canal treatment. Patients who would rather get their teeth extracted rather than saving it. Be that as it may, the dentists at Z Dental Studio don’t blame patients for this. This is because they’ve had aweful experiences with alot of dentists. However, Z Dental Studio promises patients that they won’t feel any sort of pain during or after the treatment.
What is endodontic/root canal therapy
Endodontic therapy or root canal treatment is basically the treatment of the infected pulp. This infected pulp is removed by a series of steps that relieves the patient from pain. Root canals contains blood vessels, nerve tissues and cellular entities which get infected by a cavity or any sort of periodontal disease.
Endodontic therapy involves the removal of all these structures by shaping, decontamination and obturation (Filling of the canals). Shaping and decontmaniation is done by files. Z Dental Studio uses pro-taper file system as compared to the normal K and H file system. The advantage of using pro-tapers is that it provides affective cleaning and results in the longetivity of the root canal procedure.
Diagnostic And Preparation
Root canal procedures are usually very complicated, it may involve one visit or several visits depending on the tooth to be treated. Usually there is some sort of infection or inflammation present below the tooth/teeth. However this may not be the case in every patient. Sometimes the patient may feel incredible amount of sensitivity to hot and cold drink or food which may warrant us to go for a root canal treatment.
To cure this, the dentists at Z Dental Studio drills into the tooth and removes the infected tissue by small needle shaped hand instruments.
Opening In The Crown
The dentist at Z Dental Studio makes an opening through enamel and dentine by the use of dental burs. At Z Dental Studio the burs used are new for each patient.
Removal Of The Infected Tissue
Procedure Of Shaping
Conventional root canals are usually done by step back technique. In this technique a K/H files are used to determine the working length (The length of the root of the tooth). Subsequent debridement and removal of tissues are carried out by these files. However at Z Dental Studio we don’t follow the step back technique, the reason being that step back technique has a high percentage of failure. The major disadvantage of step back technique is the dentist can easily shift apical region of the root. This is known as apical transportation. Furthermore incorrect instrumentation length can occur.
Dentists at Z Dental Studio prefer crown down technique. This involves the preparation of the coronal part of the root (the top part of the root) first and then subsequent preparation of the apical region. Regardless of the method used, copious irrigation for cleaning of the root system is required. The following irrigants are used at Z Dental Studio:
- less than 5% sodium hypochlorite (NaOCl)
- 6% sodium hypochlorite with surface modifiers for better flow into nooks and crannies
- 2% chlorhexidine gluconate
- 0.2% chlorhexidine gluconate plus 0.2% cetrimide
- 17% ethylenediaminetetraacetic acid (EDTA)
- Framycetin sulfate
- Mixture of citric acid, doxycycline, and polysorbate 80 (detergent) (MTAD)
Starting with a smaller file, the canal is enalarged slowly, carefully and gradually. This prevents any breakage of instruements in the root system.
Technique For Instrumentation
The dentist inserts the file into the root system. This is followed by a clockwise and then anticlockwise movement of the file. This enables the dentist at Z Dental Studio for effective debridement of root canal system.
Filling The Root Canal System
The filling material of a root canal system is Gutta Percha. This procedure involves the insertion of gutta percha into the cleaned debrided root canal with a sealent.
However, sometimes the dentist at Z Dental Studio won’t fill up the root canal with gutta percha. The reasons for that are as follows:
- If there is pus present at the root apices
- Persistent pain even after complete debridement of the root system
These decisions have to be made by diagnosing the patient carefully. Sometimes Z Dental Studio’s will place Calcium Hydroxide in the root system which is also called a temporary filling for the root system. This is a strong base and reduces the inflammation within the root canal.
Following each and every visit at Z Dental Studio for a root canal therapy, the dentists usually place a temporary filling. The reason for that is, if a tooth is left open without a filling material the tooth may become infected further by food impaction.
However at some instances, the tooth is left open for a period of 24-48 hours. This is done inorder to facilitate the removal of pus present at the apices of the root.
Following a complete root canal treatment the crown portion of the tooth is filled up by either Composite or GIC.
Regardless of whichever filling material is placed on the crown portion of the tooth, a dental crown becomes an absoulte necessity after it. This is because following a root canal treatment the tooth becomes easily brittle and more fragile. If an extreme amount of force is applied on a root canaled tooth, the tooth may fracture.
Even if the tooth survives a fracture, after a root canal treatment the tooth becomes discoloured/black in color. The exact cause of tooth discolouration is still not understood.
One of the top priorities of Z Dental Studio following a root canal treatment is a follow up recall. Usually patients are called to the clinic after 2 months inorder to check if there is adequate bone healing near the apices of the root.
Alternative To A Root Canal Treatment
Implant Placement Versus Root Canal Therapy
Most patients that come to Z Dental Studio prefer an implant therapy rather than a root canal therapy. Again the reason being of their past bad experiences. Implant therapy involves the removal of the infected tooth. This is followed by placement of an implant, also referred to as imediate loading.
This procedure takes less time compared to a root canal treatment and has a high success rate. Regardless of whether the patient is undergoing a root canal treatment or a implant therapy adequate debridement of the infected tissue is required.
Although implant therapy is a relative quick treatment, the patient usually needs to wait for 3-6 months after the implant is placed. This is because the stability of an implant relies on the process called osseointegration.
Osseointegration is the process in which the dental implant gets integrated with the bone.
As scary as that may sounds, there is no pain involved in the procedure. Mostly patients will go for an implant rather than a root canal therapy because of the difference in success rate between both of them. Regardless of whatever the patient may choose, the dentist at Z Dental Studio will define the pros and cons of each and every treatment.
Root canal treatment in islamabad couldn’t get any better. Z Dental Studio uses the most advanced and pain free technique’s for a root canal treatment.
Name: Z Dental Studio
Address: Royal Arcade, E-11/3 Markaz, Islamabad 44000, Pakistan
Contact Number: 051-2228606
Email Address: [email protected]