रुट कॅनाॅल ट्रिटमेन्ट
ROOT CANAL TREATMENT
रूट कॅनल उपचार पद्धतीचा सल्ला केव्हा दिला जातो :- दाताच्या आतील अशा या अत्यंत नाजुक परंतु दाताच्या आरोग्यात महत्त्वपूर्ण भूमिका बजावणा-या पल्पला काही कारणामुळे इजा पोहोचल्यास, त्यास संसर्ग झाल्यास दंत तज्ज्ञ रूट कॅनल उपचार पद्धतीचा सल्ला देतात.
पल्पला इजा पोहोचल्यास नेमके काय होते :- दातांना कीड लागल्यामुळे पल्पला इजा पोहोचण्याचे सर्वाधिक वेळा आढळून येणारे कारण आहे. त्या व्यतिरिक्त दाताला फ्रॅक्चर झाल्यामुळे वा जोरदार मार लागल्यामुळे पल्पला इजा पोहोचते. दातांना बहुदा एनॅमलपासून व क्वचितच मूळ उघडे पडलेल्या सिमेंटमपासून कीड लागण्यास सुरुवात होते. पुढे ही कीड डेन्टिपर्यंत पुढे सरकते व नंतर मांसल पल्पपर्यंत पोहोचते. दातांच्या किडेला कारणीभूत असलेल्या जीवाणूंमुळे मग या पल्पला सूज येते, त्यात पल्पची निर्मिती होते. पल्पचा हा संसर्ग दातांच्या मुळाच्या खालपर्यंत पोहोचतो. तिथून त्यांची व्याप्ती जबड्याच्या हाडापर्यंत पोहोचून अस्थिमज्जाशोथ (ऑस्टेमॉयलीटीस) होऊ शकतो. कधीकधी ही सूज व संसर्ग तोंडाच्या सर्वत्र पसरतो व मानेपर्यंत त्याची व्याप्ती वाढू शकते. क्वचितप्रसंगी मुळाच्या टोकापर्यंत पोहोचलेले जीवाणू, रक्तावाटे हृदयापर्यंत वा मेंदूपर्यंत जाऊ शकतात व सामान्य वाटणा-या दुखण्याचे जीवघेण्या दुखण्यात रूपांतर होऊ शकते. रूट कॅनल उपचार पद्धतीने समस्या टाळता येतात.
रूट कॅनल ट्रिटमेंटच्या नेमक्या पाय-या कोणत्या - सर्वप्रथम तज्ज्ञ दाताच्या (क्राऊन) या भागातून यंत्राद्वारे छिद्र करतात व त्या छिद्रातून पल्पपर्यंत मार्ग काढतात. फाइल, रिमर, ब्रोश इत्यादी लहान लहान उपकरणाच्या साहाय्याने संसर्गजन्य पल्प काढून टाकतात. याच उपकरणांची मदत घेऊन तसेच सिरिंजच्या मदतीने हायड्रोजन पॅराक्साइड या द्रव्याचा व सलाइन द्रव्याचा जोरदार फवारा या रूट कॅनलमध्ये सोडून त्यातील पल्स, रक्त व इतर संसर्गजन्य घटक काढून टाकल्या जातात. त्यानंतर या व इतर काही उपकरणांचा उपयोग करून रूट कॅनलचे सर्व पृष्ठभाग घासून मऊ केले जातात, त्यांचा आकार मोठा केला जातो. त्यामुळे भरण शास्त्रशुद्ध व सोयीस्कररीत्या भरता येऊ शकते. या दरम्यान रूट कॅनलमध्ये एक दोन दिवसासाठी काही औषधे प्रत्यक्ष ठेवली जातात लावली जातात त्यांच्याद्वारे पल्पविना मोकळ्या जागेत रूट कॅनल निर्जंतूक केले जाते.
कधी कधी दातांचे डॉक्टर या रूट कॅनलला उघडेच ठेवतात. त्यामुळे उरल्या सुरल्या पल्सला लवकरात लवकर दाताबाहेर पडण्यास मार्ग मिळतो. इतर काही वेळेला दंततज्ज्ञ त्यात तात्पुरते भरण वा कापूस भरून ठेवतात. या दरम्यान डॉक्टर रुग्णाला बरेचदा प्रतिजैविक व वेदनाशामक औषधे देतात. यानंतर दातांच्या डॉक्टरांची एकदा का खात्री पटली की रूट कॅनल पूर्णत: निर्जंतूक झाले आहेत व त्यानंतर कॅनलमध्ये गटा पर्चा नामक पदार्थाचे भरण दातात भरल्या जाते. नंतर दोन तीन दिवस प्रतीक्षा केल्यानंतर या गटा पर्चाच्या भरणावर दंत तज्ज्ञ चांदीचे किंवा कंपोझिट रेझीन या पदार्थाचे भरण भरतात. बरेचदा ही पूर्ण उपचार पद्धती आटोपल्यानंतर जर आपल्या दाताचा खूप भाग तुटला असेल तर त्यावर रेझीन, पोर्सलिन वा जपानी गोल्ड (अमेरिकन डायमंड ज्वेलरीच्याच दर्जाची) टोपी त्यावर बसवली जाते. अशा प्रकारे रूट कॅनल ट्रिटमेंट पूर्ण होते. या उपचार पद्धतीने वाचवलेला दात इतर व्याधीरहित नैसर्गिक दातांप्रमाणे आयुष्यभरासाठी साथसंगत करू शकतो. थोडक्यात रूट कॅनल ट्रिटमेंट ही एक उत्तम दंतउपचार पद्धती आहे.
रूट कॅनल उपचारादरम्यान काय केले जाते - रूट कॅनल उपचार पद्धतीद्वारे दंततज्ज्ञ संसर्ग झालेल्या पल्पला काढून टाकतात व तिथल्या मोकळ्या झालेल्या पल्प चेंबर व रूट कॅनलला स्वच्छ व निर्जंतूक करतात. त्यानंतर त्या जागेला पूर्णत: कोरडे करून त्यात गटा पर्चा नामक पदार्थाचे भरण भरल्या जाते. या संपूर्ण उपचारासाठी रुग्णाला एक ते तीन चार वेळा तज्ज्ञाकडे उपचारासाठी जावे लागते.
The main objective of access cavity preparation is to identify the root canal entrances for subsequent preparation and obturation of the root canal system. Access cavity preparation can be one of the most challenging and frustrating aspects of endodontic treatment, but it is the key to successful treatment.
To prepare apical stop and canal walls so as to facilitate obturation of canal. In order to achieve these objectives, biomechanical preparation of root canal involves three separate procedures i.e. debridement or cleaning, shaping and apical preparation. Cleaning 1. BIOMECHANICAL PREPARATION OF THE ROOT CANAL.
Obturation technique—The method used to fill and seal a cleaned and shaped root canal using a root canal sealer and core filling material; sealers are frequently used as the sole obturating material in deciduous teeth; there are a variety of techniques used to obturate the canal space
Root canal treatment — also called endodontics (“endo” – inside, “dont” – tooth) — is a set of specialized procedures designed to treat problems of the soft pulp tissue inside the tooth, which contains nerves and blood vessels. While some mistakenly think of it as an unusually painful treatment, in most cases the procedure is no more uncomfortable than getting a filling. It's actually one of the most effective ways of relieving some kinds of tooth pain.
A root canal procedure becomes necessary when infection or inflammation develops in the pulp tissue of the tooth. Pulp tissue consists of blood vessels, connective tissue and nerve cells — which explains why a problem here may cause you to feel intense pain. In time, the pain may go away... at least temporarily. Without treatment, however, the infection won't. It can lead to a dental abscess, and may even contribute to systemic problems in other parts of the body.
We've all heard the gag: “I'd rather have a root canal...” This comedy line, comparing the procedure to something truly undesirable, may be funny — but putting off needed endodontic treatment is no joke. The idea that a root canal procedure invariably comes with complications and pain is a shopworn myth. It's certainly true that infection or inflammation in the tooth's pulp can be excruciatingly painful. But you should remember that having a root canal results in eliminating this acute pain and is not the cause of the pain.
Need another reason not to delay root canal treatment? How about this: A natural tooth that's saved via root canal treatment and restoration helps you avoid the problems that commonly occur when teeth must be removed. These include unwanted tooth migration or shifting, which can lead to difficulties in chewing; the need for bridgework or dental implants, which may be costly and complicated; and even the eventual loss of bone structure from the area of the missing tooth.
Root canal problems stem from infection and inflammation of the tooth's pulp tissue. One potential cause of infection is deep tooth decay. Untreated dental cavities eventually allow bacteria to work their way down to the center of the tooth, where they may infect the pulp tissue. Another path by which bacteria may come into contact with pulp is via chipped or cracked teeth. Any opening in the protective enamel coating has the potential to allow bacteria access to the tooth's pulp.
Trauma to the tooth — the kind that might result from a sports injury or automobile accident, for example — is also a major cause of pulp tissue damage. In this case, it's essential to seek treatment immediately, both to try and save the tooth, and to prevent future problems.
In some cases, extensive dental work itself may cause damage to the pulp tissue that will need to be treated via a root canal. Having multiple fillings or restorations on the same tooth increases the chances of this type of injury. Occasionally, common procedures like crown preparation or orthodontics may eventually lead to root canal problems.
If an examination shows that you do need root canal therapy, don't worry — it's one of the most routine and effective procedures in the arsenal of dental treatments and can often be accomplished in just one visit.
The root canal process generally begins the same way as a filling does, and with no greater discomfort: an anesthetic is administered to numb the tooth and the surrounding area. For many patients, the worst is already over.
Next, a small opening is made in the surface of the affected tooth to give access to the pulp chamber and root canals. Tiny instruments are used, sometimes with the aid of a microscope, to remove the dead and dying pulp tissue from inside these narrow passageways. The chamber and empty canals are then cleaned, disinfected, and prepared to receive a filling of inert, biocompatible material. Finally, adhesive cement is used to seal the opening in the tooth, preventing future infection.
Following root canal treatment, your tooth may feel some sensitivity or tenderness for a few days. Over-the-counter pain relievers like ibuprofen are generally effective in relieving discomfort, but prescription medications may also be given if needed. During this period, it may help to avoid biting hard on the affected tooth. All of these symptoms, however, should be temporary.
To further protect the tooth and restore it to full function, it's usually necessary to have a crown or other restoration placed on it. Restorations can take many forms, from traditional gold crowns to tooth replicas made of high-tech tooth-colored material. In any case, you will have made an investment in preserving your dental health for years to come.
How do you know when you need a root canal? Sometimes, it's painfully obvious. If you feel constant and severe pain and pressure in your mouth, or noticeable swelling and extreme sensitivity in your gums, then it's clear you need an evaluation and treatment right away. Another telltale symptom of pulp tissue damage is sharp pain when you bite down on food. Lingering pain after eating hot or cold foods is also an indication of potential trouble. If you notice any of these symptoms, you need to have an examination as soon as possible.
If you have been told you need root canal treatment, you may be feeling a bit nervous. Not to worry — treating root canal problems is a routine part of dentistry that can relieve certain kinds of tooth pain and help your teeth last longer. As you learn more about this beneficial procedure, you will understand why it's needed — and how it will leave you in far better shape than you were. Here are some answers to frequently asked questions.
Dentists use the term “root canal” in referring to the tiny, narrow passageways that branch from a central, hollow space in your tooth (called the pulp chamber) down to the ends of the tooth roots. The term can also be used as a shorthand for “root canal treatment” — that is, the procedure used to save the tooth if the soft tissue deep inside of it (called pulp) becomes acutely inflamed or infected.
If tooth pulp becomes acutely inflamed or infected — because of decay or injury for example — the tissue will need to be removed in order to save the tooth and stop the infection from spreading. As an adult, you don't actually need the pulp — its primary use is to aid in tooth development during childhood.
You could have the whole tooth extracted, but it's always better to try to save it — especially since root canal treatment is routine and has a very high success rate (over 90%). Saving the tooth can prevent other troubles from occurring later on; these could include bite problems from teeth shifting position, difficulty eating, and loss of jawbone volume and density.
The procedure normally causes no more discomfort that a filling would. Root canal treatment may have a bad reputation, but it is undeserved; in this case it's the disease that's to blame and not the cure. In other words, the infections that make the treatment necessary in the first place are often painful because they are inflaming tissue that has lots of nerves and therefore is very sensitive. Root canal treatment actually relieves this pain!
After numbing the area, a tiny hole is made in your tooth to access the pulp chamber and canals. The diseased tissue is removed, and the pulp chamber and the canal(s) are disinfected all the way to the root end(s). Teeth in the front of the mouth have one root and generally one canal; back teeth have two or three roots and generally three or four canals. Those canals and the pulp chamber are filled with an inert, biocompatible material, and sealed with adhesive cement. The access hole will receive a temporary filling.
Your tooth may feel sensitive for a few days, but any discomfort can usually be relieved with over-the-counter pain medication or anti-inflammatories like ibuprofen. You will be instructed to avoid chewing on that tooth until it receives its permanent filling, which can be placed a few days later. Depending on how damaged the tooth was to begin with, it may need a full-coverage crown. Those options will be discussed with you.
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