Steps of Endodontic Treatment

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‫ﻣﺮﺣﻠﺔ ﺭﺍﺑﻌﺔ‬
Root Canal Treatment

Root canal treatment is an excellent solution to save heavily damaged tooth
in case the pulp is infected or the extent of the decay is so big, that it
cannot be fixed with a filling. This treatment saves the tooth from
extraction and allows the patient to use their natural teeth for longer. Over
the course of the treatment the dentist removes the pulp and cleans the
root canals thoroughly, then the tooth is sealed with a filling. Thanks to
local anesthesia, the treatment is completely painless. After the treatment,
the tooth and the surrounding area might be sensitive, which can be
managed with painkillers.
Preliminary treatment to remove the decay and the source of infection of the
pulp is necessary, along with a determination of whether the lost tooth
structure can be restored. If a fracture of the tooth has reached the pulp, or
infection is associated with gum disease, it could be more difficult, if not
impossible, to save the tooth.
Steps Of Root
Canal Treatment
step 1; Diagnosis
The most important aspect of performing an endodontic procedure is to first
correctly diagnose the tooth. There are several tools to help you understand
just what’s going on with the patient’s tooth: radiographs, percussion tests,
pulp testers, and endo sprays.
Recommended Product: Endo Refrigerant Spray
step 2; local anesthesia

Local anesthesia is administered via injections to numb the tooth to be
treated and the surrounding tissues. If the pulp in a tooth is acutely
inflamed, and therefore very painful, it may take a while to get it numb, but
your dentist will not start the treatment until it is.
step 3; Ruber dam

A dental dam — a thin sheet of rubber or vinyl — will be placed over the
affected and adjacent teeth. The tooth undergoing treatment protrudes
through a hole punched in the dam, isolating it from the rest of the mouth.
This allows the root canal treatment to be carried out in a sterile environment
free from contamination by bacteria found in saliva or the rest of the mouth.
step 4; Access
A small access hole is drilled through the biting surface of an affected back
tooth or from behind a front tooth, allowing access to the pulp chamber and
root canals for treatment.
This is achieved via the use of endodontic burs, hand or rotary files, and
chelating agent.
Recommended Products: Flex Files, C-Files, K-Files, Hedstrom Files, Gates
Glidden Drills, Digital Apex Locator Kit, Reamers
After the access cavity prepared the next work measuring a length
of tooth because instruments have exact size remove the pulp from
canal
step 5; Extirpation or remove pulp

The diseased and dead pulp tissue is removed from the tooth with specially
designed instruments used to clean out the root canals and pulp chamber. This
is not painful; the area is numb and the tissue being removed is either dead or
dying. Once the pulp, along with the nerves contained in it, is removed, the tooth
itself can no longer feel pain
This is most often completed through the use of barbed broaches, but
clinicians often use hand files or burs to aid them when they deem it necessary.
Recommended Products: Barbed Broaches, K-Files
step 6; Debridement
debridement, or thorough cleaning of the canal. This step is done through the
use of irrigants and chemicals such as EDTA and chelating agents. Hand files
may also be used in this step. Many doctors like to flush the canal with a sodium
hypochlorite rinse to disinfect and remove any lingering bacteria from the canal.
So long as the canal is cleaned completely, no method is “more correct” than
another – everything is personal preference!
This may be a good time to take another radiograph and measurement to
confirm the length of the canal. You could use a traditional X-ray machine and
place a hand file in the canal and mark the length. You could also use an apex
locator to confirm working length at this time.
Recommended Products: 28 mm K-Files, 31 mm K-Files, Digital Apex Locator Kit

step 7; shaping and cleaning canal
The canals are then shaped with tiny flexible instruments to allow them to
receive root canal fillings and sealers. The canals are washed and cleaned
again to remove root canal debris prior to sealing them.
step 8; Obturation
Root canal fillings are selected that will exactly fit into the freshly prepared
canals. Usually a rubber-like material called gutta-percha is used to fill the
canal space. It is a thermoplastic material (“thermo” – heat; “plastic” – to
shape), which literally is heated and then compressed into and against the
walls of the root canals to seal them. Together with adhesive cement called
a sealer, the gutta-percha fills the prepared canal space. Sealing the canals
is critically important to prevent them from becoming reinfected with
bacteria.
step 9; Restoration
Lastly, it is time to restore the tooth. Depending on the patient and plan,
temporary crown and bridge material may need to be placed in the tooth for
a short time. This “temporary” may be placed for many reasons: if this is
part of a two-visit procedure, if the patient has to return to their general
practitioner, or if they need a post.
Posts are used to help anchor a core build-up material and crown if the
patient requires a crown. Not every patient requires a crown, so a composite
filling over the root canal procedure may be the final step to restoring the
tooth.
Recommended Product: Temporary Crown and Bridge Kit
After the procedure, an antibiotic may be prescribed to treat or prevent

infection. Be sure to follow the instructions of your dentist or endodontist
carefully. After-effects of treatment are minimal, generally lasting from a
couple of days to about a week. It is normal to have some minor discomfort
after treatment including slight soreness that can usually be managed with
over-the-counter (aspirin, ibuprofen) medications or prescription
(codeine-type) drugs, or a combination of the two.
step 10
Your tooth will need a permanent restoration — a filling or a crown — to replace
lost tooth structure, and provide a complete seal to the top of the tooth. Your
endodontist will send you back to your general dentist to determine which type
of restoration is best for you. This step is of particular importance since many
studies show that if the filled root canals are recontaminated with bacteria
from the mouth, there could be a recurrence of infection around the tooth.

Steps of Endodontic Treatment

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What are the steps involved in root canal treatment?

What is the purpose of using a dental dam during root canal treatment?

‫ﺁﻳﻨﻮﺭ ﻳﻠﻤﺎﺯ ﺃﺣﻤﺪ‬

Root Canal Treatment

step 2; local anesthesia

step 3; Ruber dam

step 5; Extirpation or remove pulp

After the procedure, an antibiotic may be prescribed to treat or prevent

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