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Amerah Fahad Alsalem

Riyadh College of Dentistry and Pharmacy, KSA

Title: ENDODONTIC THERAPY (ROOT CANAL THERAPY)

Biography

Biography: Amerah Fahad Alsalem

Abstract

Introduction: Endodontic therapy or root canal therapy is a sequence of treatment for the pulp of a tooth which results in the elimination of infection and the protection of the decontaminated tooth from future microbial invasion. Root canals and their associated pulp chamber are the physical hollows within a tooth that are naturally inhabited by nerve tissue, blood vessels and other cellular entities which together constitute the dental pulp . Endodontic therapy involves the removalof these structures, the subsequent shaping, cleaning, and decontamination of the hollows with small files and irrigating solutions and the obturation (filling) of the decontaminated canals with an inert filling such as gutta-percha and typically a eugenol-based cement. Epoxy resin, -which may or may not contain Bisphenol A- is employed to bind gutta-perchain some root canal procedures. Endodontic treatment During root canal treatment, the inflamed or infected pulp is removed and the inside of the tooth is carefully cleaned and disinfected, then filled and sealed with a rubber-like material called gutta-percha. Afterwards, the tooth is restored with a crown or filling for protection. After restoration, the tooth continues to function like any other tooth.Saving the natural tooth with root canal treatment has many advantages:
• Efficient chewing
• Normal biting force and sensation
• Natural appearance
• Protects other teeth from excessive wear or strain
Endodontic treatment helps you maintain your natural smile, continue eating the foods you love and limit the need for ongoing dental work. With proper care, most teeth that have had root canal treatment can last as long as other natural teeth and often for a lifetime. Procedure • First, the dentist will numb your gums with a substance that feels like jelly. After your gums are numb, the dentist will inject a local anesthetic that will completely numb the teeth, gums, tongue, and skin in that area. Sometimes nitrous oxide gas will be used to reduce pain and help you relax. • The dentist may separate the decayed tooth from the other teeth with a small sheet of rubber on a metal frame. This protective rubber sheet also helps stop liquid and tooth chips from entering your mouth and throat.
• The dentist will use a drill and other tools to remove the pulp from the tooth and will fill the inside part of the tooth below the gum line with medicines, temporary filling materials, and a final root canal filling.
• After the root canal, a permanent filling or crown (cap) is often needed. If a crown is needed, the dentist removes the decay and then makes an impression of the tooth. A technician uses the impression to make a crown that perfectly matches the drilled tooth.
The tooth may be fitted with a temporary crown until the permanent crown is made and cemented into place.