Root Canal Treatment

Root Canal Treatment

Endodontic Clinic

Endodontics is the speciality of dentistry that deals with the tooth pulp and tissues surrounding the root of a tooth. The pulp, which contains nerves; arterioles and venules as well as lymphatic tissue and fibrous tissue, can become diseased or injured and thus is unable to repair itself. The pulp then dies and endodontic or root canal treatment is required .



  • During root canal treatment, the infected pulp is removed and inside of the tooth is carefully cleaned, filed and sealed.
  • Following this, tooth is restored with a crown. The tooth continues to function like any other tooth.
  • With proper care, most teeth that have had root canal treatment can last a lifetime.

Has your dentist told you that you need root canal treatment?

  • If so, you’re not alone.
  • Millions of teeth are treated and saved each year with root canal treatment.

Saving the natural tooth with root canal treatment has advantages:

  • Efficient chewing
  • Natural appearance

When is Root Canal Treatment (RCT) needed?

  • Root canal treatment is needed when pulp has been damaged by a bacterial infection.
  • The symptoms of pulp infection include:
    •  Pain when eating hot or cold food or drinks
    •  Pain when biting or chewing
    •  A loose tooth

As the infection progresses, these symptoms often disappear as the pulp dies. Your tooth might appear to have healed, but the infection has in fact spread through the root canal system. Further symptoms:

  • Pain when biting or chewing.
  • Swelling of the gums near the infected tooth.
  • Pus oozing from the infected tooth.
  • Facial swelling.
  • Tooth becoming a darker colour.


Root Canal Treatment may be done intentionally when

  • There is a missing tooth. Adjacent teeth are endodontically treated and used to form a bridge.
  • Supraerupted tooth. Seen in case of a mssing tooth in the opposite arch. Supraerupted tooth is endodontically treated and crowned to bring it in occlusion.
  • Sensitive to various food and beverages.

It’s important to see your dentist if you develop toothache. If your tooth is infected, the pulp can’t heal by itself.


Endodontic Re-Treatment

Why do I need ANOTHER endodontic procedure?

  • With proper care, RCT can last a lifetime. But sometimes, the tooth can become painful months or even years after treatment.
  • If your tooth failed to heal or develop new problems, you do have a second chance.


What is done during re treatment?

  • If you and your endodontist choose re treatment, the endodontist will re-open your tooth to gain access to the root canal filling.
  • Sometimes complex restorative materials- crowns, post and core must be disassembled and removed to permit access to root canals.
  • The endodontist cleans the canals, searches for additional canals or unusual anatomy that requires treatment.
  • After re treatment, get a new crown or other restoration placed on the tooth to protect and restore it to its full function.


Alternatives to re treatment?

If retreatment is not an option, ENDODONTIC SURGERY can be considered. This surgery involves making an incision that allows access to the tip of the root.


What would cause you to need an APICOECTOMY/ ROOT CANAL SURGERY?

  • Fracture / crack in the tooth’s roots

The procedure is normally only recommended after one or more root canal treatments have been attempted, and have failed. Since the problem occurs near the apex of the root, the procedure is often an effective way to treat a persistent infection.



While there are excellent methods of tooth replacement (like dental implants), which involve more complex treatment and they can be costly. An apicoectomy is generally a permanent and cost – effective solution which can help the tooth last for the rest of your life.


Perforation repair


  • Perforation is an artificial communication between root canal system and supporting tissues. It complicates treatment and affects prognosis IF NOT managed.
  • Can occur pathologically or unintentionally iatrogenically during root canal treatment.
  • The defect can be sealed using innumerable materials

Here, we use potent and dexterous materials like MTA and BIODENTINE to repair such defects and thus improve the prognosis and longevity of the tooth concerned.


Retrieval of Fractured Instruments

During root canal treatment there might be unintentional separation of the instrument in the canal owing to various reasons like

  • Difficult canal curvature
  • Narrow calcified canal
  • Abnormal anatomy
  • Instrument manipulation

These fractured instruments can be a hindrance to the goals of cleaning, shaping and filling root canals and thus affect the outcome of the treatment.

If fractured, what do we do?

  • We use state- of- the -art equipment including ultrasonic to retrieve the separated instrument from the canal combined with magnification and illumination.
  • Bypass the instrument and clean and fill the canal to obtain a three dimensional hermetic seal.


Aesthetic restorations

  • The last 50 years have witnessed an unimaginable amount of change in restorative dentistry.
  • Creating illusions is one of the most important objectives of aesthetic dentistry.

Conditions that initiate a need for restorative dentistry are:

  • Initial or recurring decay.
  • Replacement of failed restorations.
  • Abrasion or wearing a way of tooth structure.
  • Erosion of tooth structure.

Conditions that initiate a need for aesthetic treatment are

  • Discoloration due to extrinsic or intrinsic staining
  • Anomalies due to developmental disturbances.
  • Abnormal spacing between teeth.
  • Trauma.

We help improve your smile by

  • making your teeth whiter( bleaching),
  • reshaping teeth (veneers),
  • fill cavities with tooth coloured materials(composites),
  • repair chips and rough spots

Thus provide you with a more refreshing smile and help boost your confidence and make you feel optimistic and self assured.

Visit us and let us help you discover the best aesthetic option that’s perfect for you.

Max Super Speciality Hospital, Mohali

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