Root canal treatment is applied to prevent and heal inflammation in the dental nerves (pulp) located beneath the tooth enamel and dentin, which are the layers above the gum line. This treatment also helps prevent the loss of diseased teeth and is performed by endodontic specialists. Historically, inflammation in the dental nerves (pulp) was only resolved through tooth extraction. However, today, root canal treatment allows for the preservation of teeth without extraction. This procedure cleans out decay and canals and performs a canal filling to prevent leakage, while also maintaining an aesthetic appearance.

One of the best clinics in Istanbul for root canal treatment (endodontics) is the Atlantic Dental Clinic. Patients seeking root canal or endodontic procedures in Istanbul can contact our dental clinic for an appointment.

What is Endodontics?

The structure of our teeth consists of two parts: the visible area and the invisible area within the bone. The visible part is called the crown, while the invisible part is the root. The outermost layer of our teeth is enamel, with dentin beneath it. Under these layers lies the pulp, also known as the dental nerve, which is soft connective tissue that nourishes and develops the tooth. Once the tooth is fully developed, the nerve responds to pain, signaling damage or infection. Endodontics is the branch of dentistry focused on diagnosing and treating diseases affecting the dental nerve to save the tooth. This treatment is performed by specialists called endodontists.

How is Root Canal Treatment Performed in Atlantic Dental Clinic Istanbul?

Root canal treatment is performed by an endodontist in our clinic, and the length of the treatment depends on the extent of the tooth damage.

– The area to be treated is locally anesthetized to ensure the patient does not experience pain during the procedure. If there is decay, it is removed, and the tooth is opened from the crown layer to access the pulp.

– Radiographs (X-rays) are taken to assess the length of the canal and detect any widespread infection.

– The tooth root is cleaned. Any decay in the bone or fractures is also addressed.

– Root canal widening is performed using various hand tools and rotary instruments. The tooth root canals are shaped as needed for treatment.

– The pulp, damaged nerves, and infection residues are cleaned. The inside of the tooth is cleaned periodically using water or hypochlorite, which is crucial for effective treatment.

– If the tooth is dead and there is inflammation at the root tip, medication may be applied to the canals. The medication must remain in the canal for 5-7 days, and a temporary filling may be placed.

– In severe cases of inflammation, the dentist may recommend oral medication.

– Finally, the temporary filling is removed, and both the pulp cavity and canal are closed with a permanent filling. A crown may be added for aesthetic purposes.

In Which Cases is Root Canal Treatment Performed?

Root canal treatment is considered when:

– The tooth starts to hurt spontaneously.

– Decay affects the nerve area of the tooth.

– The pulp (dental nerve) is dead or damaged due to trauma or decay.

– The tooth has lost its vitality from trauma.

– Sensitivity to cold occurs due to decay damaging the nerve, followed by pain and aching.

– Decay continues despite unsuccessful filling treatments.

– Sensitivity and pain persist after an unsuccessful dental veneer application.

– Dental nerve damage is caused by teeth clenching or grinding (bruxism).

– Vitality is lost due to damage from extracting wisdom teeth or removing abnormal cysts.

– Nerve function is lost due to periodontal disease (gum disease).

– There is recurring infection after previous root canal treatment.

– Crooked teeth require decay control and root canal treatment without orthodontic intervention.

What to Do Before Root Canal Treatment ?

Before root canal treatment, patients should:

– Avoid eating hard-shelled foods.

– Refrain from consuming sticky foods like dried fruit, caramel, and Turkish delight.

– Avoid chewing gum.

– Steer clear of excessively cold or hot drinks.

– Follow any additional recommendations from your physician to reduce the risk of unsuccessful treatment.

What to Do After Root Canal Treatment ?

After root canal treatment, patients should:

– Expect mild pain and sensitivity, which can be alleviated by avoiding the treated area for a few days. Pain may be more severe if there was an infection or abscess.

– Gargle with salt water 2-3 times a day to reduce pain.

– Avoid cold or hot foods and drinks for about 2 hours.

– Brush teeth twice daily and clean with dental floss every other day. Use mouthwash as well.

– Avoid sticky foods and hard-shelled foods that might damage the filling for 2-3 days.

– Use both sides of the jaw while eating to avoid stressing the treated side.

– Refrain from smoking and alcohol for at least one day, as they can delay healing.

– Visit the dentist for regular check-ups every 6 months to ensure proper healing and long-term health.

– Consult your dentist immediately if the filling falls out.

How Long Does Root Canal Treatment Take?

The duration of root canal treatment varies based on the condition of the tooth. It can take from 30 minutes to several months. Single-rooted teeth may be treated in one session, while multiple-rooted teeth might require 2-3 sessions. Severe infections can extend the treatment period due to the need for medication and dressing.

When Can I Return to Normal Life After Root Canal Treatment?

After root canal treatment, patients should:

– Avoid cold or hot foods and drinks for about 2 hours.

– Expect numbness for 2-3 hours after treatment due to local anesthesia. Avoid eating or drinking during this period to prevent mouth injuries.

– If a temporary filling breaks or falls out between sessions, consult your dentist for a replacement.

– Use prescribed painkillers and antibiotics as needed. Contact your dentist if severe pain, inflammation, abscess, or swelling occurs.

Does a Tooth That Has Had Root Canal Treatment Hurt?

A tooth that has undergone root canal treatment generally does not respond to external stimuli since the nerves are removed. However, mild pain or sensitivity might occur when chewing during the healing process. If there was severe pain or intense infection before treatment, some pain might persist due to the pressure on the tooth while eating and drinking. Common issues include:

– Errors in the treatment planning.

– Unnoticed canals in the tooth root.

– Inadequate oral hygiene.

– Leaking fillings or issues with the size and fit of fillings and coatings.

– New caries in the treated area.