Root Canal Treatment (Endodontics)

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When tooth decay progresses beyond the enamel and dentin layers and reaches the pulp—the inner core containing nerves and blood vessels—the damage becomes irreversible. At this stage, root canal treatment is necessary to save the tooth and relieve pain. Early detection is key to preventing extensive damage and preserving dental health.

How Root Canal Therapy Works

The approach varies depending on whether the tooth is still vital (alive) or devital (infected or dead):

1. Vital Teeth (No Abscess or Advanced Infection)

For teeth with deep decay but no abscess, treatment is typically completed in a single visit:

The tooth is numbed with local anesthesia.
The decayed and infected tissue is removed, including the pulp and nerve inside the root canal.
The canals are thoroughly cleaned and disinfected using sodium hypochlorite solution.
Once sterilized, the root canals are sealed with a biocompatible material to prevent reinfection.

2. Devital Teeth (Infected or Abscessed)

In cases where the tooth is already non-vital and an infection has developed—often resulting in swelling, sensitivity, or a gum boil (dental fistula)—a staged approach is used:

The root canals are cleaned and disinfected as above.
A temporary antibacterial medication such as calcium hydroxide is placed inside the canals to eliminate deep-seated bacteria.
The patient returns for weekly check-ups, where the medication is replaced until the infection is fully controlled.
Once the area is clear of infection, the root canals are permanently sealed to complete the treatment.

Root canal therapy is a highly effective way to save natural teeth that would otherwise need to be extracted. When combined with proper oral care and restoration (like a crown or filling), treated teeth can last for many years.

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Caddebostan, Noter Sk. 18/3, 34728 Kadıköy/İstanbul

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