Is the Cost of Root Canal Treatment?
are many factors that affect the cost of root canal treatment. Each
patient and tooth presents a different set of circumstances. Generally,
the cost of root canal treatment is directly related to the chair
time necessary to perform the treatment as well as to the costs
of the staff, training, and technology that the dentist has available
when performing the procedure. There are many factors that influence
the amount of chair time necessary to treat any particular tooth:
position of the tooth in the mouth
number of roots and the number of canals within these roots
curvatures and the length of the roots
presence or absence of calcifications within the root canal space
dental considerations. For example, it may be more difficult for
the dentist to work through an existing crown or a bridge than
to work on a tooth with only a small previous filling. Also, some
teeth may have been severely broken down by past dental disease
and these may have to be "built-up" before root canal
treatment can even be started so that an aseptic field can be
established and maintained during treatment.
addition to the chair time involved for treatment, other factors
are also taken into consideration when determining a fair fee for
root canal treatment:
cost of technology. Dentists who use state-of-the-art technology
for certain procedures have invested in computer digital radiography,
ultrasonic, and specialized training courses for themselves and
for their staff. Those patients who benefit from them share the
costs of these items.
costs of the dental office overhead include staff, rent, and supplies
in addition to many other expenses. These costs vary significantly
in different areas of the country.
vary among practitioners due to differences in their endodontic
treatment philosophies, which in turn dictate the chair time required,
the materials selected, and the technologies utilized.
conclusion, there can be marked discrepancies in the fees charged
for root canal treatment by different dentists. Ultimately, the
best value for care is treatment that is done once and works over
a period of many years. Conversely, the most expensive dental treatment
is the treatment that may cost less initially but does not work
predictably and needs to be redone one or more times. The wise dental
consumer does not make a treatment decision on the basis of cost
Fundamentals For A Root Canal Therapy
- RCT is one name that gives many patients shivers when told about
it. However, in reality, it is not that bad. Infact, it is an instant
pain reliever and the best treatment to retain the original teeth.
A Root canal treated tooth serves its purpose and function just
as a healthy tooth.
root canal is a capillary, which runs from the base of the root
of the tooth to the middle of the crown (the visible part of the
tooth). The root canal carries the pulp (a network of blood and
nerve cells), which brings the tooth to life.
nerve of the tooth gets damaged due to many reasons. One of the
main causes is cavity in the tooth that grows deeper and touches
the nerve. Since the cavity is filled with bacteria, the root canal
gets inflamed and causes pain. Other reasons that may damage the
teeth are accidental cracks or infection from gums reaching to the
base of roots. In such cases, root canal treatments can easily stabilise
are two ways to get relief from the pain: perform the root canal
therapy, or pull the tooth, clean the gum below, and replace the
tooth with a denture or bridge. We advise removing teeth as a last
resort natural teeth are the ones best suited for the mouth.
important to have root canal therapy done quickly. The bacteria
will travel down the canal to the root and into the jawbone. If
this happens, the pain of your toothache will spread to your jaw.
Even more important, the infection can cause your jawbone to deteriorate
and weaken the structure that holds your teeth.
best way to avoid root canals is to take good daily care of your
teeth to prevent the growth and spread of bacteria. Brushing and
flossing are important. Just as important are regular trips to the
dentist, to check for the first sign of decay or cracks that could
eventually lead to an infected tooth. In this case, an ounce of
prevention really is worth a pound of cure!
Dental Health: Symptoms
Of Endodontic Disease
Symptoms requiring an RCT:
Severe tooth pain, typically relieved by cold water and increases
with the intake of hot liquids.
Pain worsens when you lie down and reduces when you sit up.
Pain stays for a long time after consuming cold things.
Swelling around the tooth.
Constant tooth pain
Pain when chewing.
Tooth pain referred to head and ears as well.
Tooth sensitivity on consuming sweets.
you have any of the above stated symptoms, it would be advisable
that you visit your dentist, since he is the best person to judge
whether you have a root canal disease or not, as some of these symptoms
may be due to other problems as well.
May Endodontic Disease Cause Swelling?
When the pulp tissue becomes severely diseased and necrotic, the
resultant infection can spread from inside the tooth into the adjacent
bone and soft tissues. As a result, swelling can occur in the tissues
immediately surrounding the tooth. If this situation is not treated
and the disease process is not kept under control by the body's
defences, the infection can begin to spread into other tissue spaces,
such as those around the eye or in the neck. In some situations,
this can become a serious medical emergency.
Can an Endodontically Failing Tooth Be Retreated?
Even when pain and/or swelling is present, the majority of failing
endodontically-treated teeth can be successfully retreated in today's
world of clinical possibility. By using scientific information gathered
from research and clinical studies, clinicians have developed better
endodontic concepts, materials, and techniques. Additionally, there
are now better-trained general dentists and specialists alike. All
of these factors translate into improved care for patients. The
significant technological breakthroughs that benefit both doctors
and patients in endodontic retreatment include:
Magnification glasses, fibre optic lighting sources, headlamps,
have significantly improved vision and hence elevated treatment
Ultrasonic devices allow doctors to more efficiently and completely
remove old root canal filling materials and other intra-canal
obstructions so that teeth may be successfully retreated.
Computer digital radiography technology allows the doctor to better
diagnose, visualize, and treat root canal disease. Additionally,
this technology significantly reduces radiation exposure to the
Improved instruments, better materials for filling and repairing
canals, and innovative new technologies have all contributed to
significantly improved retreatment success.
well-trained general dentists and specialists alike can oftentimes
perform non-surgical endodontic retreatment in a very predictable,
cost-effective, and time saving manner when compared to other treatment
alternatives. At times, however, retreatment cannot be managed with
non-surgical efforts alone. In these situations, and as an alternative
to extraction, a surgical approach may be necessary.
Is Non-Surgical Root Canal Treatment (NSRCT)?
Non-surgical root canal treatment is a procedure directed towards
saving an endodontically failing tooth. At times, the patient's
existing artificial crown must be removed. In other instances, access
through the crown may be possible. The access opening is created
in order to give the dentist non-surgical access into the root canal
space through the biting surface of the tooth. Once this has been
accomplished, a non-surgical retreatment procedure oftentimes requires:
and treating previously missed canals.
Removing old filling materials from the root canal space.
posts and broken instruments.
existing root canal treatment.
blocked canals and bypassing canal ledges.
mechanical and pathological perforations in the root.
these objectives have been accomplished, the root canal system is
re-cleaned, re-shaped, disinfected, and three-dimensionally sealed.
A protective restoration can then be placed and the tooth restored
to a state of health and function.
Is Surgical Root Canal Treatment (SRCT)?
Surgical root canal treatment is a procedural effort in which it
is necessary to elevate a small flap of tissue adjacent to the involved
tooth in order to gain access to and treat root canal disease. Surgical
root canal treatments are usually minor, in-office procedures performed
under local anaesthesia. Once the pathological area is exposed,
the doctor performs a "curettage" to remove the diseased
tissue from around the root. This is usually followed by an "apicoectomy,"
a procedure in which the diseased portion of the root is removed.
A small filling is then usually placed to seal the remaining portion
of the root. Surgical root canal treatment will oftentimes result
in a good long-term prognosis for the tooth if the cause of pathology
can be effectively eliminated.
on occasion, retreatment efforts may not be possible or cost-effective
and extraction may be the only alternative. However, saving a tooth
that has been previously treated endodontically and is failing is
usually possible, can be very predictable, and is typically the
most conservative option for the patient.
About Root Canal Treatment
What Are the Goals of Root Canal Treatment?
As an alternative to an extraction, the goals of root canal treatment
are to save the tooth and allow it to be retained in the mouth for
many years in a state of health, function, and comfort. Root canal
treatment is directed towards removing diseased tissue from the
inside of the tooth and subsequently filling and sealing the root
canal space in order to minimize the possibility of future re-infection.
Is Root Canal Treatment Called Endodontic Treatment?
Endodontic is a word composed of two Greek words, "endo"
meaning "inside," and "odont" meaning "tooth."
Endodontics is that branch of dentistry that deals with the diagnosis,
prevention, and treatment of diseases that arise from the soft tissues
inside the tooth. These tissues are referred to as the dental pulp
and they occupy the root canal space. Thus, endodontic treatment
is also called root canal treatment.
a Tooth Has Had Root Canal Treatment, Is It a Dead Tooth?
Root canal treatment does not kill a tooth. Even though root canal
treatment removes the pulp tissue from inside the tooth, the tooth
is by no means "dead." Following successful endodontic
treatment, the tooth continues to receive its blood supply and nourishment
from the surrounding tissues and the supporting bone. The body's
immune system continues to recognize an endodontically treated tooth
as viable and healthy, just as it recognizes any other normal non-treated
tooth. An endodontically treated tooth generally requires a protective
crown and, once this restoration has been completed, the tooth continues
to function as an integral component of the dental arch. A tooth
that has had root canal treatment and has been properly restored
is no more susceptible to fracture, decay, or gum disease than any
To Root Canal Treatment
- The only alternative to root canal treatment is the extraction
of the problematic tooth. It is wise to consider all of the implications
of losing a tooth before having it removed. The decision should
not be made hastily or because the tooth is painful. If pain is
present and the dentist thinks that the tooth can be saved, the
discomfort can first be relieved and then the alternatives explored.
discussion about tooth replacement alternatives after extraction
can be complex because each individual situation is unique and,
at times, various specialists may need to be consulted. When considering
the alternatives for replacing a missing tooth, a few of the major
factors to consider are the long-term predictabilities of the various
alternatives, the overall chair time involved in treatment, the
esthetic results, the effects on the adjacent and opposing teeth,
and the costs. The usual alternatives that a patient has after tooth
restored dental implant. This restoration involves a surgical
procedure to insert the dental implant into the bone, a healing
phase of several months, and a final restorative phase, which
is similar to having a single tooth crown. Significant time and
laboratory costs are involved.
fixed bridge. Fabricating a fixed bridge requires cutting
down ("preparing") the teeth next to the missing tooth
so that they can receive the artificial crowns that support the
replacement tooth. These teeth must be strong and healthy if they
are to be effective bridge supports. Preparing the teeth for crowns
could have a detrimental effect on their pulp health, depending
on a variety of factors. This possibility needs to be discussed
and factored into your decision. Fixed bridges may take multiple
appointments to complete and have significant associated costs.
removable partial denture.
These appliances restore function and esthetics and can be inserted
into the mouth and removed at will. Although many teeth are successfully
replaced with removable prosthetic appliances, patients may initially
find them cumbersome. Removable partial dentures may also temporarily
alter phonetics as well as place unfavourable forces on the supporting
teeth and soft tissues. There may be significant costs associated
with this restoration.
replacing the extracted tooth.
This is a poor choice in most situations. Leaving a space after
extraction can lead to long-term problems with teeth shifting
and tipping, destabilization of the biting system, and esthetic
changes in the profile of the face. Financially and psychologically,
this could turn out to be the most costly choice over the lifetime
of the patient.
considering and weighing all of the consequences of extraction and
all of the alternatives for tooth replacement, in most situations
it becomes obvious that well-performed root canal treatment with
a protective restoration is the treatment of choice. Root canal
treatment is usually the least time-consuming, the least invasive,