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What is RCT in endodontics?

Published in Endodontic Treatment 3 mins read

RCT in endodontics stands for Root Canal Treatment, a dental procedure designed to remove infection from the inside of a tooth. It's also sometimes referred to as root canal therapy or endodontic therapy.

Understanding Root Canal Treatment

Root canal treatment becomes necessary when the pulp, the soft tissue inside the tooth containing nerves, blood vessels, and connective tissue, becomes infected or inflamed. This infection can stem from deep decay, repeated dental procedures on a tooth, a crack or chip in the tooth, or trauma to the tooth.

Why is RCT Performed?

The primary purpose of a root canal is to:

  • Eliminate Infection: Remove the infected or inflamed pulp.
  • Prevent Reinfection: Thoroughly clean, disinfect, and shape the root canal.
  • Save the Tooth: Seal the space to prevent bacteria from re-entering, thereby saving the natural tooth and avoiding extraction.

The Root Canal Procedure: A Step-by-Step Overview

  1. Anesthesia: The tooth and surrounding area are numbed with a local anesthetic.
  2. Access Opening: A small opening is created in the crown of the tooth to access the pulp chamber.
  3. Pulp Removal: The infected or damaged pulp is carefully removed from the root canals using specialized instruments.
  4. Cleaning and Shaping: The root canals are cleaned, disinfected, and shaped to prepare them for filling.
  5. Filling: The canals are filled with a biocompatible material, typically gutta-percha, and sealed with a cement.
  6. Restoration: A temporary filling is placed to close the access opening. A permanent restoration, such as a crown, is usually needed to protect the tooth and restore its function.

Benefits of Root Canal Treatment

  • Pain Relief: Eliminates the pain caused by infection.
  • Tooth Preservation: Saves the natural tooth, preventing the need for extraction.
  • Prevents Further Infection: Stops the spread of infection to other areas.
  • Restores Function: Allows you to chew and speak normally.
  • Aesthetically Pleasing: Maintains a natural smile.

When is a Root Canal Necessary?

A root canal is generally recommended when a patient experiences symptoms such as:

  • Severe toothache, especially when chewing or applying pressure.
  • Prolonged sensitivity to heat or cold, even after the stimulus is removed.
  • Discoloration of the tooth.
  • Swelling and tenderness in the gums near the affected tooth.
  • A persistent or recurring pimple on the gums.

Root Canal Treatment (RCT) is a vital procedure in endodontics that saves teeth and alleviates pain caused by infection or inflammation of the dental pulp.

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