The second layer of the tooth is called the dentine and the hardness of this layer is equal to that of bone. An insult that has reached this part of the tooth will result in sensitivity to temperature extremes and sugars. This part of the tooth can also be filled by the dentist using filling materials that may require a small base under the filling to protect the underlying even softer part of the tooth. Such a filling is called an Indirect Pulp Cap (Pulp being the deepest portion of the tooth). In almost all cases, a pulp cap is done in a single appointment.
The third layer of the tooth is called the pulp chamber or the Root Canal of the tooth. This is the softest and deepest part of the tooth. When this part of the tooth is invaded by the infection, a severe pain is usually experienced. Decay of such a depth requires removal of the nerve endings in the tooth and to thoroughly remove any dead tissue inside the tooth. After the tooth has been cleaned thoroughly from the inside, the remaining shell of the tooth is filled with root filling materials and packed completely as an attempt to avoid an infection again.Root Canal Treatment or RCT is a procedure done by your dentist to attempt and salvage a tooth that has been infected deep enough to affect the pulp chamber of the tooth. A root canal treatment may require up to 3 visits depending on the severity of the tooth. CDDC in Islamabad offers single sitting root canal treatments in selected teeth if no residual infection is left in the canal and the tooth is achieved to be completely dry. This is done by our approach with synergy as we have an Endondontist available in the team. An endodontist is an additionally trained dentist that deals with infections of the nerves of the teeth, using advanced technology aimed at restoring teeth that are badly insulted due to decay or other problems such as fractures.
Re Treatment or Re RCT is a procedure done by the dentist in teeth that have had root canal treatments previously that have failed. It is a procedure where the dentist opens the tooth again, removes the old filling and thoroughly cleans the infection and packs the tooth again.
Sometimes when the infection is so spread that a simple root canal treatment might not work to salvage the tooth, a small surgery at the end of the tooth root area, called the apex, may be needed. This procedure is done in generally 30 minutes or less and gives the tooth another chance at survival in selected cases. All of these procedures are considered restorative and are performed with the intent of avoiding the removal of the tooth, which may cause further problems and be more expensive to replace with artificial teeth.
All root canal treated teeth need crowns on top of them to make them able to withstand biting forces