Understanding Root Canal Treatment
Root canal treatment is performed when there is pain and discomfort while chewing from the tooth. The cause of root canal treatment is the infected nerve canal due to decay from the tooth layers above the nerve.
To ensure successful root canal treatment, 4 critical factors are necessary:
1. Complete Infection Removal
Removing all infection in the nerve canal thoroughly.
2. Adequate Medicinal Filling
Placing adequate medicine to fill the gap after the infected nerve is removed.
3. Decay Removal & Restoration
Removing decay of the tooth which caused the nerve infection and restoring tooth structure.
4. Protective Capping
Placing suitable cap over the tooth to restore its strength and prevent fracture.
Reasons for Persistent Pain After Root Canal
1. Incomplete Infection Removal
All the infection in the nerve canal was not removed completely, so after some time the infection grew back. This incomplete cleaning leaves bacteria behind that continue to multiply, causing persistent or recurring pain.
Solution Required:
To treat this you will require a re-root canal procedure to thoroughly clean and disinfect the canal system.
2. Improper Medicinal Filling
Adequate medicine was not filled till the full end of the nerve canal, leading to space for bacterial regrowth and repeat infection. Short or incomplete fillings create voids where bacteria can thrive.
Solution Required:
To treat this you will require a re-root canal to properly seal the entire length of the root canal system.
3. Poor Decay Management
The decay above the nerve was not removed completely or was filled incorrectly, creating weak tooth structure that can fracture. A compromised tooth structure cannot withstand normal chewing forces.
Solution Required:
To treat this you need to repeat the filling procedure with proper removal of all decay and adequate tooth restoration.
4. Low-Quality Dental Cap
The cap over the tooth was made with low quality metal or ceramic leading to fracture or breakage. Inferior materials cannot withstand the forces of chewing and may crack, allowing bacteria to enter.
Prevention:
Always choose high-quality dental crowns made from durable materials that match your bite forces.
5. Improper Cap Design
The shape of the cap above the tooth was not proper and was trapping food under it, causing gum infection and pain. Poorly fitting crowns create spaces where food accumulates and bacteria proliferate.
Prevention:
Ensure proper crown design and fit to prevent food impaction and maintain healthy gum margins.
Insight from Dr. Mrunal Burute
"Root canal, although done regularly at my clinics, has a significant failure rate due to not following these critical factors. In my years of experience, I have observed that the real problem why patients require dental implants is consecutive previous bad treatments."
The Domino Effect:
A patient first develops cavity → it further increases to root canal → then the root canal is not properly done → tooth fails → leading to implant requirement. Or a bridge fails in just 10–15 years and then implants are required.
Hence, I focus on patient awareness and first teach the right science behind success of dental treatments. This makes all the difference between me doing the right job and patients maintaining it for lifetime results.
The Solution: Advanced Dental Implants
Implants done by my researched and unique technique have shown long-lasting and wonderful results. The success rate RECORDED at my clinic is 99.5% because of my unique protocol.
Proper Root Canal Treatment
Successful Dental Implant