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RCT or root canal treatment is an instant pain reliever and the best treatment to retain the original teeth.  If you have a tooth whose internal structures are damaged, you may benefit from root canal therapy. A Root canal treated tooth serves its purpose and function just as a healthy tooth.
The tooth is divided into 2 parts. The first is the crown. This is the part of the tooth that you see above the gum. The second is the root of the tooth which holds it to the jaw-bone. The tooth is kept nourished through a soft tissue(pulp) which is present inside the crown and roots.
Crown: An outer enamel layer and the dentin inside protect the tooth's underlying structures and prevent bacteria from entering the tooth.
Root: the root canals contain the pulp and extend to the underlying bone. This pulp is made up of tiny blood vessels and nerves and is solely responsible for the nourishment of the tooth. It is these nerves that give the feeling to the tooth. The bone holds the tooth with the help of tiny ligaments attached to the roots. The soft tissue enters and exits through the opening of the root tips.
Causes
A loose filling cavity or a crack can act like a gate to allow bacteria invade your tooth. The pulp is instantly attacked by the bacteria and gets infected. The bacteria can completely destroy the pulp. This causes the inflammation and infection to spread down the root canal often causing throbbing, aching pain with high sensitivity to hot or cold food. This can cause the bone to get infected as the bacteria escape through the root openings. The bone then breaks down and the ligament that surrounds your tooth can swell and loosen the tooth.
Symptoms
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.
After 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, least invasive and the best way to maintain the arch width length. However after the RCT has been completed ,the tooth becomes brittle due to lack of blood supply hence to preserve its functional integrity it should be restored with a crown. Once this is done the tooth then functions like a normal tooth. There may be instances wherein a tooth cannot be restored endodontically as in cases of root fractures, periodontally compromised mobile tooth or a grossly destructed tooth. In such cases the tooth would be extracted and then restored with either a bridge or an Implant.
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