Monthly Archives: January 2014

Best Root Canal Treatment - Oswal Dental Clinic

Root canal treatment:

When the nerve of your tooth becomes infected, a successful root canal treatment lets you keep the tooth rather than having to pull it out. Keeping your tooth helps to prevent your other teeth from drifting out of line and causing jaw problems. Saving a natural tooth avoids having to replace it with an artificial tooth.

What is root canal?

Root canal treatment, also known as endodontic treatment, is the process of removing infected, injured or dead pulp from your tooth. The space inside the hard layers of each tooth is called the root canal system. This system is filled with soft dental pulp made up of nerves and blood vessels that help your tooth grow and develop.

When bacteria (germs) enter your tooth through deep cavities, cracks or flawed fillings, your tooth can become abscessed. An abscessed tooth is a tooth with an infection in the pulp. If pulp becomes infected, it needs to be removed. An abscessed tooth may cause pain and/or swelling. Your dentist may notice the infection from a dental x-ray or from other changes with the tooth. If left untreated, an abscessed tooth can cause serious oral health problems.

How is a root canal treatment done?

  1. The dentist gives you a local anesthetic (freezing).
  2. To protect your tooth from bacteria in your saliva during the treatment, the dentist places a rubber dam around the tooth being treated.
  3. The dentist makes an opening in the tooth to reach the root canal system and the damaged pulp.
  4. Using very fine dental instruments, the dentist removes the pulp by cleaning and enlarging the root canal system.
  5. After the canal has been cleaned, the dentist fills and seals the canal.
  6. The opening of the tooth is then sealed with either a temporary or permanent filling.

Tooth restoration after root canal treatment

After a root canal treatment, your tooth has to be restored (fixed) to look, feel and work as much like a natural tooth as possible. If an endodontist performed your root canal treatment, he or she will fill the opening of the tooth with a temporary filling and send you back to your dentist or prosthodontist for tooth restoration.

A prosthodontist is a dental specialist who restores and replaces teeth using crowns, bridges, dentures and implants. Your dentist or specialist may use a permanent filling or a crown to restore your tooth. The choice of restoration will depend on the strength of the part of the tooth that’s left. A back tooth will likely need a crown because chewing puts a great deal of force on back teeth. If there is not enough of the tooth left, posts may be used to help support the crown.

What else should I know?

Root canal treatment may be done in 1 or 2 appointments. After root canal treatment, your tooth may be tender for the first week or two. Bad pain or swelling are NOT common. If this happens, call your dentist or endodontic.

You can still get a cavity or gum disease after a root canal treatment. Root canal treatment does not protect your tooth from other types of damage. With proper care and regular dental visits, the tooth could last as long as your other teeth. Most of the time, a tooth that has had a root canal treatment can be saved. However, there are cases where everything possible has been done to save a tooth and still the tooth must be extracted (pulled).

Root canal retreatment

Most root canal treatments are successful. But in some rare cases, a second root canal treatment is needed. This is called retreatment. When retreating a tooth, the root canal filling material is taken out, and the canal is recleaned, reshaped and refilled.

Root canal surgery

Sometimes root canal surgery is needed when a regular root canal treatment cannot be done or when it has not worked. Surgery is done to:

  • Check the end of the root for fractures (cracks).
  • Remove parts of the root that could not be cleaned during regular root canal treatment.
  • Clear up an infection that did not heal after regular treatment.

To help you do a successful root canal a treatment is given by Dr. Nitin Oswal (MDS) and Dr. Krupali Oswal(MDS) at Oswal Dental and Oral Surgery clinic, 164, M.G. Road, 1st floor, behind Talwalkar’s Gym, Camp, Pune- 411001.

Wisdom Tooth Surgery - Dental Clinic In Pune

What is Wisdom Tooth?

Wisdom teeth are the third and final set of molars that most people get in their late teens or early twenties. If these teeth are properly aligned, they become a valuable asset, but more often, they are misaligned and required to be removed.

Misalignment of wisdom tooth can adjacent teeth, the jaw bone or even nerves due to their improper positions like be angled toward or away from the second molars, or be angled inward or outward.

Sometimes the wisdom tooth is likely to erupt partially which may allow bacteria to enter around the tooth and cause serious infections leading to pain, swelling, , jaw stiffness, and general illness. If the partially erupted tooth is in the location which is hard to reach making brushing difficult it is likely to decay and result into gum disease.

How Do I Know if I Have Wisdom Teeth?

Your dentist can detect eruption, positioning and alignment of wisdom tooth. Dentist can periodically evaluate your teeth and may also send you to oral surgeon for further evaluation if required. To avoid the pain that wisdom tooth can cause in future, the dentist or oral surgeon can recommend extracting the tooth. Removal is easier in young people, when the wisdom teeth roots are not yet fully developed and the bone is less dense. In older people, recovery and healing time tend to be longer.

How Are Wisdom Teeth Removed?

Whether to extract the wisdom tooth or not depends upon position and stage of development. A wisdom tooth which is completely erupted through the gum can easily be extracted with less pain, but if it is underneath the gum and embedded in the jawbone will require an incision into the gums and then removal of the portion of bone that lies over the tooth. Tooth in such position may be extracted in small sections rather than removed in one piece to minimize the amount of bone that needs to be removed to get the tooth out.

What Happens During Wisdom Teeth Removal?

To remove your wisdom teeth, the teeth and the surrounding tissue will be numbed with a local anesthetic to lead minimal pain — the same type used to numb a tooth prior to having a cavity filled. Your dentist or oral surgeon will decide whether to give the sedative in addition, to control any anxiety. Sedating medications include: nitrous oxide (otherwise known as “laughing gas”), an oral sedative (for example, Valium), or an intravenous sedative (administered via an injection into your veins). If nitrous oxide is given, you will be able to drive yourself home. If any of the other medications is selected, you will need someone to drive you both to and from the appointment.

Where Can I Do Wisdom Teeth Extraction?

To help you deal with pain of your wisdom tooth through proper treatment Dr. Nitin Oswal (MDS) and Dr. Krupali Oswal(MDS) are available at Oswal Dental and Oral Surgery clinic, 164, M.G. Road, 1st floor, behind Talwalkar’s Gym, Camp, Pune- 411001.