What Is Root Canal Treatment?
Root Canal Treatment (RCT), or endodontic therapy, is a procedure that saves a severely infected or damaged tooth by removing the infected pulp (nerves and blood vessels) from inside the tooth, cleaning and shaping the root canals, and sealing them. This eliminates infection, relieves pain, and preserves your natural tooth so it can function normally for years.
Modern RCT is performed under local anaesthesia and is no more uncomfortable than a routine filling. At MIŠKA, we use rotary instrumentation and apex locators for precision and efficiency.
Who Needs Root Canal Treatment?
- Severe toothache, especially with chewing or pressure
- Prolonged sensitivity to hot or cold
- Discoloration or darkening of the tooth
- Swollen or tender gums near the tooth
- Persistent or recurring pimple on the gums
- Deep decay or crack exposing the pulp
- Trauma that has damaged the nerve
The Root Canal Process
- Examination & X-Ray – Clinical assessment and X-ray to confirm diagnosis and plan treatment. We discuss the procedure, number of visits, and expected outcome.
- Anaesthesia – Local anaesthesia is administered to ensure you are comfortable throughout.
- Access – A small opening is made in the crown to access the pulp chamber and root canals.
- Cleaning & Shaping – Infected pulp is removed. Canals are cleaned, disinfected, and shaped using rotary files. Irrigation with sodium hypochlorite ensures thorough disinfection.
- Filling – Canals are filled with biocompatible material (gutta-percha) and sealer to prevent re-infection.
- Restoration – The access is sealed. A crown is usually recommended to protect the treated tooth and restore strength.
Our SOPs & Quality Assurance
We adhere to strict protocols for infection control, aseptic technique, and documentation:
- Pre-procedure – Medical history, informed consent, allergy check. Rubber dam isolation to keep the working area dry and free of saliva.
- Sterilization – All instruments sterilized in Class B autoclave. Single-use files (disposable) or validated sterilization cycles. Handpieces sterilized after each patient.
- Infection Control – Gloves, mask, eyewear, and disposable bibs. Surface disinfection between patients. Sterile irrigation solutions.
- Clinical Protocol – Apex locator for accurate working length. Rotary nickel-titanium files for efficient shaping. Final irrigation protocol (EDTA + NaOCl).
- Documentation – Treatment record, pre- and post-operative X-rays, consent forms. Recall scheduling for crown placement and follow-up.
- Post-operative Care – Written and verbal instructions, prescribed medication, temporary filling care, and appointment for permanent restoration.
Pre-Care Instructions
- Inform us of medications, allergies, and medical conditions
- Eat before the appointment—anaesthesia may limit eating for a few hours after
- Maintain good oral hygiene
Post-Care Instructions
- Avoid chewing on the treated tooth until the crown is placed
- Take prescribed antibiotics and pain relievers as directed
- Maintain gentle oral hygiene; avoid the area for the first 24 hours
- Return for crown placement within 2–4 weeks to protect the tooth
Frequently Asked Questions
Is root canal painful?
Modern RCT is performed under local anaesthesia. You may feel mild soreness for a few days, managed with over-the-counter or prescribed pain medication.
How many visits does RCT require?
Most cases are completed in 1–2 visits. Complex cases may require additional appointments.
Why do I need a crown after RCT?
Root canal-treated teeth become brittle. A crown protects the tooth from fracture and restores function.
Book Your Root Canal Consultation
Don't delay—saving your tooth is easier when we treat infection early.
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