Endodontist: Root Canal Treatments

Root canal is probably one of the most well known terms in dentistry,however, many people still don’t know what it actually means or in whatsituations the procedure is likely to be necessary.

The Pain of an Abscess

The Root canal treatment is normally pursued when infection builds inthe mouth and an abscess forms. Abscesses typically manifest as painfultoothaches and can also darken the colour of the infected tooth. Aswell as being painful, the can make eating a lot less pleasurable.What’s more, they can be a cause of bad breath, leaving you feelingreally down in the dumps.

The sooner an abscess gets treatment, the better. Left unattended,it’s likely to spread infection elsewhere in the mouth; this is wherethe root canal treatment comes in.

A Modern Approach

Using modern methods and technology, your dentist at the Cheshire Dental Centre will clean out the infection in your tooth. Modern methods mean that itis possible to perform the procedure whilst ensuring you remain largelypain free the whole time. Once the procedure is complete, a temporaryfilling is fitted to your tooth until your dentist is satisfied that theinfection has cleared up. Once this has been confirmed, a morepermanent filling will be made and your mouth will be ready for activeduty once more.

At the Cheshire Dental Centre we have plenty of experience carryingout root canal work. As such, you can feel safe in the knowledge thatyou are being cared for by professionals who know exactly what they aredoing. If you have any questions about the procedure, or feel that youmay be in need of a root canal, our friendly dentists are happy todiscuss the procedure with you further.

Covid-19 and your care

We have now received clear guidance as to what dental procedures we can safely carry out and at what stages during the pandemic.

Below is a summary of the guidance as we understand it, although this may modify over the next few days as some small inconsistencies are clarified.

The government has set five different risk levels for the pandemic 1-5 (low to high), although this changes on a daily basis.

The treatments that we can carry out safely in dental practice will change with the risk level.

Treatments are significantly limited at level 4.

During the next few weeks, we will attempt to contact each patient that has contacted us with a significant dental problem during lockdown, and we hope to book an assessment appointment for those patients in the week commencing 8th June.

Practice doors will be locked at level 3, 4 and 5. Entry to the practice will be limited to pre-booked appointments.

There will be very clear criteria provided in due course as what is required before arriving at the practice, and what the procedure will be upon arrival. We will endeavour to ensure that each person knows exactly what to expect at their visit as this will be quite different to what you have been used to.

The appointment diary will be structured to take into consideration those patients who are shielding, may have underlying medical issues and so on.

The first week is expected to be a slow start as we ensure that the new protocols are working effectively for everyone’s safety. These protocols will be audited and modified until required.

At level 4 we should be able to carry out the following:

Dental assessment (initially restricted to patients who have current urgent need, or did and contacted us during lockdown).

X rays but only for patients who tolerate them well.

TEMPORARY re cementation of crowns. (We cannot dry the tooth effectively enough to cement a crown permanently with the restrictions we face).

Fabrication or repair of removable dentures.

Simple dental extractions. If a tooth breaks, it is probable we will have to leave the roots in place until we are at a lower level of risk. Naturally, we will assess the risk very carefully prior to treatment.

Tightening of loose dental implants if possible, without using a high-speed handpiece (drill).

Temporary fillings.

Draining of a swelling/abscess.

Provision of antibiotics.

Trimming of sharp orthodontic wires (not reliable re cementation of loose brackets, or replacement of missing brackets).

Treatment is only to be offered after careful assessment.

Cosmetic orthodontics

Cheshire Dental Centre provide many of these treatments. We may now be able to progress some of our Quick Straight Teeth cases. We will be in touch with each patient shortly, but please allow us to contact you; we hope that it is understandable that we will be prioritising patients with urgent dental need.

The PPE (personal protective equipment) requirements for the above are not too onerous, and we will not look too different to normal. As you are aware, the cross-infection control at Cheshire Dental Centre has always been exemplary and one of our top priorities.

Although we have been organised with the new PPE guidelines well in advance there may be the occasional time where we are awaiting stock. All practices are attempting to source the necessary PPE we need to keep you and us safe, but supplies are scarce and consequently very expensive.