Root Canal Treatment

Let us alleviate the toothache without pulling out your tooth! We can put back that sore tooth through virtually painless treatment to work again, never to worry that there will be hurting.

Root Canal Treatment

Smile More Dental Clinic in Manila offers Root Canal Treatment service. This handling is the preferred option if the goal is to save the aching and infected tooth when the tooth’s nerve is already involved. Particular tooth damaging conditions like tooth decay, recurrent decay, leak on restorations, and tooth trauma can lead to a tooth suffering from a harmful infection. The most common symptoms felt with a tooth needing Root Canal Treatment is heightened sensitivity and constant pain. When the tooth felt tender when chewing foods or experienced swelling of the particular site – we can surmise that they can be dental nerve-related. Even when you do not feel any discomfort, they can manifest as any: a gum boil near the tooth’s root, darkening (grayish to blackish appearance) or tooth discoloration, unpleasant smell pointing to one area of the mouth, etc. The earlier we do the treatment, the more suitable cure can ease your dental distress.

Our dentists perform a root canal to remove the bacteria-infected dental pulp and nerve of the tooth or the pus-filled tooth’s inner canal. Then we will shape and clean the canal to eliminate the infected matter and tissues that can lead to threatening systemic infection. We will then fix the tooth with a dental filling (short-term solution) or a dental crown (long-term solution) to protect and restore the treated tooth to its original function.

At Smile More, we have saved and treated countless teeth with Endodontic or Root Canal Treatment. We first need to assess the tooth causing discomfort if Root Canal Treatment is the fitting solution. We need to consider the degree of difficulty involved, spread, and size of the lesion. We need to assess if such lesion is an abscess, granuloma, or cyst. The longer and more fixed and steady the lesion is, the less success we can predict for the treatment outcome. That is why we advise patients to visit us before any signs of infection or discomfort are felt — because that could mean saving or losing their teeth. We also need to look for treatment snag like blocked root canal systems (blockage) and remarkably curved roots.  An extremely brittle or rotten tooth structure and severe gum disease of the involved tooth are also relative exclusions to the treatment. If Root Canal Treatment is not likely, only then will we opt for the tooth’s removal.

Let’s assume that the tooth is symptomatic, and you feel throbbing and lingering pain. We need to explore if the infection involves the tooth nerve or an abscess found on the tip of the tooth’s root. With x-ray, we can map out the number of the tooth’s root canal involving (1 root on most front teeth; 1 or 2 roots on premolars; mostly 3 roots on molars or could be more). The x-ray will uncover the extent of dental decay that affected the tooth. Suppose the decay encroached the pulp area (nerve portion) by such indication. In that case, the bacteria can have entered the root canal system. 

There are cases of a lingering tooth infection. The lesion became hard and unyielding to cleansing action that root canal treatment does (ex: dental granuloma and cysts). If this happens, a surgical solution called “apicoectomy” is the subsequent management required. So, we need to carefully weigh the practical consideration of saving the tooth with worry for future reinfection (flare-up) or just removing the entire tooth and taking with it the associated infection when gone.


How Do We Perform Root Canal Treatment?


At Smile More Dental Clinic in Ermita, Manila, this is how we perform Root Canal Treatment.

1.) We will take an X-ray for the initial guide. We will excavate the decay and clean the tooth. Suppose there are damaged areas or broken tooth walls. In that case, we may need to put a build-up material or a dental filling to reconstruct the tooth for better instrumentation initially.

2.) We put the tooth to numb using local anesthesia, which helps ease the discomfort involved in doing the process.

3.) We make an “access preparation” or a hole, usually at the tooth crown’s inner surface (if treating a front tooth), to initiate root canal access without placing the entry hole on the tooth in an outward view. We prepare the access hole on the chewing surface in premolars and molars on the back teeth.

4.) Once we have established an opening or the “access prep.,” we will then explore with a hand instrument if we are right at the orifice of the root canal. We will insert a very fine instrument to feel the inside of the tooth chamber (tactile sense) before proceeding with what we call “filing” or intra-canal shaving of the Root Canal process (“Instrumentation”).

5.) Using a cleansing and disinfecting solution, we flush the dental root canal to wash away infected tissues and debris (“Irrigation”). 

6.) With the help of a device called “Apex Locator,” we will have an accurate or exacting measure of the tooth’s root tip (working length) to ensure that we won’t go beyond it.

7.) Once we established the working distance or gauge, we will continue to shave the inner canal, often aided with a special water-soluble loosening solution. This lubricant removes the blockage and permits efficient instrumentation. While we do this, expect some copious “Irrigation” (flushing of debris).

8.) We will dry the canal with a tiny absorbable material (paper point) before placing a cotton pellet and a temporary filling material on the access prep. We can dismiss the patient until the subsequent visits. We require that you come back for the completion of the Root Canal Treatment.

9.) On your return visit, we will resume with irrigation and instrumentation. When we remove the temporary filling on the orifice and check that the canal is wet or there is dripping fluid, we will continue the cleaning (canal instrumentation) and the flushing (irrigation). We will temporarily cover the access prep. and schedule your follow-through visits.  You must return and not miss your appointments because this step will ensure the disinfection process of the root canal.

10.) When you come back, and we checked that the root canal is dry (no fluid or secretion by paper point indicator), then we can plug the inside canal with a rubber-like material called “gutta-percha.” This gutta-percha will be bound together with cement or dressing and cut to remove the excess above the tooth opening (or access prep. -> see number #3 step above) 

11.) The access prep. is filled with a Permanent Filling, then a final restoration in the form of a Dental Crown is done later.

Having mentioned above the complexity of the process, you need to comply with the required visits to complete the entire treatment. We advise that you do not forget your return appointments to ensure the success of the treatment, even if discomfort is gone already. An incomplete Root Canal Treatment still has looming contamination or infection.

The price for Root Canal Service in our clinic depends on the number of root canals (per canal), the intricacy of the impending procedure, and the degree of infection as seen on the x-ray. If you are to ask us over the phone how much they cost, we will usually reply that you visit us so we can check your problem tooth for better assessment. We always want to give you a concrete apprise of your tooth problem, not a guess, hence root canal remedy.

Though the success of Root Canal Treatment has proved to be about a 90 to 95 percent rate, we still need to protect the treated tooth with a dental crown as a long-term restoration. The denervated tooth lacks blood supply and is prone to breaking if not appropriately restored.
Despite all effort done on making the Root Canal Treatment a success, there are incidents of flare-ups reported. Flare-up could be reinfection on the site of treatment or possibly bacterial activity that has heightened eventually. This condition can happen after a few months or years. The suggested management for this is doing Re-Treatment or Apico-Ectomy (a procedure under Oral Surgery).

Dowel Post & Core

Dowel Post & Core

You might encounter this Root Canal associated treatment in cases where the tooth’s crown portion is entirely broken.  They are needed when there is not much tooth material left to hold the dental crown or support the dental bridge. This is a screw-type material fastened by thin adhesive to the root canal portion’s interior, called a dowel post.  A cement material, called core build-up, is attached to the dowel post to establish sturdy support for the lost tooth crown. Altogether they are referred to as “Dowel Post & Core.”  Sometimes, we can customize them by taking an impression and have them fabricated in the dental laboratory. But we mostly use a pre-fabricated type since different sizes are made to fit on varying root canal diameters. The intent of putting this post is to improve the tooth’s strength.

FREQUENTLY ASKED QUESTIONS (for Root Canal Treatment):


How Much Does Root Canal Procedure Usually Cost?

It would be right to see the dentist have a look at the tooth requiring Root Canal. It would be best to discuss if Root Canal is the appropriate solution to the unsettling dental problem. In our clinic, we follow guidelines on how we charge the procedure, and it is always a requirement to take an X-ray. Through that, we would be able to recognize your problem tooth’s current situation and estimate the time required to have your case completed. As for any treatment, the cost is proportional to how simple or complicated the root canal case will present.

Does Insurance Coverage Include Root Canal Procedure in their list?

Usually, dental insurance does not include the cost of Root Canal Treatment. Patients typically shoulder the entire cost of the procedure. Though, few local and international insurances partly cover the cost of this treatment. It would be better to inquire through your insurance company to ascertain if they will pay for this procedure.

What will I do if I Can Not Afford the Cost of Root Canal Treatment?

Your health must be first on your priority list, and having an infected tooth can undoubtedly impact your wellness. The procedure is usually done in multiple visits, and we can allow installment payment for this procedure. Through that, we can start treating your infected tooth. By spreading the cost through consecutive sessions, you can indeed pay for the process. If you can not afford the procedure, we can provide you alternate options during your consultation.

I heard that Root Canals are Painful? Is it so?

Root Canal is the suited solution when the tooth’s nerve is in line with the cavity or is already encroached by the decay process. Not doing anything to address this solution could be much painful and bothersome. Removing the infected dental nerve is done under local anesthesia, enough to make the treatment comfortable. We have seen patients who, at first, were scared about the procedure and leave us pleased that they were wrong about their expectations.

Can you let me know the Disadvantages of the Root Canal Procedure?

While removing the infected nerve and fine blood vessels inside the tooth’s root canal can relieve irritation and infection. The absence of blood circulation within the tooth can result in the weakening of the tooth structure itself. Also, most teeth treated with Root Canal are usually severely affected and wreaked. That is why we always require patients undergoing this procedure to have the treated tooth capped with dental crowns. A “dowel post” when integrated within the tooth, plus the dental crown, can provide the affected tooth with improved durability and proper functioning.

Why Can I Not Have a Dental Filling Instead of Root Canal when my tooth hurts or is infected?

When the problem or infection has gotten inside the dental nerve, a dental filling can trap the infection inside and result in more disturbing pain and swelling. Before placing a dental filling, it would be suited to finish the Root Canal Treatment first.

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