Root canal therapy removes infected or inflamed pulp tissue within a tooth’s root canals, disinfects the system, and seals it to prevent reinfection. By preserving the natural tooth, patients avoid extraction and maintain proper function and aesthetics.

Indications for Root Canal

• • Deep Caries: Bacteria reaching pulp chamber causing infection or irreversible pulpitis.

• • Traumatic Injury: Cracks or fractures exposing pulp tissue.

• • Abscess Formation: Periapical radiolucency and swelling indicating necrotic pulp.

• • Persistent Pain: Spontaneous or thermal sensitivity lasting >30 seconds. Advanced Endodontic Techniques

• • Microscope-Assisted Therapy: Enhanced visualization for complex canal anatomies and micro-cracks.

• • NiTi Rotary Instrumentation: Flexible files maintain canal curvature and reduce procedural errors.

• • Irrigation Protocols: Sodium hypochlorite, EDTA, and ultrasonic activation for biofilm disruption.
  • Obturations: Warm vertical compaction or hydraulic calcium silicate-based sealers for hermetic seal.

Advanced Endodontic Techniques

• • Microscope-Assisted Therapy: Enhanced visualization for complex canal anatomies and micro-cracks.
  • NiTi Rotary Instrumentation: Flexible files maintain canal curvature and reduce procedural errors.
  • Irrigation Protocols: Sodium hypochlorite, EDTA, and ultrasonic activation for biofilm disruption.
  • Obturations: Warm vertical compaction or hydraulic calcium silicate-based sealers for hermetic seal.

Success Rates & Prognosis

• • Overall success rate >90% with modern techniques and materials.

• • Factors influencing outcome: pre-op infection size, canal complexity, restoration quality.
  • Retreatment options available for persistent or recurrent infections.

Benefits & Considerations

• • Tooth Preservation: Maintains natural dentition and alveolar bone structure.

• • Functional Restoration: Normal biting forces and aesthetics once crowned.

• • Risks: Procedural complications (ledges, perforations), postoperative flare-ups (3–5%).
  • Alternative Options: Extraction and implant/bridge placement if endodontic treatment fails.