Hello dear See RCT is always the last resort. First there is excavation of caries which is followed by either restoration of gic or sandwich technique (gic + light cure) However in case of reversible pulpits Ipc or indirect pulp capping is done It is associated with Sedative dressing Dentinal barrier to prevent further progression However iopa or x ray is must to evaluate the extent. So please consult the concerned dentist and as per iopa or clinical history get treatment done. Not all pain ful conditions require RCT. Some times desensitised paste are useful Regards
If all your filled teeth are aching and the dentist is recommending root canal treatment (RCT), it’s important to understand that ongoing pain, especially after multiple fillings, often indicates that the damage may have reached the nerve inside the tooth, which is why root canal treatment might be advised. RCT is typically indicated when the pulp (the innermost soft tissue) of the tooth is infected or inflamed. This is common in cases where fillings have been compromised or decay has progressed beyond just the surface layers.
To decide if RCT is necessary for each filled tooth or if simply refilling them might suffice, a thorough evaluation is usually required. This typically involves a combination of a physical examination and diagnostic imaging like x-rays to assess the extent of the damage. Re-filling can sometimes be a good option if there’s only minor issues with the fillings themselves (like leakage or minor decay underneath) and if the pulp remains unaffected. If diagnosed early, some issues can be treated without root canal.
When it comes to the procedure, not every tooth may need RCT if the problem is not pulp-related. The dentist will typically advise prioritizing the most symptomatic teeth, or those displaying signs of infection first. RCTs can be staggered rather than doing all at once if multiple teeth are involved – decision on the pace and necessity of treatment is best guided by symptom severity and practical considerations like insurance, finances, or personal schedule.
It’s crucial to consult closely with your dentist about all potential outcomes, plus watch for symptoms suggesting spreading infection like increased pain, swelling, or fever which might require more urgent intervention. Timely action with professional guidance is key to resolving your dental health issue effectively.
