I am extremely happy with the ceramic veneers I got by the cosmetic dentist Dr Vikram. Initially , I was concerned but after meeting Dr Vikram in person , I felt very confident , he explained the procedure in detail and made me very comfortable. The end result of the treatment is also excellent , I would definitely recommend Dr Trivikram's All smiles to others who want to get a smile makeover.Read More
I did a lot of research on cosmetic dentistry where I would feel safe to get the smile make over done. Finally I found the best cosmetic dentist Dr Vikram here. I did lot of home work before coming here and trust me I am glad I chose to come here. I am happy and smiling ear to ear. Cosmetic dentist Dr.Vikram is very professional , honest and totally trust worthy. I am gonna recommend to everyone.Read More
I researched and found Dr Trivikram's All smiles dental clinic over the internet. I was impressed with the focus of the dental clinic. My consultation with Dr Trivikram(Dr Vikram) only reinforced my initial positive impressions. I have had a lot of things done over the last year. A sinus lift, tissue graft, bone graft ,three implants, one root canal treatment and 3 crowns. The tremendous partnershipRead More
I have had a series of treatments in Dr Trivikram's All smiles dental clinic in Bangalore while I was living there and also for 2 years after I relocated out of India. It has been an outstanding experience. Dr. Trivikram and his team are consummate professionals: very knowledgeable, precise with their advise, meticulous in the treatments, punctual, and highly reliable.Read More
A root canal treatment is generally indicated when
The root canal treatment procedure begins with an intra-oral X-ray, which shows the extent of tooth decay or the rounded black spot at the end of the roots indicating a decrease in the density of bone due to infection. After local anesthesia to the concerned tooth, access is gained to the nerve area by a dental drill and a hole is made which leads to pulp chamber. Cleaning the tooth out to remove bacteria, degenerated nerve and debris is then done using RC files. These files are a series of increasing diameter used with a twisting motion as well as up and down in tooth to scrape and scrub sides of canals.
The tooth is periodically flushed with saline or water. Once the tooth has been thoroughly cleaned, the interior is sealed by placing a root canal filling material either the same day or subsequently. The most common RC filling material, a rubber compound called ‘gutta percha’ comes in performed cones that are sized to match the files used to clean the canals. The cones are placed into the root canal (coated with a sealer) exactly to the tip of tooth, length is confirmed with an x-ray. The crown of tooth is then filled with amalgam (silver) filling which seals tooth from above.
Root Canal Treatment (RCT) is a treatment wherein the diseased pulp (nerve) of the tooth is removed & the space (the root canal) is filled with an inert material.
There are three common ways by which the nerve get affected
Before commencement of the treatment, an X-ray is taken to find out how the roots of the tooth are & whether the treatment is possible. The treatment is usually carried out in two visits. At the first visit the nerve is reached by drilling though the tooth & cleaned – this has to be done under the effect of local anesthesia unless of course the nerve is already dead. The root canal is cleaned thoroughly & a medicine is placed. In the subsequent visits after making sure that the nerve is completely removed & that the tooth is comfortable, the root canal is filled.
When pain is likely during the procedure a local an anesthetic is injected & takes care of the pain. Between two visits mild to moderate pain is possible but medicines prescribed by the dentist will make you comfortable. Many patients do not need more than a tablet or two.
As mentioned earlier usually 2-3 visits of about 30 minutes duration at interval of 3-4 days. Sometimes, infection may take time to subside & the treatment may take longer time & sometimes it may be possible to do it in a single sitting.
Sometimes if the dentist feels that the nerve may recover from the damage (& just relief from pain does not mean that the nerve has recovered) he may try & protect the nerve. But, after a few episodes of pain, the chances of such treatment becoming successful are less. More often the alternative is removal of the tooth.
A ‘dead tooth’ is one which has the supporting tissues also ‘dead’. The tooth after RCT has only lost the pulp (nerve & blood vessels) from within the tooth & is called pulpess or nerveless tooth. You will not have sensation in this tooth. Otherwise it is like any other tooth.
Usually the tooth is so badly destroyed by decay & the cavity in it is so large that the cavity requires a filling & the tooth weakened by loss of structure needs to be prevented from breaking by covering it with a crown (a’ cap’).
In favorable cases the success rate is very high over 90 percent. In a very small percentage of cases the treatment can even fail & then the only thing to do may be the removal of tooth. In some of these cases a minor surgical procedure carried out after RCT also helps. But in the large majority of cases when the treatment is successful, the tooth with proper after care can last many years & the RCT is not required to be redone.
Whatever decay exists at the time of RCT is removed. Fresh decay can start later like in any other tooth. This can be detected at the time of your yearly check-ups. Pain in a successfully root filled tooth can be caused due to gum disease which in most cases is treatable. So this tooth also requires the usual care like other teeth.
root canal treatment
One fine morning I had gone to a dentist for filling up one of my molar tooth not knowing that after a filling I will experience a severe pain in that tooth. The constant pain pushed me to look for another dentist’s advice that is popular and authentic in their practices in the city of Bangalore. In this era of computers, the fastest way was to browse the internet when I came across “Dr Trivikram's All smiles” Dental care by Dr. K.N Trivikram along with others. Immediately, I fixed my appointment the same evening and met the Doctor. As per the doctor the nerve was already exposed and hence a root canalling was the only option..
I was a bit apprehensive for this procedure since this root canalling was to be done for the first time in my life but the way the doctor explained and assured me of saving the tooth, convinced me to go ahead.
Throughout the four sittings, the root canalling procedures were done carefully and painlessly with proper instructions issued out to me. I did follow these instructions and found to my amazement that I was very comfortable and now after a month of fixing of the crown, I find myself quite normal and as natural as it could be.
All my complements goes to Dr.Trivikram, Dr. Shruthi, Dr. Kirthi and hisefficient team where each one of them attending to me including all the other staff proved to be excellent with their excellent smiles that goes aptly well with the name “Dr TRIVIKRAM’ S ALL SMILES” Dental care.
I therefore, recommend others too to visit Dr. Trivikram, Director “Dr Trivikram's All smiles Dental care Clinic” for a genuine dental advice. The clinic is situated at Shankarpuram, Basavanagudi, Bangalore.
Lt Col Rammohan Rao (Retd), Indian Army, 15 Aug 2012
Authored By Dr.K.N Trivikram Rao - Dentist, Bangalore
I am extremely happy with the ceramic veneers I got by the cosmetic dentist Dr Vikram. Initially ,
I did a lot of research on cosmetic dentistry where I would feel safe to get the smile make over done.
I researched and found Dr Trivikram's All smiles dental clinic over the internet. I was impressed width
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