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Root canal treatment begins with the identification. The diagnosis is done using the above-mentioned symptoms, and the primary and final diagnosis is determined after taking a radiograph of the suspected tooth. The infected region is evident by a slight discoloration in the region from the normal and the presence of infection at the area of the root's apex. The tooth is then made on the surface of the tooth to allow access to the root canals. The root canals are clearly visible from the occlusal surfaces of the tooth after the preparation of the cavity. This way, the affected pulp tissue can be removed.

Endodontics files help remove the pulp tissue from root canals. Endodontics files come in different sizes. They can be utilized to measure the length of the canal as this can differ between individuals or teeth. These files are then inserted into the root canals near the occlusal end to remove the pulp tissue. Because the root canals don't always appear straight, these dental files can be bent to make the procedure more efficient.

Below is the infected root that must be treated using the root canal treatment. The tooth that is visible in it is caries infiltration into the Enamel and Dentin which is extended into the pulp and as seen at the root apex, is the development of an abscess. After removing the pulp from the root canals, the canals are cleaned with a disinfectant irrigating solution so that no more affected tissue remains.

After successfully cleaning the canals, gutta-percha points are placed into the empty canals of the root to replenish the pulp tissue that was taken out. These gutta-percha points are available in various sizes to completely fill in the root canal that was cleaned out. The gutta percha points are adapted using pressure into the canals with the aid of a plugger, or a dental instrument that has an instrument tip that puts pressure on the gutta-percha points. The gutta-percha point is then inserted in the root canal with cement.

The gutta percha point is filled with water and inserted into the canal. An X-ray is taken in order to verify that the points are in alignment and to see if there's any gaps. The points of gutta-percha must be properly fitted so that you can see the final result prior to beginning the process. If the previous instruments were completed correctly, the point will be easy to place. The final outcome is going to be great. Once the gutta-percha points have been placed correctly, it is time to make the restoration that will replace the damaged tooth structure. Mainly a tooth coloured restoration is preffered by the patients due to the aesthetics that can be maintained. The radiographs taken following the final restoration prove the efficacy of root canal therapy.

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