रुट कैनाल उपचार (RCT), जिसे नसों का इलाज भी बोलते हैं या दांतों की नसें काटना भी कहा जाता है।

रुट कैनाल उपचार (RCT), जिसे नसों का इलाज भी बोलते हैं या दांतों की नसें काटना भी कहा जाता है। 

यह उपचार तब किया जाता है जब दांतों की सड़न दांतों की नसों तक पहुँच जाती है और उसे सिर्फ फिलिंग कर के बचा पाना नामुमकिन हो जाता है।
इस स्तिथि में मरीज को दांतों में काफी दर्द होता है और ज़्यादा गंभीर परिस्तिथि में दर्द के साथ सूजन और दांतों और मसूड़ों से मवाद भी आ सकता है।
यह एक काफी गंभीर परिस्तिथि है और इससे मरीज की जान भी जा सकती है। इस हालत में दन्त चिकित्सक के पास दो ही विकल्प होते हैं।  एक की वो दन्त को निकाल दे और दूसरा उसकी रुट कैनाल कर दे। रुट कैनाल में दांत के अंदर ऊपर से एक सूराख बनाकर दांत की नसें निकाल देते हैं और उसके अंदर जड़ों तक मसाला भर देते हैं।
रुट कैनाल के बाद आम तौर पर दांत का दर्द कुछ दिनों में ठीक हो जाता है और सूजन भी ठीक हो जाती है। आप अपने दन्त चिकित्सक से चमत्कार की उम्मीद न करें, वह एक डॉक्टर है, जादूगर नहीं। दन्त चिकित्सक ने कितना भी अच्छा काम किया हो पर इलाज का असर होने में हफ्ते से दो हफ्ते का समय लग सकता है। और जिस दांत की रुट कैनाल हो रही हो वह दांत काफी कमजोर हो जाता है इसलिए को चाहिए की वह उस दांत का ज़्यादा ख्याल रखे और जब तक उसपर कैप न लग जाए उससे कुछ भी न चबाये। कई बार दांत अंदर से इतना खोखला हो जाता है की वह बिना चबाये सिर्फ दुसरे दांत से टकराने मात्र से टूट जाता है।
रुट कैनाल उपचार के बाद दांत से दर्द तो आम तौर पर हफ्ते दस दिन में बिलकुल ठीक हो जाता है परन्तु दांत काफी कमज़ोर हो जाता है। दांत के टूटने का खतरा भी काफी बढ़ जाता है। इसलिए मरीज को चाहिए की जल्द से जल्द अपने दांत पर कैप लगवा ले।  कैप लगने के बाद दांत के टूटने का खतरा काफी कम हो जाता है। परन्तु इसका अर्थ ये बिलकुल भी नहीं है की आप दांतों की देखभाल करना छोड़ दें। 

जब हमने डॉक्टर दिशा से इस बारे में पुछा तो उन्होंने हमें बताया की रुट कैनाल के बाद भी अगर दांतों की अच्छी देखभाल ना की जाए तो दांत में फिर से इन्फेक्शन यानि संक्रमण हो सकता है जिससे दुबारा से रुट कैनाल करने की ज़रुरत पर सकती है।  उन्होंने बताया की रुट कैनाल जितनी बार दुहराया जाए उतना दांत  की उम्र कम होती है।  इसलिए मरीज को चाहिए की वो दांतों की इतनी अच्छी देखभाल करे की दुबारा कभी रुट कैनाल की ज़रुरत ही न पड़े।

डॉ दिशा ने बताय की कई बार रुट कैनाल प्रक्रिया के दौरान दांत के अंदर रुट कैनाल प्रक्रिया में इस्तेमाल की जाने वाली फाइल (पिन) टूट जाती है।  अगर वह पिन दांत के जड़ों में है और बहार नहीं है तो वह आम तौर पर कोई परेशानी नहीं देता।  और मरीज स्वस्थ ज़िंदगी व्यतीत कर सकता है।  क्यूंकि रुट कैनाल के दौरान उपयोग में लाये जाने वाले यन्त्र डॉक्टर खुद नहीं बनाता  इसलिए डॉक्टर इसे रोक नहीं सकता।  डॉक्टर अपनी ओर से एहतियात बरत सकता है की वह उपकरण पर ज़्यादा ज़ोर न दें। इसलिए मरीज को चाहिए की वह रुट कैनाल किसी माहिर दन्त चिकित्सक से कराये क्यूंकि एक माहिर डॉक्टर के हाथों फाइल (पिन) टूटने की संभावना काफी कम होती है।
डॉ दिशा से परामर्श के आप उनके दूरभाष नंबर 9878067123 पर संपर्क कर सकते है।

Why are your Teeth Sensitive

“Why are my teeth sensitive to cold?”

This is one of the most common conditions and complaints reported to me by patients. This is a rather ubiquitous problem shared by many people as evidenced by the plethora of dental products on the market catering to sensitive teeth, Sensodyne Toothpaste being the most readily recognized.

Cold sensitivity does not necessarily mean that you have a serious dental problem looming. But while the cause may be not be serious in nature, the noxious feeling brought on by something cold can be rather startling and severe. This is because the only sensation that the nerve of a tooth registers is pain. Regardless of the type of stimulus (hot, cold, sweet, etc.) if the dental nerve is agitated, it will hurt.

The intensity of cold sensitivity can run the spectrum from mild inconvenience to intense “stopped me in my tracks” pain. The purpose of this soliloquy on cold sensitivity is to identify the most common causes and offer some practical solutions.

8 Reasons That Teeth Are Sensitive To Cold

Plaque Build-Up And Gum Inflammation 

Periodontal (gum) disease can be a cause of cold sensitivity whether in its earliest stages as Gingivitis, or more advanced. A build-up of bacterial plaque is not only potentially destructive to your gums and bone, which support your teeth; it is also an irritant, which can lower the threshold at which pain is perceived. In other words, the presence of bacterial plaque can actually make your teeth more sensitive.

I have seen more than a few patients with healthy mouths come into my office complaining of general cold sensitivity when all they need to resolve the issue is a gentle and thorough cleaning. Often times these are longstanding patients who are overdue for their periodic re-care visit. Additionally, the persistent presence of plaque can promote periodontal disease which can lead to gum recession.

Gum Recession

Receding or receded gums are common causes of cold sensitivity. When your gums are not firmly attached to a tooth, as in the case of gum disease, they can actually pull away from the tooth and creep down (or up if it’s an upper tooth) leaving exposed root surface. Unlike the normally exposed part of your tooth, the root does not have enamel protection and therefore is more reactive to temperature, especially cold.

Aggressive brushing with a hard-bristled toothbrush or excessive pressure when using an electric toothbrush can cause gum recession and the resultant cold sensitivity. As I have stated in previous postings, tooth brushing should be a gentle process that is confined to the tooth structure. Don’t scrub your gums, either. And always be mindful that you are not scouring bathroom tile! It is very easy to damage your gums and cause recession with improper brushing techniques. 

Patients who have had periodontal surgery or orthodontic treatment may also have gum recession. Aside from proper brushing techniques, fluoride rinses (both over-the-counter and prescription strength) and desensitizing toothpaste can help decrease sensitivity over time.

Bruxism And Clenching

Grinding or clenching of one’s teeth are commonly referred to as parafunctional habits. Bruxing (grinding) and clenching teeth together can be a potentially destructive pattern of behavior in which tremendous forces are placed on your teeth. This can result in a loss of tooth structure on the biting surfaces (dentist’s call this occlusal wear) or near the gum-line (abfractures). As your tooth wears down, the sensitive dentin can be exposed, creating temperature sensitivity, especially to cold.

Because grinding and clenching can generate upwards of 500 lbs. per square inch of force, your teeth themselves can be so traumatized to make them more reactive to cold stimulus.

Aside from temperature sensitivity, bruxism and clenching can cause premature tooth loss, muscle tenderness and TMJ symptoms. Many people who clench or grind their teeth benefit from an occlusal nightguard, which protects the teeth from wear during sleep.

Cavities

Tooth decay is one of the most common reasons that you may have a tooth that is sensitive to cold. In fact, cold sensitivity is one of the earliest symptoms of a cavity. Unlike the previous conditions, cold sensitivity due to a cavity is more localized and is restricted to the involved tooth. See your dentist!

Broken Teeth or Lost Fillings

For reasons similar to teeth that have cavities, if you have a tooth or teeth that are broken, cracked or if you have lost all or part of a filling, cold sensitivity can arise. Generally this heightened sensitivity is because part of your tooth’s structure is exposed. Sometimes, if a break is severe, the nerve can be exposed causing an actual toothache. Clearly in any of these situations, a visit to the dentist is warranted. Go!

Acidic Food and Beverages

Beware of the many beverages on the market promoted by their manufacturers to be healthy alternatives to other drinks, such as soda pop.  Many of these so-called vitamin waters, energy drinks, and sports drinks are highly acidic and if consumed in large quantities can cause your teeth’s structure to break down. Acidic drinks are caustic and can actually dissolve tooth structure much the same way acids from bacterial plaque cause cavities!

The problem lies in how often you consume the offending drinks and the amount of time they are allowed to linger in your mouth. It’s best not to swish a drink while consuming as it prolongs the acid attack on your teeth. Also, do not brush your teeth for at least 30 minutes after consumption because the “softened” enamel or dentin is more susceptible to abrasion. This also applies to foods such as citrus fruits, pickles and vinegar that also have low ph. values (acidic). For more on this issue, please see: Is your Favorite Beverage Eroding your Tooth Enamel?

Recent Dental Treatment

The placement of large restorations, fillings or crowns can also provoke sensitivity. Restorative dentistry is actually a kind of “bloodless surgery” but it’s surgery nonetheless. Vital tissue is cut, albeit with a dental drill and not a scalpel, and the nerve of your tooth can be traumatized and sensitized by it. It is not uncommon for a recently restored tooth to have cold sensitivity that can last for several days.

If the condition lingers beyond this time frame, you should revisit your dentist. Often a simple “bite adjustment” can resolve the issue, especially if the filling was a bit too high. But don’t wait. Delaying a needed refinement can prolong your recovery time. Sometimes a cleaning or scaling can lead to temporary cold sensitivity.

If you experience cold sensitivity after a routine cleaning at your dentist’s office, try to be patient. Plaque removal can sometimes expose root surfaces that were “protected” from the elements by the very plaque that needed to be removed.

Acute Pulpitis

Acute pulpitis is an inflammation of the dental nerve. Generally the symptoms of this condition are more severe than just slight cold sensitivity. Not only are the teeth especially responsive to cold, the pain lingers even after the stimulus is removed. The intensity of this condition often necessitates root canal therapy. If you are experiencing this…go to your dentist right now.

Cold sensitivity is often more of a quality of life issue than a progressive pathological process that will worsen over time. In other words, normally there is nothing seriously wrong. I use various treatment approaches including conservative over-the-counter remedies, fluoride prescriptions, desensitizing treatments, as well as more definitive dental procedures such as bonding or gum grafting (to name just two). The proper management of cold sensitivity depends on the cause, the severity and the duration.

If you experience cold sensitivity, speak to your dentist for advice. If you develop sudden cold sensitivity or any other type of severe sensitivity, make an appointment as soon as possible.

About author: Dr Disha SIngh, is Managing Director of Odontos Chain of Dental Clinics, which has been setting benchmarks in Dental care for last 7 years. With a vision to provide quality dental care in every corner of the country, Odontos under the guidance of Dr Disha has been striving hard. This article has been authored with inputs from Dr. Michael Sinkin who is a NYC dentist that has been in practice for over two decades. He truly cares about the experience his patients have and takes great pride in making them feel relaxed and comfortable during every visit. Come in for an appointment and experience a different kind of dental practice. 

You can Reach Dr Disha on 9592223456