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Does Every Decayed Tooth Need Root Canal Treatment?

Does Every Decayed Tooth Need Root Canal Treatment?
Does Every Decayed Tooth Need Root Canal Treatment

At V Dental Gajuwaka, we often receive a common question from patients: “Do all decayed teeth need root canal treatment (RCT)?” The answer is – Not always. Let’s understand why.

Understanding Tooth Structure

Every tooth has three primary layers:

  1. Enamel – the outermost, hardest layer.
  2. Dentin – the second layer that supports the enamel.
  3. Pulp – the innermost layer that houses nerves and blood vessels.

When Is RCT Not Necessary?

If tooth decay is limited to the enamel and dentin layers, there is no need for a root canal treatment. In such cases, a simple dental filling will restore the tooth effectively. For example, a recent patient at V Dental Gajuwaka came in complaining of food lodgement and sensitivity. After a clinical and radiographic examination, we found that the decay was confined to the dentin. So, we opted for a tooth-colored composite filling, and the patient experienced immediate relief.

When Is RCT Required?

Root canal treatment becomes necessary when the decay extends deep into the pulp or is very close to the pulp. This often results in severe pain, spontaneous pain, or sensitivity to hot and cold. In such cases, RCT is the best treatment to remove the infection and save the natural tooth.

Symptoms That May Indicate Need for RCT

  • Persistent tooth pain
  • Swelling or pus formation
  • Extreme sensitivity
  • Pain while biting or chewing

Why Choose V Dental Gajuwaka?

Our clinic offers advanced diagnostic methods and personalised care. We ensure that you only get the treatment you need — nothing more, nothing less.

Want to learn more about root canal procedures? Check out our in-depth blog on Root Canal Treatment: Step-by-Step Process.

Looking to prevent decay? Read our guide on How to Avoid Tooth Cavities.

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