CERTIFICATES & ACCREDITIONS

ROOT CANAL TREATMENT

• Root Canal Treatment (RCT) is also called as endodontic treatment of a tooth.
• Tooth has 2 outer layers which are hard, called as Enamel and Dentin.
• These 2 layers cover an inner most part of a tooth called as PULP.
• PULP is a soft tissue which is made up of nerves and vessels.
• Whenever a dental decay affects Enamel and Dentin reaching the PULP chamber one gets pain due to infection and inflammation.

WHEN IS THE ROOT CANAL TREATMENT IS REQUIRED?

RCT is required in the following conditions-

• Deep decay involving the Pulp chamber.
• Traumatic/ injured tooth.
• Sensitive tooth due to severe erosion and attrition.
• Tooth with a crack on it.
• Intentional RCT in some cases of crown and bridge.

WHAT DO WE FEEL ?

• Food lodgment in decayed tooth.
• Tooth ache which worsens at night.
• Swelling associated with painful tooth.
• Pus discharge.
• Fever

WHAT IS RCT?

Although medicines are prescribed sometimes, they will give a temporary relief from pain.

• RCT method varies in children and adults.
• It usually requires 2-3 sessions.
• At first Xray is made to evaluate decay and infection of the tooth.

Steps of RCT in Children (milk teeth):-

• Anesthesia is injected so that the treatment becomes almost painless.
• All the decay is removed.
• Tooth is cleaned and shaped till the end of the roots.
• Cleaned and disinfected roots are filled with medicinal paste which will not affect the natural exfoliation process of the milk tooth. And crown portion of the tooth is filled with a restorative material.
• Then preformed Stainless Steel crown or Zirconia Ceramic crown is placed over the tooth.

Steps of RCT in ADULTS (permanent teeth):-

• First 3 steps of RCT are same as RCT done in children (milk teeth).
• Cleaned and disinfected roots are filled with inert material called as Gutta Percha.
• Crown portion of the tooth is filled with restorative material.
• Then the crown is placed over the tooth (metal, metal-ceramic or full ceramic crown)

WHY CROWN AFTER RCT?

• Crown gives additional strength and support to the tooth which it has lost due to decay.
• Improves mastication.
• Increases longevity of tooth.
• Decreases chances of reinfection.

POST RCT CARE:-

• One should not eat anything hard from the RC treated tooth, until it is secured with a crown.

RCT if done in right time can save a tooth from removal

PREVENTION :-

AT HOME:-

• Brushing twice a day with fluoridated tooth paste.
• Floss in between the teeth to prevent food lodgement.
• Use of a mouthwash as advised by a dentist.

AT DENTAL CLINIC:-

• 6 monthly check up.
• Preventive treatment- sealants.
• Scaling and polishing.
• Fluoride application.

However, if possible saving the natural tooth is best because nothing can function as efficiently as a NATURAL TOOTH.

Regards,
Dr. Swapnil Rachha
MDS – Pediatric & Preventive Dentist

• Understanding the Central Sterile Service Department
  The Central Sterile Service Department, also known as the Sterile Processing Department (SPD), is responsible for the decontamination, sterilization, and distribution of medical and surgical instruments and equipment. The primary objective of the CSSD is to ensure that all instruments and equipment used in medical procedures are free from contaminants and safe for patient use. This department acts as a central hub for the management of sterile supplies, making it a critical component of healthcare facilities.
• The Importance of Central Sterile Service Departments in Healthcare
  In the intricate and vital ecosystem of healthcare, numerous departments work in synergy to ensure the well-being of patients. Among these, the Central Sterile Service Department (CSSD) stands out as a cornerstone of hospital operations. Often operating behind the scenes, the CSSD is integral to infection control, patient safety, and the overall efficiency of healthcare facilities. This blog explores the crucial role of the CSSD, its functions, challenges, and its impact on the healthcare system. The CSSD workflow involves decontamination of used instruments and equipment using high-powered washers, ultrasonic cleaners, and enzymatic solutions. Instruments are then inspected for damage and functionality, repaired or discarded, and assembled for medical procedures. Sterilization eliminates microbial life using methods like steam sterilization, ethylene oxide gas, hydrogen peroxide plasma, and dry heat. Instruments are stored and distributed to ensure a seamless supply chain.

• The Role of CSSD in Infection Control
  In hospital settings, infection control is of utmost importance. Patients are at serious risk from hospital acquired infections (HAIs), which can result in longer hospital stays, higher medical expenses, and even death. By making sure that all tools and equipment are sterile and safe to use, the CSSD is essential in reducing this risk. Organizations such as the World Health Organization (WHO), the Association for the Advancement of Medical Instrumentation (AAMI), and the Centres for Disease Control and Prevention (CDC) provide guidelines to which the CSSD can confirm to and achieve standardization of the processes. The CSSD makes the hospital environment safer by preventing the spread of pathogens and upholding strict sanitation standards.
• Challenges Faced by the CSSD
  1. Staff Training and Retention: The CSSD relies on skilled technicians who are trained in decontamination and sterilization processes. Ensuring staff receive continuous training and retaining experienced personnel can be challenging due to high turnover rates and the job’s demanding nature.
  2. Technological Advancements: The field of sterilization is constantly evolving with new technologies and methods. Keeping up with these advancements and investing in state-of-the-art equipment can be costly and requires ongoing training for staff.
  3. Compliance with Regulations: The CSSD must adhere to numerous regulations and standards to ensure patient safety. Compliance requires rigorous documentation, regular audits, and continuous quality improvement initiatives.
  4. Workload and Efficiency: The CSSD often operates under high pressure to meet the demands of busy healthcare facilities. Managing workload efficiently while maintaining high standards of sterilization can be challenging, especially during peak periods.
• The Future of the CSSD
  The future of the CSSD lies in embracing innovation and technology to enhance its capabilities. Automation and robotics are increasingly being integrated into CSSD workflows to improve efficiency and accuracy. Automated washing and sterilization systems, for example, can handle large volumes of instruments with precision and consistency. Advancements in sterilization techniques, such as low-temperature sterilization and new disinfection methods, are also being explored to enhance the effectiveness of the CSSD. These innovations aim to provide faster turnaround times and ensure the highest levels of sterility. Moreover, the adoption of data analytics and digital tracking systems is revolutionizing inventory management and process optimization in the CSSD. By leveraging data, healthcare facilities can make informed decisions, predict demand, and optimize resource allocation.
• Conclusion
  The Central Sterile Service Department is the unsung hero of healthcare facilities, playing a pivotal role in infection control, patient safety, and operational efficiency. Its meticulous processes ensure that medical and surgical instruments are sterile and safe for use, directly impacting patient outcomes and the overall quality of care. As healthcare continues to evolve, the CSSD must embrace
  innovation and overcome challenges to meet the growing demands of the industry. By investing in advanced technologies, continuous staff training, and stringent compliance with regulations, the CSSD will continue to be a cornerstone of healthcare excellence. In recognition of its vital contributions, it is essential for healthcare leaders and stakeholders to support and invest in the CSSD. By doing so, they ensure that this critical department remains at the forefront of infection control and patient safety, ultimately enhancing the quality of healthcare for all.