Why might the dental
pulp need to be removed?
If the pulp is diseased or injured and unable
to repair itself, it loses its vitality.
The most common causes of pulp death are
a deep cavity, a crack, or traumatic injury
to the tooth, all of which can allow bacteria
and their products to leak into the pulp.
If the injured or diseased pulp is not removed,
the tissues surrounding the root of the
tooth can become infected and an abscess
can form, resulting in pain and swelling.
Even if there is no pain, certain substances
released by bacteria can damage the bone
that anchors the tooth in the jaw. Without
treatment, the tooth may have to be removed.
Will I feel pain
during or after the procedure?
Many endodontic procedures
are performed to relieve the pain of toothaches
caused by pulp inflammation or infection.
With modern techniques and anesthetics,
most patients report that they are comfortable
during the procedure.
For the first few days after
treatment, your tooth may feel sensitive,
especially if there was pain or infection
before the procedure. This discomfort can
be relieved with over-the-counter or prescription
medications. Follow your endodontist’s
instructions carefully.
Your tooth may continue to
feel slightly different from your other
teeth for some time after your endodontic
treatment is completed. However; if you
have severe pain or pressure or pain that
lasts more than a few days. call
us.
What
does treatment involve?
Treatment involves one or more visits. There
are several steps in the process of endodontic
treatment (a dentist who specializes in
root canal treatment) will perform. At various
stages, your follow- up will be needed to
help ensure a successful outcome.
What
are the steps in the process of saving the
tooth?
a. First, local anesthesia
is usually given so that you will be more
comfortable during treatment. Then, an
opening is made through the crown of the
tooth into the pulp chamber.
b. The pulp or its remnants
are then removed carefully from both the
pulp chamber and root canal(s). The root
canal(s) is cleaned and shaped to a form
that can be filled.
c. Medication may be put
in the pulp chamber and root canal(s)
to help eliminate bacteria.
d. A temporary filling will
be placed in the crown opening to prevent
saliva from getting into the chamber and
root canals. You might also be given antibiotics
if infection is present and has spread
beyond the end of the root(s). lf we prescribe
medication, use only as directed. If you
have any difficulties with the medication,
call
us. It is also important to follow
directions regarding the scheduling of
your next dental appointment.
e. During the next stage
of treatment, the temporary filling is
removed. The root canal(s) are filled
with a biocompatible material, usually
gutta-percha, and then sealed.
f. In the final step, a
crown
made of porcelain or metal alloy is usually
placed over the tooth. The crown covers
a tooth to restore it to its normal shape
and size. If an endodontist performs the
root canal treatment, he or she will usually
recommend that you return to us for the
crown. If we perform the treatment, we
can start the crown on the same appointment.
How long will the
restored tooth last?
As long as the root(s) of a treated tooth
is nourished by the tissues around it, your
tooth can remain healthy. However, the tooth
could still become decayed, so good oral
hygiene at home and regular dental exams
are necessary to help prevent both tooth
decay and periodontal (gum) disease.
What causes an endodontically
treated tooth to need additional treatment?
New trauma, deep decay, or a loose, cracked
or broken filling can cause new infection
in your tooth. In some cases, the endodontist
may discover very narrow or curved canals
that could not be treated during the initial
procedure.
Can all teeth be treated
endodontically?
Most teeth can be treated. Occasionally,
a tooth can't be saved because the root
canals are not accessible, the root is severely
fractured, the tooth doesn’t have
adequate bone support, or the tooth cannot
be restored. However, advances in endodontics
are making it possible to save teeth that
even a few years ago would have been lost.
When there is
no way to do the Root Canal Treatment, we
recomend an Extraction.
Please
Call For Your Next Appointment
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