Emergency Dentistry Sydney
Dental Emergency Procedures
Sports Injury - Dental
Save a Knocked out tooth
Partially Dislodged Tooth
Traumatic Injuries
Fractured or Broken Tooth
Severe Tooth Pain
Lost Filling or Crown
Soft Tissue Injuries
Tooth Abscess
Wisdom Tooth Extraction
Gum Disease
Root Canal Therapy
Broken Denture
What is Dental Phobia ?
Pain Free Dentistry
Laughing Gas / Nitrous Oxide
Oral Sedation/Conscious Sedation
Intravenous (IV) Sedation
General Anaesthesia
What Are Dentures ?
Full Dentures
Acrylic Dentures
Partial Dentures
Metal Denture
Flexible Denture / Val Plast
Denture Repairs Sydney
Denture Relining Sydney
What is Orthodontics ?
Early Orthodontic Treatment
Adult Orthodontics
Teenage Orthodontics
Gummy Smile Orthodontics
Self-ligating metal Damon Braces
Self-Ligating Ceramic Braces
Clear Aligners / Invisalign
Invisible / Lingual Braces
Space Maintainers
Non-Extraction Orthodontics
What is Periodontics ?
Oral Hygiene
Dental Prophylaxis
Scaling
Root Planning
Gum Grafting Procedures
Crown Lengthening
Cosmetic Periodontal Surgery
Osseous Surgery
Bone Grafting
Guided Tissue Bone Regeneration
Ridge Preservation
Frenectomy
Root Canal Treatment / Therapy
Endodontic Retreatment
Endodontic Surgery
Cracked Teeth
First Visit to the Dentist
Baby Bottle Tooth Decay
Dental Sealant
Thumbsucking
Tooth Eruption Dates
Examination, Scale & Clean
Regular Dental Check-up
Fissure Sealant
Antibiotic Prophylaxis
Bad Breath / Halitosis
Health Insurance
Chemotherapy Medication
Bottled Water
Teeth Grinding / Bruxism
Oral Cancer / Leukoplakia
Diet & Oral Health
Infection Control
Jaw Pain (TMJ / TMD)
Amalgam Fillings
Mouthguards
Cost / Payment Plans
Seniors Dentistry
Pregnancy Dental Care
Digital Radiograph
Rubber Latex Allergies
Snoring Solutions
Tooth Extraction Symptoms
Public Holiday Dentist
About us
CONTACT US
Surgery Tour
Need Directions ?
Sitemap

ROOT CANAL THERAPY

A root canal is a treatment used to repair and save a tooth that is badly decayed or becomes infected.

Root canal procedures are performed when the nerve of the tooth becomes infected or the pulp becomes damaged. During a root canal procedure, the nerve and pulp is removed and the inside of the tooth is cleaned and sealed.

Root canal procedures have the reputation of being painful. Actually, most people report that the procedure itself is no more painful than having a filling placed. The discomfort experienced in the period leading up to a seeking of dental care is truly the painful period of time, not the root canal procedure itself.

What Is Pulp?

The pulp or pulp chamber is the soft area within the center of the tooth. The tooth's nerve lies within root canals, which lie within the roots or "legs" of the tooth. The root canals travel from the tip of the tooth's root into the pulp chamber, which also contains blood vessels and connective tissue that nourish the tooth.
A tooth's nerve is not vitally important to a tooth's health and function after the tooth has emerged through the gums. Its only function is sensory to provide the sensation of hot or cold. The presence or absence of a nerve will not affect the day-to-day functioning of the tooth.

Why Does the Pulp Need to Be Removed?

When nerve tissue or pulp is damaged, it breaks down and bacteria begin to multiply within the pulp chamber. The bacteria and other decayed debris can cause an infection or abscessed tooth. An abscess is a pus-filled pocket that forms at the end of the roots of the tooth. An abscess occurs when the infection spreads all the way past the ends of the roots of the tooth. In addition to an abscess, an infection in the root canal of a tooth can cause:

1. Swelling that may spread to other areas of the face, neck, or head
2. Bone loss around the tip of the root
3. Drainage problems extending outward from the root. A hole can occur through the side of the tooth with drainage into the gums or through the cheek with drainage into the skin.

What Damages a Tooth's Nerve and Pulp in the First Place?

Nerve and pulp can become irritated, inflamed and infected due to deep decay, repeated dental procedures on a tooth and/or large fillings, a crack or chip in the tooth, or trauma to the face.

What Are the Signs that a Root Canal Is Needed?

Signs to look for include:

1. Severe toothache pain upon chewing or application of pressure
2. Prolonged sensitivity/pain to heat or cold temperatures (after the hot or cold has been removed)
3. Discoloration (a darkening) of the tooth
4. Swelling and tenderness in the nearby gums
5. A persistent or recurring pimple on the gums
6. Sometimes no symptoms are present


The Procedure

The root canal procedure requires one or more office visits and can be performed by a dentist or endodontist. An endodontist is a dentist who specializes in the causes, diagnosis, prevention and treatment of diseases and injuries of the human dental pulp or the nerve of the tooth. The choice of which type of dentist to use depends to some degree on the difficulty of the root canal procedure needed in your particular tooth and the general dentist's comfort level in working on your tooth. Your dentist will discuss who might be best suited to perform the work in your particular case.

The first step in the procedure is to take an x-ray to see the shape of the root canals and determine if there are any signs of infection in a surrounding bone. Your dentist or endodontist will then use local anesthesia to numb the area near the tooth. Actually, anesthesia may not be necessary, since the nerve is dead, but most dentists still anesthetize the area to make the patient more relaxed and at ease.

Next, to keep the area dry and free of saliva during treatment, your dentist will place a rubber dam (a sheet of rubber) around the tooth.

An access hole will then be drilled into the tooth. The pulp along with bacteria, the decayed nerve tissue and related debris is removed from the tooth. The cleaning out process is accomplished using root canal files. A series of these files of increasing diameter are each subsequently placed into the access hole and worked down the full length of the tooth to scrape and scrub the sides of the root canals. Water or sodium hypochlorite is used periodically to flush away the debris.

Once the tooth is thoroughly cleaned, it needs to be sealed. Some dentists like to wait a week before sealing the tooth. For instance, if there is an infection, your dentist may put a medication inside the tooth to clear it up. Others may choose to seal the tooth the same day it is cleaned out. If the root canal is not completed on the same day, a temporary filling is placed in the exterior hole in the tooth to keep contaminants out between appointments.

At the next appointment, to fill the interior of the tooth, a sealer paste and a rubber compound called gutta percha is placed into the tooth's root canal. To fill the exterior access hole created at the beginning of treatment, a filling is placed.

The final step may involve further restoration of the tooth. Because a tooth that needs a root canal often is one that has a large filling or extensive decay or other weakness, a crown, crown and post or other restoration often needs to be placed on the tooth to protect it, prevent it from breaking and restore it to full function. Our All Day All Night dentist will discuss the need for any additional dental work with you.

What Should One Expect After the Root Canal?

The root canal procedure should relieve the pain you feel. Until your root canal procedure is completely finished that is to say, the permanent filling is in place and/or the crown is place, it's wise to minimize chewing on the tooth under repair. This step will help avoid recontamination of the interior of the tooth and also may prevent a fragile tooth from breaking before the tooth can be fully restored. For the first few days following the completion of treatment, the tooth may feel sensitive due to natural tissue inflammation, especially if there was pain or infection before the procedure. This sensitivity or discomfort usually can be controlled with over-the-counter analgesics such as ibuprofen (Advil, Motrin) or naproxen (Aleve). Most patients can return to their normal activities the next day.

As far as oral health care is concerned, brush and floss as you regularly would and see your dentist at normally scheduled intervals. Because the final step of the root canal procedure is application of a restoration such as a crown or a filling, it will not be obvious to onlookers that a root canal was performed.

Root canal treatment is highly successful; the procedure has more than a 95% success rate. Many teeth fixed with a root canal can last a lifetime.

Complications of a Root Canal

Despite your dentist's best efforts to clean and seal a tooth, new infections might emerge. Among the likely reasons for this include:

1. More than the normally anticipated number of root canals in a tooth (leaving one of them uncleaned)
2. An undetected crack in the root of a tooth
3. A defective or inadequate dental restoration that has allowed bacteria to get past the restoration into the inner aspects of the tooth and recontaminate the area
4. A breakdown of the inner sealing material over time, allowing bacteria to recontaminate the inner aspects of the tooth.

Sometimes retreatment can be successful, other times endodontic surgery must be tried in order to save the tooth. The most common endodontic surgical procedure is an apicoectomy or root-end resection. This procedure relieves the inflammation or infection in the bony area around the end of your tooth that continues after endodontic treatment. In this procedure, the gum tissue is opened, the infected tissue is removed, and sometimes the very end of the root is removed. A small filling may be placed to seal the root canal.

Alternatives to a Root Canal

Saving your natural teeth is the very best option, if possible. Your natural teeth allow you to eat a wide variety of foods necessary to maintain proper nutrition. The root canal procedure is the treatment of choice.

The only alternative to a root canal procedure is having the tooth extracted and replaced with a bridge, implant, or removable partial denture to restore chewing function and prevent adjacent teeth from shifting. These alternatives not only are more expensive than a root canal procedure but require more treatment time and additional procedures to adjacent teeth and supporting tissues.

Since some of the reasons why the nerve of a tooth and its pulp become inflamed and infected are due to deep decay, repeated dental procedures on a tooth and/or large fillings, following good oral hygiene practices (brushing twice a day, flossing at least once a day, and scheduling regular dental visits) may reduce the need for a root canal procedure. Trauma resulting from a sports-related injury can be reduced by wearing a mouth guard.

back to top^

....2007 Copyright All Day All Night Dental. All rights reserved. cosmetic dentistry | emergency dentist | general dentistry Sydney