Decay And
Infection
If your tooth's
nerve chamber becomes infected by decay or damaged by trauma, root canal
treatment is often the only way to save your tooth.
The Nerve
Chamber
Inside the hard
outer shell of each tooth is a specialized area called the pulp or nerve
chamber. The pulp chamber contains a system of blood vessels, lymph vessels and
nerves-known as the pulp-which enter from the bone through the root canals.
This system provides nourishment for the cells within the tooth.
Root Canal
Deep tooth
decay or other injury can cause damage to or infection of the tooth pulp. In a
root canal, or endodontic treatment, the dentist removes the damaged or
infected pulp and replaces it with a special filler, which helps maintain the
remaining tooth structure.
Some
indications of the need for root canal treatment may be:
- Spontaneous pain or throbbing
while biting
- Sensitivity to hot and cold
foods
- Severe decay or an injury
that creates an abscess (infection) in the bone
The Procedure
A root canal is
completed in five steps:
- After the tooth is
anesthetized, an opening is made through the crown into the pulp chamber.
- The length of the root canals
are determined.
- Unhealthy pulp is removed,
canals are cleaned, enlarged and shaped.
- Canals are then filled and
sealed. A metal post may be added for structural support or to retain
restorative materials.
- The tooth is sealed with a
temporary filling. Usually a gold or porcelain crown adds further
protection.
The material
used to fill your root canal will probably last you a lifetime, but there is a
chance that the filling or crown may need to be replaced eventually.

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