In order to understand Endodontic treatment, it helps to know something about the anatomy of a tooth. Teeth have several layers. The outside layer of the tooth is composed of a hard layer called Enamel. Enamel is supported by an inner layer called Dentin, which has at its center a soft tissue known as the Pulp. The pulp contains blood vessels, nerves, and connective tissue that are responsible for forming the surrounding Dentin and Enamel during tooth development. The pulp receives its nourishment supply from vessels which enter the end of the root. Although the pulp is important during development of the tooth, it is not necessary for function of the tooth. The tooth continues to be nourished by the tissues surrounding it even after the pulp is removed.
Why would I need Endodontic treatment?
Endodontic treatment ("getting a root canal") is necessary when the pulp becomes inflamed or infected. The most common reasons for inflammation or infection are deep cavities (caries), repeated dental procedures, cracks or chips. Trauma can also cause inflammation and often shows up as discoloration of the tooth. If pulp inflammation or infection is left untreated, it can cause pain or lead to an abscess, which could result in loss of the tooth.
How Can Endodontic Treatment help me?
Dr. Kanter will remove the inflammed or infected pulp. The empty space will be sterilized with different chemicals. He then shapes the canal system and then seals the prepared space with a rubber material called Gutta Percha. At this point, the permanent filling for the ROOT has been placed, but the chewing surface will only have a TEMPORARY placed inside it.
After treatment is completed, you will be instructed to return to your dentist for a permanent filling on the chewing surface of the tooth. The restoration of the tooth is a very important part of the overall treatment because it seals the cleaned canals from the oral environment. Your saliva contains bacteria, and if you do not seal the tooth, it will become re-infected. Insurance does not cover a retreatment if you did not follow up with a permanent restoration.
Will I feel pain during or after the procedure?
With todays anesthetics, and antibiotics, we can usually treat you in a painless manner. If you have anxiety, we often prescribe Valium prior to treatment. Patients often tell us that "getting a root canal was easier than a filling". Following treatment, expect your tooth to be sore for several days. Treat it like a "sprained ankle". Chew on it if you have to, but try not to. The severity of pain following root canal treatment is usually directly related to the length of time you have been in pain PRIOR to treatment. Scientific studies show the most effective medicine used to treat this type of dental pain is with Advil (also called Ibuprofin or Motrin). Dr. Kanter or his staff will direct you to the appropriate medicine following treatment. |