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When
the pulp is diseased or injured, the pulp tissue dies. If you don't
remove it, your tooth gets infected and you could lose it. After
the dentist removes the pulpal tissue which includes the nerve and
blood vessels, the root canal is cleaned and sealed off to protect
it. Then your dentist places a crown over the tooth to help make
it stronger.
Most of the time, a root canal
is a relatively simple procedure with little or no discomfort involving
one to three visits. Best of all, it can save your tooth and your
smile! Your dentist uses root canal treatment to find the cause
and then treat problems of the tooth's soft core (the dental pulp).
Years ago, teeth with diseased or injured pulps were removed. Today,
root canal treatment has given dentists a safe way of saving teeth.
An
abscessed (infected) can be caused by tooth decay. When the pulp
is diseased or injured and can't repair itself, it dies. The most
common cause of pulp death is a cracked tooth or a deep cavity.
Both of these problems can let germs (bacteria) enter the pulp.
Germs can cause an infection inside the tooth. Left without treatment,
pus builds up at the root tip, in the jawbone, forming a "pus-pocket"
called an abscess. An abscess can cause damage to the bone around
the teeth.
Treatment
often involves from one to three visits. During treatment, your
general dentist or endodontist (a dentist who specializes in problems
of the pulp) removes the diseased pulp. The pulp chamber and root
canal(s) of the tooth are then cleaned and sealed.
Here's how your tooth is saved through treatment:
1.
An opening is made through the crown of the tooth into the pulp
chamber.
The pulp is then removed. The root canal(s) is cleaned and shaped
to a form that
can be filled. In some cases, your dentist may fill the canal
the same day. However, oftenmedications is put in the pulp chamber
and root canal(s) to help get rid of germs and prevent infection.
A temporary filling will be placed in the crown opening to protect
the tooth between dental visits. Your dentist may leave the tooth
open for a few days to drain. You might also be given medicine
to help control infection that may have spread beyond the tooth.
2.
On the next visit the temporary filling is removed and the pulp
chamber and root canal(s) are cleaned and the pulp chamber and
root canals are filled and sealed.
3.
In the final step, a gold or porcelain crown is usually placed over
the tooth.
If
an endodontist performs the treatment, he or she will recommend
that you return to your family dentist for this final step. The
crown of the tooth is then restored.
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