Root Canal Treatment

Root Canal Treatment

What is a root canal? Teeth are hollow, and the hollow space contains the nerves and blood vessels of the teeth, also called the pulp.  The internal chamber or hollow space containing these nerves and blood vessels inside the tooth is the root canal. 

 

What is root canal treatment?  Root canal treatment is a dental procedure that involves removing the nerve tissue and blood vessels from the root canal inside the tooth and sealing the cleaned space with a root canal filling material. 

 

Why is it necessary?  A root canal is necessary when the pulp becomes inflamed or infected. The inflammation or infection can have a variety of causes: deep cavities, repeated dental procedures on the tooth, faulty crowns, or a crack or chip in the tooth. In addition, trauma to a tooth may cause pulp damage even if the tooth has no visible chips or cracks. If pulp inflammation or infection is left untreated, it can cause pain or lead to an abscess.   

Why might I be referred to a specialist? 

 Dr. Jason, Dr. Alex and Dr. Serena will closely evaluate the affected tooth to determine which treatment will give the best long-term prognosis.  In some cases, root canals should be performed by an endodontist (root canal specialist) with the aid of an operating microscope, which allows them to visualize the internal surfaces of the roots.  These are especially important in the diagnosis of root fractures, which can cause root canals to fail in the future.  Left undiagnosed, a root fracture can lead to repeated treatment on a tooth that has a poor or hopeless long-term prognosis.

 Is a crown necessary to cover the tooth after root canal treatment?  

Yes.  A root canal treatment removes the nerves and blood supply from the internal chamber of the tooth.  With no blood supply, teeth become brittle and can easily fracture.  A crown is necessary to protect the tooth.  If the tooth is not adequately covered, it could crack and need extraction despite having the root canal treatment.  Ideally, the crown should be placed within 30 days of the root canal treatment.

 What is an alternative to root canal treatment?  If the nerve inside a tooth is irreversibly inflamed, infected, or dead, the only alternative to a root canal treatment is extracting the tooth.  Most teeth can be restored with a dental implant after extraction if the proper planning is done before the tooth is extracted.  Please ask Dr. Jason, Dr. Alex or Dr. Serena for more information if you do not wish to save the tooth with a root canal treatment.

 

Call our office at 605-925-4999 (Freeman) or (605) 928-3363 (Parkston) to schedule your appointment today with Dr. Jason Aanenson, Dr. Alex Whitesell or Dr. Serena Whitesell!