3/01/2011
Restorative Dentistry @eine kleine dental
- Repair, improve and enhance your teeth and oral health.
Root Canals
In cases where decay has progressed to the point where it is close to reaches the pulp in the center of the tooth – this encroachment may present as a toothache.
If the decay is removed and pulp has not been physically entered with the dentist’s drill, the tooth may be fixed with a conventional restoration (filling). If the decay extends into the pulp, or if there is evidence that the pulp is damaged or dead, endodontic (root canal) therapy is needed to preserve the tooth.
Root canal (endodontic) treatment treats the soft inside tissue of the tooth known as pulp.
During root canal treatment, an opening is made in the top of the tooth and the inflamed or infected pulp is carefully removed. The inside of the root canal is cleaned and shaped and then filled with a bio-compatible material and sealed.
The general rule is that there is one canal for each tooth root – although accessory canals may sometimes exist and also need to be treated.
Over time endodontically treated can become brittle. The standard treatment for an endodontically treated tooth is to have the missing parts of the tooth rebuilt.
Sometimes a post is placed in the canal to aid in retention of the build-up. Often a temporary filling is placed until the dentist can place a full coverage crown on the tooth to prevent breakage and to restore it to full function.
Teeth which have been endodontically treated are not “dead” only pulpless. The periodontal ligament which holds the tooth to the jawbone is still quite alive. While the pulpless tooth will not have pain of pulpal origin, there is possibility that pain from the periodontal ligament. This pain is usually associated with abnormal force on the tooth, or occurs if the root of the tooth fractures
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