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A dental procedure
in which diseased or damaged pulp of a tooth is removed
and the inside areas are filled and sealed.
Did you know?
Constant sensitivity to heat or cold is a symptom that
there is something wrong with your teeth, at the onset
you should see you dentist for consultation and through
X-ray the dentist can assess the treatment needed.
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When the tooth's pulp's soft tissue that contains
the blood supply, by which the tooth get its nutrients,
and the nerve by which the tooth senses hot and
cold is damaged.
This tissue is vulnerable to damage from deep
dental decay, accidental injury, tooth fracture
or trauma from repeated dental procedures. If
the tooth becomes diseased or injured, bacteria
build up inside the pulp, spreading infection
from the natural crown of the tooth to the root
tips in the jawbone. Pus accumulates at the ends
of the roots, forming a painful abscess, which
can damage the bone supporting the teeth. Such
an infection may produce pain that is severe,
constant, or throbbing, as well as prolonged sensitivity
to heat or cold, swelling, and discoloration of
the tooth.
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It is performed under local
anesthesia. A thin sheet of rubber, called a rubber dam,
is placed in the mouth to isolate the tooth. The dentist
removes any tooth decay and makes an opening through the
natural crown of the tooth into the pulp chamber. Creating
this access also relieves the pressure inside the tooth
and can dramatically ease pain.
The dentist determines the length of the root canals,
usually with a series of x-rays. Small wire-like files
are then used to clean the entire canal space of diseased
pulp tissue and bacteria. The debris is flushed out with
large amount of water. It is also slightly enlarged and
shaped to receive an inert filling material called gutta
percha. However, the tooth is not filled and permanently
sealed until it is free of active infection. The dentist
may place a temporary seal, or leave the tooth open to
drain, and prescribe an antibiotic to counter any spread
of infection from the tooth. This is why root canal treatment
may require several visits.
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Once the canals are completely clean,
they are filled with gutta percha and a sealer cement
to prevent bacteria from entering the tooth n the future.
A metal post maybe placed in the pulp chamber for added
structural support and better retention of the crown restoration.
A temporary filling or crown protects the tooth until
a permanent restoration is made. This restoration is usually
a gold or porcelain crown, although it may be a gold inlay,
or an amalgam or composite filling.
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The tooth may
be sore for several days after filling. Pain
relievers such as ibuprofen (Advil, Motrin)
may be taken to ease the soreness. The tissues
around the tooth may also be irritated. Rinsing
the mouth with hot salt water several times
a day will help. |
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Chewing on that
side of the mouth should be avoided for the
first few days following treatment. |
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A follow-up appointment
should be scheduled with the dentist after
treatment to make sure the tooth and surrounding
structures are healthy. |
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Should you feel
abnormal symptoms such as pain for more than
2 days or swelling, see you dentist before
the appointment. |
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