3 Common Endodontic Procedures of Root Canal Therapy
Endodontic therapy is a procedure used to treat infection at the center of a tooth. It repairs the tooth’s nerves and pulp and prevents it from being extracted.
1. Root Canal Therapy
This procedure is performed to save a tooth with an infected or inflamed pulp that would have been extracted. Moreover, an infected root canal must be removed since it may lead to abscessed teeth, swelling that spread to other areas of the face, or bone loss around the taproot.
Signs that you may need root canal therapy are:
- Tooth sensitivity to extreme temperatures
- Sharp pain when biting or chewing
- Deep decay
- Cracked or chipped teeth
- Darkened gums
- Pimples on your gums
Root Canal Therapy Procedure
When you go for root canal treatment near you, an x-ray will be taken to enable your dentist to view the shape of your root canals. The x-ray will also help determine whether there are signs of infection in the surrounding bone. This procedure is done under anesthesia for comfort.
Your dentist will sit you comfortably and place a rubber dam around the tooth to protect the other teeth and keep the area dry during treatment. The pre-operative status of the tooth influences the procedure for endodontic therapy for a molar tooth.
i. Cleaning the root canals
The infected tooth is drilled to enable your dentist access into the tooth. Decayed nerve tissue, bacteria, and the pulp are removed. Then, the area is thoroughly cleaned through the hole using several root canal files and water or sodium hypochlorite.
If your tooth has an infection, medication is put inside it to clear up the infection. A temporary filling is placed in the exterior of the hole to keep out food and saliva. Once the tooth heals, a rubber compound called gutta-percha is used to fill the tooth’s interior. It prevents bacteria from accessing the root of the tooth. Your dentist may recommend regenerative endodontic therapy to replace damaged structures and regain the tooth’s functionality.
iii. Adding a crown or a filling
The tooth is shaped to prepare it for further restorations. You may require a dental crown or filling to restore the function and aesthetics of the tooth after root canal therapy in Orlando.
2. Apicoectomy (Root End Surgery)
When root canal therapy is inadequate to heal the tooth, and its surrounding tissues, a surgical procedure called apicoectomy is carried out. The root tip and surrounding tissues of a tooth are removed when there is residual inflammation or infection that causes problems that could affect several teeth later on.
This procedure is done under anesthesia to keep the patient comfortable. Next, the endodontist makes an incision in the gum tissues to access the bone underneath the tooth. A small opening is made in this bone on the tip of the root to expose the infected area.
The infected tissue on the root tip is removed, and the root tip is cleaned and sealed with a filling. An x-ray of the tooth and jaw is taken to ensure no spaces are left where a new infection could occur.
The specialist sutures the gum tissues to allow the gum to heal. Another appointment is required to check whether the gums are healing properly and to remove any remaining sutures. The jawbone heals around the filling after some time.
3. Cracked Teeth Treatment
A tooth may be cracked due to trauma, teeth grinding or clenching, or chewing hard foods or objects. An infected cracked tooth may cause erratic pain when chewing food to sudden pain when the tooth is exposed to extreme temperatures. Your teeth, unlike the bones, are not self-healing, and the crack may continue into the pulp and expose it to bacteria. Endodontic procedures are carried out to stop the pain and prevent the tooth from further cracking.
When a tooth is cracked, the crack extends from the tooth’s chewing surface vertically toward the tooth root. Early endodontic treatment is required if the crack extends into the pulp to save the tooth from extraction.
If the crack leads to a split tooth, a portion of the tooth may be saved through endodontic treatment. Your tooth may crack from the roots and extend toward the chewing surface. This crack is called a vertical root fracture and causes infection in the surrounding bone and gum. The fractured portion of the tooth is removed through endodontic surgery. After treatment to save a cracked tooth, our dentist in Paradise Dental places a crown over the tooth to stop the crack from progressing.