Root Canals Explored


If you have ever experienced tooth pain, you know it is one of the most painful life events!

In many cases, that strong pain is caused by inflammation of the pulp which is built up by nerve, vein, and arteria.

When there is reversible inflammation, the patient can localize the exact tooth that is painful and the pain comes and goes. The treatment for reversible pulp inflammation (hyperemia) is opening the tooth and removing the agent that caused the pain. If acted on promptly, the pulp can often be saved and the tooth remains vital.

If the reversible inflammation is not treated in a timely fashion, the pain grows in intensity and no medication can calm it. In these cases, the patient cannot identify the painful tooth because the pain spreads to the surrounding tissue. This is happening due to the growing pressure in the pulp (the pulp cannot expand because it is surrounded with hard tissue from the tooth). That larger pressure leads to ruptured capillaries and unbearable pain.

It is very important to know that pulpal diseases cannot be seen with X-ray, so proper diagnosis is crucial.

The first step of the treatment begins with applying local anesthesia. After that, the tooth is carefully opened. If the tooth has only one pulp canal, vital extirpation can be made. This means that the pulp is removed in the first session while it is still vital. But if there are several canals (teeth with more than one root) mortal extirpation is performed. This procedure takes applying medicine that will mummify the pulp. It is commonly applied with medicine for reducing the pain.

In the next session the pulp is removed. Cleaning and expanding of the canals must be involved to calm any residual inflammation or leftover pulp. After 10-14 days, if there is no pain, a temporary filling is placed. A few weeks later (if there is no pain or discomfort) the temporary filling is replaced with permanent one.

Learn more about Root Canals here and schedule an appointment with your Port Orchard dentist by calling (360) 443-5274 today.