Root Canal Treatment

The most common cause for excruciating toothache is a condition called acute pulpitis. It is often described as a sharp, throbbing or even “shooting” pain. Sleep becomes difficult or even impossible. In most cases, acute pulpitis has a long process leading up to it. The tooth could have a history of trauma or tooth decay.

When decay reaches the pulp or the “nerve”, a very painful inflammatory reaction called acute pulpitis takes place. This is when it’s way too late to fill the cavity. You need root canal treatment or extraction.

Sometimes, if the patient is able to tolerate the pain and continues to neglect the tooth, the inflammed pulp turns into necrotic or dead tissues. Left inside the root canals, this necrotic tissue will eventually breed an infection which can suddenly flare up as a swelling. This is when the chronic infection has turned into an abscess. The tooth has become even harder to treat.

For their front teeth, most people will opt for root canal treatment. The first step is to remove the cause of the pain – the inflamed pulp. The procedure can be quite painful at first, but once the nerve (pulp) is removed, the pain level will fall rapidly. The root canals are identified, cleaned, medicated and filled over a few visits.

filling the root canals of a lower molar

As root canal is a partially blind process (the dentist only has x-rays) to guide him/her, there is a chance that the treatment may not be successful. After successful root canal treatment, crowns are often indicated. That’s because a root canal treated tooth would have its structure compromised and needs protection to have it functioning normally again.

Many people have taken the trouble to do the root canal but neglected to get the crown done, only to lose the tooth eventually due to tooth fracture.