Golden Pediatric Dentistry & Orthodontics of Woodbridge

After numbing the area, we will make a tiny hole in the crown (top) of your tooth to access the pulp chamber and canals. After we remove the diseased tissue, we will disinfect the chamber and the canal(s) all the way to the root end(s). Teeth in the front of the mouth have one root and generally one canal; back teeth have two or three roots and generally three or four canals. We will fill those canals and the pulp chamber with an inert, biocompatible material, and seal it with adhesive cement. The access hole will receive a temporary filling.

The procedure normally causes no more discomfort that a filling would. Root canal treatment may have a bad reputation, but it is undeserved; in this case it’s the disease that’s to blame and not the cure. In other words, the infections that make the treatment necessary in the first place are often painful because they are inflaming tissue that has lots of nerves and therefore is very sensitive. Root canal treatment actually relieves this pain!

We could remove the whole tooth, but it’s always better to try to save it — especially since root canal treatment is routine and has a very high success rate (over 90%). Saving the tooth can prevent other troubles from occurring later on; these could include bite problems from teeth shifting position, difficulty eating, and loss of jawbone volume and density.

If tooth pulp becomes acutely inflamed or infected because of decay or injury, we need to remove that tissue in order to save the tooth and stop the infection from spreading. As an adult, you don’t actually need the pulp — its primary use is to aid in tooth development during childhood.

Dentists use the term “root canal” in referring to the tiny, narrow passageways that branch from a central, hollow space in your tooth (called the pulp chamber) down to the ends of the tooth roots. The term can also be used as a shorthand for “root canal treatment” — that is, the procedure used to save the tooth if the soft tissue deep inside of it (called pulp) becomes acutely inflamed or infected.