Root Canal Abscess Endodontic Treatment can often be performed in THREE visits and involves the following steps:
FIRST VISIT The Endodontist examines and x-rays the tooth, then administers local anesthetic. After the tooth is numb, the Endodontist places a small protective sheet called a “dental dam” over the area to isolate the tooth and keep it clean and free of saliva during the procedure-Root Canal Access Opening
The Endodontist makes an opening in the crown of the tooth.
SECOND VISIT Very small instruments are used to clean the pulp from the pulp chamber and root canals and to shape the space for filling. After the space is cleaned and shaped, the Endodontist fills the root canals with a biocompatible material, usually a rubber-like material called gutta-percha. The gutta-percha is placed with an adhesive cement to ensure complete sealing of the root canals. In most cases, a temporary filling is placed to close the opening. The temporary filling will be removed by your dentist before the tooth is restored.
THIRD VISIT final visit with your Endodontist, you must return to your dentist to have a crown or other restoration placed on the tooth to protect and restore it to full function.
If the tooth lacks sufficient structure to hold the restoration in place, your dentist or Endodontist may place a post inside the tooth. Ask your dentist or Endodontist for more details about the specific restoration planned for your tooth.
Will the tooth need any special care or additional treatment after Endodontic Treatment?
You should not chew or bite on the treated tooth until you have had it restored by your dentist. The unrestored tooth is susceptible to fracture, so you should see your dentist for a full restoration(crown) as soon as possible. Otherwise, you need only practice good oral hygiene, including brushing, flossing, and regular checkups and cleanings. Most endodontically treated teeth once crowned last as long as other natural teeth.
Can all teeth be treated endodontically?
Most teeth can be treated. Occasionally, a tooth can’t be saved because the root canals are not accessible, the root is severely fractured, the tooth doesn’t have adequate bone support, or the tooth cannot be restored. However, advances in Endodontics are making it possible to save teeth that even a few years ago would have been lost. When Endodontic Treatment is not effective, Endodontic Surgery may be able to save the tooth.