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M. Todd Bonin, DDS
   
Root Canal:
M. Todd Bonin, DDS

"What is a root canal"?

If your tooth becomes infected or there's severe damage to the nerve (pulp), Dr. Bonin might recommend a root canal. There are tiny canals within each tooth that contain nerve, blood supply, and lymphatic tissues.  This tissue sometimes becomes infected and dies (pulpal necrosis).

In a root canal procedure, Dr. Bonin (or a root canal specialist) removes all the infected, dead tissue from the canal(s). The canal(s) are then filled with a special bio-compatible material and the tooth is covered with a crown. Crowns are more common in most cases as they add strength to the tooth itself and help to prevent fractures.  The procedure itself takes one to two visits.

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"Why did my nerve die"?

An untreated cavity is the most common cause for this infection. The pulp inside the tooth can become inflamed from trauma or extensive restorative work. It can even be affected from a series of fillings being applied in a short period of time. This inflammation usually leads to infection. Pain in the tooth is the most common and obvious symptom.  Any swelling around a tooth, in your mouth, or on your neck should be immediately evaluated.

"What can I expect during a root canal"?

Dr. Bonin (or the Endodontist) will numb the area around the affected tooth, and possibly offer you the option of mild sedation as well. The pulp is then removed with special instruments through the top or back of the tooth. A disinfection solution is frequently used, irrigating in and out of the canals, to help remove debris and bacteria.

The actual root canals are measured after some of the pulp has been removed. This is done so that we can clean the entire canal, and so that enough of the filling material will be used to completely fill the canal. The actual measuring is done with digital x-rays and an electronic apex locator.

A temporary filling is then put on top of that if more appointments will be needed, or the tooth is built back up and prepared for a crown.

Expect two to three days of soreness after the procedure, or longer if the infection in the root canal was severe.  Dr. Bonin might place you on antibiotics, pain medication, and/or anti-inflammatory medications during this period.

 

 
 
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