When a tooth has been impacted by decay or infection, it can spread deep within the tooth to the dental pulp. The dental pulp is the mass of tissues that reside in the canals of the teeth. If an infection or trauma occurs, the tooth may need to be extracted. However, thanks to root canal treatment, many patients in the Beverly Hills, California area can avoid extraction and save their tooth.
What is the root canal process?
- Preparation. Patients are properly sedated and anesthetized to ensure comfort.
- Access. The endodontist will create a hole in which to access the inner portions of the tooth canals.
- Removal. The dental pulp tissues are removed from the canals.
- Disinfection. The inner canals are cleaned and disinfected.
- Filling. A material called gutta percha is used to fill the canals where dental pulp was.
- Sealing. The tooth is sealed using composite resin bonding, a material that looks like natural tooth enamel.
- Dental crown. In some situations, the endodontist may fabricate and place a dental crown over the tooth to protect and strengthen the remaining tooth structure.
Do root canals hurt?
Patients who hear the term “root canal” may automatically think of a painful dental procedure. However, this is not the case. Root canal therapy is done under proper anesthetics and with sedation, so patients are comfortable throughout the entire process. We encourage patients to ask about our sedation methods to choose the one most appropriate for their level of anxiety and comfort. Sedation is used in conjunction with local anesthetics, so patients do not feel a thing!
Learn more about the root canal process and find out if you are a candidate
Root canals are nothing to be feared and can provide patients with relief from a variety of issues, including infection. If your dentist has recommended root canal treatment, it is time to connect with an endodontist to learn more. Call Drs. Frank Vidjak and Fanny Yacaman of Beverly Hills Advanced Specialties of Dentistry in Beverly Hills, CA at (310) 861-3955 to request a consultation visit. We are always accepting new patients into our state-of-the-art dental facility at 465 North Roxbury Drive in Suite #703.
Experience pain-free root canal treatment with a skilled endodontist.
Root canal therapy is a very common procedure. It has a reputation of being undesirable and painful but when done properly it is actually painless. Every tooth in your mouth is composed of a crown and a root. When a cavity or bacteria penetrates the tooth the root and its nerves become irritated. As a result the bacteria within the pulp cavity needs to be removed and cleaned in order to restore the tooth to its healthy state. Following the procedure the tooth is fragile and is consequently restored to a natural crown for a lifetime of durability. Root canals have a success rate of 95 percent or greater. Most root canals are diagnosed by patient’s sensitivities to a specific tooth. Be sure to consult your dentist if any symptoms or discomfort.
A clear and concise explanation of everything you wanted to know about root canal treatments
A root canal treatment has to be performed if the dental nerve technically called the dental pulp from the Latin Pulpa has died or is infected. The patient may or may not experience pain after pulp death. Some causes of pulp death include deep-seated caries, severe heat generation during tooth cutting, severe periodontitis or possibly chemicals used by the dentist for example white fillings called composites. The dead tooth can lead to acute even life-threatening complications at any time because the necrotic pulp tissue can cause acute infections called abscesses. The tooth is connected to the bone through numerous small canals at the end of the root. The objective of a root canal treatment is to completely remove the destroyed tissue which may also be infected with bacteria in some cases from the interior of a tooth. This way the infection is prevented from spreading to the bone. Since complete cleaning of the interior of a tooth is never 100% successful, the dentist attempts to close the pulp cavity in the root canals tightly with a special compound so that any remaining bacteria don’t have space to multiply. This means that absolute cleanliness and the sterile working environment are prerequisites for any root canal treatment. In order to create this environment in the oral cavity, it’s imperative that the dentist works with a rubber dam, because that’s the only way to prevent saliva from reaching the interior of a tooth. Saliva contains many different bacteria that can endanger the success of a root canal treatment. Furthermore, it’s important to work with sterile instruments. With the aid of sterile instruments, the dentist begins to clear and clean the interior of the tooth. Special solutions are used intermittently for irrigation in order to flush out tooth chips cell debris and bacteria. It’s important that all canals are reconditioned. Most teeth have several canals therefore a root canal specialist a so-called endodontic specialist always works with magnification, such as medical magnifying glasses or a microscope. The dental canal must be reconditioned all the way to the root apex. The length of the root is ascertained by means of x-rays and measuring aids. Only a well-conditioned tooth filled all the way to the root apex can be preserved permanently. If the tooth exudes a foul smell is painful or bleeds severely from within the canal should not be filled with the permanent material. In such cases medication is applied within the canal which is then tightly sealed for a few days. However, the temporary sealing material must be absolutely saliva proof because only then will it keep the tooth sealed for about one week. Another cleaning session must take place no longer than a week after the initial session. If this is not done bacteria from the saliva could enter the tooth and its canals necessitating a repeat of the entire previous procedure. Once the canals are clean and the tooth no longer causes any discomfort, the canals are tightly filled with a special compound creating a tight apical seal. The tooth crown should also be tightly sealed from the top in effect from the access opening because only then is it guaranteed that bacteria can no longer enter. On this x-ray of a tooth, you can see a good root canal treatment. The canals have been filled homogeneously and tightly down to the root apex. These filled canals are represented on the x-ray as a light strip within the interior of the tooth. Such a tooth is able to provide valuable service for an entire lifetime. Now we see an example of a tooth with a poorly performed root canal. The anterior root is not filled at all while the posterior root is only half filled. Such teeth can cause trouble even after many years and can lead to conditions like acute bone infection or abscesses. In this case a revision of the root canal treatment and/or tooth extraction becomes necessary. The only alternative to a root canal treatment is tooth extraction prevention is the best alternative. The risks involved in a root canal treatment include the following. Instrument breakage in the canal root canals overlooked by the dentist who leaves them unfilled perforation of the canal and the dental crown and over instrumentation with respective possible consequences such as maxillary sinusitis or bone inflammation.
Nothing beats a natural tooth. Here’s a step-by-step guide to a root canal procedure that can save natural teeth.
Nothing looks feels or functions like your natural teeth, and with the right care, your smile can last a lifetime, but problems like decay disease or injury can threaten teeth and ruin smiles. Thanks to advances in treatment and technology, many teeth can be saved. One way a tooth can be saved is with a procedure called root canal treatment, also known as endodontic treatment. Endodontics is a specialized area of Dentistry focused on treating disease or injury to the dental pulp, endodontists are dental specialists with advanced training in root canal treatment. They are experts in saving your natural teeth using state-of-the-art technologies, like microscopes and digital imaging to treat you quickly and comfortably. Let’s take a step by step look at a modern root canal procedure. Here is a healthy tooth. Inside the tooth under the white enamel is a hard tissue called dentin. Inside the dentin is a soft tissue called pulp. The pulp contains the tooths nerves and blood vessels. It extends from the crown of the tooth into the roots of your teeth. If the pulp becomes inflamed or infected your endodontist will remove it relieving your pain or discomfort. Here’s how root canal treatment works. First your endodontist will numb the tooth so that you won’t feel anything during the procedure. A small shield isolates the tooth keeping it dry and clean. An opening is made through the crown of the tooth and into the pulp chamber fluid is put in the canals to kill any bacteria and help rinse out debris. Then the pulp is removed. Using small instruments, the endodontist carefully cleans and shapes the canals. After the space is cleaned and shaped, the endodontist fills and seals the root canals in most cases a temporary filling is placed to close the opening until you see your dentist. After your endodontist is finished, you must return to your dentist to have your tooth properly restored with a filling or crown. That protects the tooth and is important to ensure the success of your root canal treatment. A tooth that has had root canal treatment often lasts a lifetime, so you keep smiling with confidence.
The skilled doctors at our practice are Frank M. A. Vidjak, DDS, MSEd and Fanny Yacaman, DDS, MSEd, MS.
Dr. Vidjak is a member of the American Dental Association, California Dental Association, Los Angeles Dental Society, American College of Prosthodontists, Beverly Hills Academy of Dentistry, San Gabriel Dental Implant Study Club, Advanced Treatment Planning Study Group, and West Los Angeles ITI Study Club, and a Fellow of the International College of Dentists and Pierre Fauchard Society.