how-does-a-dentist-do-a-root-canal

How Does a Dentist Do a Root Canal? See Each Step

how-does-a-dentist-do-a-root-canal

Quick Answer

How does a dentist do a root canal?

The dentist makes an opening into the tooth, removes unhealthy pulp, and cleans the small channels inside the roots. After those channels are filled and sealed, the tooth is restored, with saving your natural tooth as an important treatment goal when appropriate.

Key Takeaways

  • An examination and X-rays may be completed before treatment.
  • Local anesthesia is generally used for comfort.
  • The dentist removes inflamed or infected pulp.
  • Root spaces are cleaned and prepared before filling.
  • A material called gutta-percha commonly seals the canals.
  • A dentist or endodontist may perform the procedure.

Knowing what happens during a root canal can make the treatment less mysterious. Although the dentist works on a small tooth, several precise steps take place inside it.

A root canal is a form of endodontic treatment that addresses damaged tissue within a tooth. This dental procedure is different from an extraction because the natural tooth itself remains in the mouth.

What Does a Dentist Do During a Root Canal?

Before beginning, the dentist examines the tooth and may take X-rays. These images can reveal details about the root system and nearby bone.

Numbing and Opening the Tooth

Local anesthesia is typically used for numbing the area around the tooth.

Once you are comfortable, the dentist creates a small opening to reach the internal chamber.

Taking Out the Pulp

Inside the tooth is soft pulp tissue containing nerves, blood vessels, and other structures.

The dentist removes the unhealthy tissue from the pulp chamber and root canals, including any infected pulp.

The pulp also contains blood vessels and connective tissue involved in the tooth’s early development. A mature permanent tooth can usually remain functional without it.

What Do Dentists Use to Clean Root Canals?

After removing the pulp, the narrow canals require careful preparation before they can be filled and sealed.

During the root canal procedure, fine dental instruments and cleaning solutions are used inside the roots. These instruments allow the dentist to reach the small internal spaces and remove remaining tissue and debris. The dentist carefully cleans and shapes each accessible canal so it is ready to receive the filling material.

Because root canal anatomy can vary from tooth to tooth, the amount of cleaning and preparation needed may differ for each patient.

What Do Dentists Fill Root Canals With?

Once the canals have been cleaned and prepared, what do dentists fill root canals with?

Gutta-percha is commonly used as a dental filling material within the root canals. This flexible material is placed into the prepared spaces and is typically used with a dental sealer to help close small gaps.

Together, the gutta-percha and sealer create an internal seal within the treated tooth. After this stage is completed, the tooth can be prepared for the appropriate final restoration.

What Do Dentists Put in Root Canal Teeth Afterward?

The dentist also restores the opening made at the start of treatment.

A temporary filling may be placed when additional treatment is planned. Eventually, a permanent filling or crown may be recommended.

The choice depends on how much healthy tooth remains and the type of forces the tooth handles during biting and chewing.

Maintaining the Tooth After Treatment

Your dentist will explain when you can return to normal chewing and how to care for the tooth while it heals.

Regular brushing and flossing continue to be important. Root canal treatment addresses one tooth’s interior but does not replace the daily habits that support overall oral health.

Final Thoughts

A root canal follows a series of steps designed to treat the tooth from the inside. Unhealthy tissue is removed, the canals are cleaned and shaped, the spaces are sealed, and the remaining tooth is restored.

If an infected tooth is suspected, a dental evaluation can identify the appropriate next step.

Understand Your Options for Tooth Pain in Mission Viejo

Pain does not tell you exactly what is happening inside a tooth. An Emergency Dentist in Mission Viejo can evaluate the area, explain what the examination shows, and discuss whether root canal treatment or another approach may be appropriate.

Frequently Asked Questions

The procedure removes pulp tissue from inside the tooth, which includes nerve tissue. The hard outer tooth and roots remain in place.

Root canal treatment may sometimes be performed while orthodontic appliances are present. Your dental and orthodontic providers can coordinate care when necessary.

Root canals are narrow and can vary in shape. Different instruments help the dentist prepare the internal spaces gradually and carefully.

Your dentist may recommend avoiding foods that could loosen or damage a temporary restoration. Follow the eating instructions provided after treatment.

The tooth can be monitored during your regular dental examinations, with additional follow-up recommended when appropriate.

Dr. Taylor Nielsen, DMD

About The Clinical Director

Dr. Taylor Nielsen, DMD

Dr. Taylor Nielsen, DMD, is the founder and Clinical Director of Emergency Dentist, a network of seventeen weekend emergency dental clinics in five states. A 2018 graduate of the OHSU School of Dentistry, he practiced in Oregon and Iowa, sets the clinical protocols for every location, and has trained more than 100 dentists. He reviews the patient education on this site for clinical accuracy.

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