Once the decay has reached the root canals, there are really two courses of treatment that can be pursued. The root canal treatment, and extraction of the tooth if it is warranted. Preserving the natural tooth is often the preferred course of treatment, so root canal therapy is the first consideration.
The severity of the tooth destruction will determine the exact direction taken during your procedure. X-rays will be taken, to determine the depth and full extend of the infection.
Prior to the start of the procedure, the area surrounding the affected tooth will be completely numbed using a local anesthesia. Once numbed, the tooth may be isolated using a rubber dam which will help to protect the tooth and site during the procedure.
An opening will be drilled into the tooth, typically at the top of the tooth. This will allow for the infected pulp to be removed from the inside of the tooth. The tooth’s canals will be disinfected with a cleaning solution to eradicate the infection. The inside of the tooth may be filed so that there is sufficient space for the filling.
The now cleaned tooth will be filled and sealed to protect it from future destruction. A crown placed over the repaired tooth will offer further protection, and return any lost aesthetics