Beneath the white enamel and the layer of dentin in your teeth rests a soft tissue called pulp. Within the pulp are blood vessels, nerves and connective tissues, which extend from the crown of the tooth to the tip of the root. While the pulp tissue is vital to growth and development of a recently erupted tooth, it can be removed once the tooth is fully mature, and it is here that nerves and other biological materials may need to be removed when a tooth begins to hurt from a deep cavity or deep filling. A root canal removes the inflamed or diseased tissue inside the tooth and disinfects and seals the inside of the tooth from future infections, thereby saving it from extraction. At Story City Dental, our dentist, Dr. Binkowski, is one of the few general dentists in the area who provides root canals on all teeth, including molars.
A root canal involves the removal of an inflamed nerve or an infection inside a tooth. This procedure is needed when the nerve tissue inside a tooth has become irritated, infected or necrotic. Many things can affect your nerves, including deep filling placement, deep cavities, a crack or outright fracture, or trauma to the tooth.
If you are experiencing severe localized pain in a tooth, prolonged sensitivity to heat or cold, tenderness to touch and chewing, discoloration, or tenderness in nearby bone and gum tissues, you may have a tooth that needs a root canal. Also, need for a root canal can be discovered, without any symptoms, in a routine dental exam.
Dr. Binkowski can perform a full root canal, core buildup and crown prep in one appointment. After administering a local anesthesia, he places a rubber dam over the tooth for isolation. A small access is made into the tooth to reach the nerve tissue, which is then removed. Diluted bleach rinses and disinfects the inside of the pulp chamber and canals, and the tooth is sealed with a sealer and rubbery material. The inside of the crown of the tooth is rebuilt with white resin, and then the tooth is prepared for a crown to protect it from future fracture. Dr. Binkowski will go over the procedure with you in more detail prior to your appointment as well as any anesthesia options. If you are extremely apprehensive about having a root canal, consider IV sedation with the procedure. We are the only office in the greater area that offers IV sedation with root canals.