Root Canals

For Avoiding Tooth Extraction

A root canal removes the inflamed or diseased nerve inside the tooth and disinfects the inside of the tooth, sealing it against future infections and saving it from extraction. At Story City Dental, Dr. Binkowski can provide root canals on all teeth, including molars; however, we always give our patients the option of seeing a specialist.

What is a root canal?

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.

When would I need a root canal?

If you are experiencing severe localized pain in a tooth, prolonged sensitivity to hot 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. The need for a root canal can be discovered, without any symptoms, in a routine dental exam via X-ray images, which is why 3-D X-rays are so important.

What can I expect?

Our dentists can usually perform a full root canal, core buildup and crown prep in one appointment; however, this can take longer based on the complexity of the tooth. Prior to numbing, the dentist will take a high-resolution 3-D X-ray image to see inside the tooth, which reduces the chance of missing any canals during the procedure. After administering local anesthesia, the dentist will place a rubber dam over the tooth for isolation and make a small access into the tooth. This lets the dentist reach the anesthetized nerve tissue, which is then removed. Diluted disinfectant rinses the inside of the pulp chamber and canals, and the tooth is sealed with a sealer and rubbery material. The inside of the tooth’s crown is rebuilt with white resin, and the tooth is prepared for a crown to protect it from future fracture. Story City Dental will review the detailed procedure and anesthesia options prior to your appointment. If you are apprehensive about having a root canal, we offer IV moderate and deep sedation with root canals.

Get more information about root canals

Read this article by Dr. Binkowski.

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