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What is a root canal? Dentists in Puerto Rico

What is a root canal?

By Dr. Amarilys Rodriguez; San Juan , PR 787-998-7778

A root canal is a dental procedure where the pulp or nerve is removed from inside the tooth. The content of the roots and the roots are emptied and cleaned are filed with flexible metal instruments. Then the root is sealed to prevent contamination.
The tooth pulp contains nerve tissue, lymphatic and blood vessels and is considered a vital part of the tooth. If the tooth pulp suffer some trauma, either by bacteria in deep caries, fracture or trauma to the face and the tooth-the tooth nerve becomes inflamed and can begin to die. Inflamed tissue can cause pain and can lead to dead tissue infection, both can be treated with a root canal and the tooth can be maintained.
Signs that may indicate the need for a root canal

• Severe pain in a tooth
• discomfort when biting or chewing
• exaggerated sensitivity to cold or heat in a tooth
• Swelling
• Discoloration of the teeth for no apparent reason
• Abscess formation or drainage into the gums are not always accompanied by pain
A tooth can be annoying due to deep decay, in response to a filling or crown or due to a trauma (sports, car accident etc ...). The nerve of the tooth reacts with swelling and pain it causes can be minor but can lead to be severe requiring the use of analgesics. If the tooth is treated with a root canal, the nerve tissue can die and the dead / necrotic is an environment for bacterial growth. Over time, it creates an abscess / infection that sometimes causes no pain but it is affecting the bone supporting the tooth.
Treatment is not indicated in teeth with severe fractures, caries affecting most of the teeth and teeth that the location can not be treated (ie wisdom teeth, rotated teeth.) In these cases extraction is the best treatment. The general dentist or prosthodontist's decision on how to restore the space created by extraction.

Is it going to hurt?

A root canal is done under local anesthesia and usually causes no discomfort. What may cause some discomfort is the injection of anesthesia but once the tooth is numb, the procedure is "painless." You may experience some sensitivity after treatment lasting several days and may include discomfort when biting. This is normal and disappears completely in several days. The use of analgesics can improve this discomfort. In case of infection the dentist will determine if indicated the use of antibiotics.
Who does the root canal?

A general dentist can do the root canal but in most cases is done by an endodontist who specializes in this type of treatment. Once the endodontist to remove the nerve ends and seal the tooth, place a filling and refers to the general dentist who will take care to provide a restoration that may include a post and a crown. This concludes the treatment, prevents the tooth is contaminated and you break and makes the tooth a natural look and is in function.
How much does root canal?

The cost can vary depending on the type of tooth and the amount of roots they have. It can range from $ 400 to $ 800. The cost is independent of the tooth may need treatment once the channel. You can include a filler to replace the structure removed by the root canal, a post to re-enforce the filling and a crown. In most cases a crown is indicated as it covers the tooth and prevent breakage thereof. Most dental plans cover a portion of the cost of this treatment. The alternative of pulling the tooth and replace it with an implant or bridge is usually more expensive.
A root canal is permanent?

Once the root canal is considered permanent and not reversible. Sometimes channels can be re-contaminated with bacteria and must re-do it. This may occur for a broken tooth, an opening or cavity in the filling or the crown or incomplete treatment. It is important after having root canal the tooth restored (by the general dentist or prosthodontist) permanently as soon as possible to avoid contamination.
Other related procedures include a root canal;

• Surgery of the root of the tooth called apicoectomy or root end resection. This is the removal of the portion of the tooth root that is infected. O hemisection is the process of cutting the portion of the tooth including the root that is infected.
• pulpotomy is the removal of the nerve that is in the crown. No one works in the roots and usually is done to relieve pain in a time of emergency. It is not permanent and full-canal treatment is indicated later.
• Apexification it is for young teeth that have the nerve but the roots are not sufficiently trained to a root canal.
• Re-canal treatment
• Internal Bleaching (internal bleaching) for anterior teeth that have been traumatized or have had discoloration and you have root canal.

Is the procedure which removes the nerve of the tooth and surrounding structures to the nerve to wipe away pain dental infection.

Dr Rodriguez works in 1018 Ashford Ave. Condado, PR. Tel 787-998-7778

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