1) We will examine and x-ray the tooth, then numb the area with local anesthetic. We will then place a rubber protective sheet called a “dental dam” over the area we will be working on. This helps to keep the area clean and free of saliva.
2) We will then make an access through the crown of the tooth. We will use very small instruments to clean the pulp from the chamber and the canals to shape the space for filling.
3) Once the root canals are cleaned and shaped, they will be filled with a rubber-like material called “gutta-percha.” An adhesive is used with the gutta-percha to complete a secure sealing of the root canals. After a temporary filling will be placed to allow you to return to your dentist for final restoration of the tooth.
4) The final restoration will be done by your dentist to protect and restore the tooth to its former functioning state. In some cases the tooth may lack enough structure to hold a specific restoration and your dentist will place a post inside the canal of the tooth.
Cost or Additional Care of Tooth: The cost varies depending on the tooth. Molars for instance are more difficult and usually cost more. Many dental insurance companies provide coverage for endodontic treatment. In most cases it is less expensive to have endodontic treatment and dental restoration than the alternative of having the tooth extracted. Upon extraction the tooth will need to be replaced with a bridge or implant to restore its function of chewing and keep adjacent teeth from shifting. Bridges and implants tend to be costly alternatives to endodontic treatment.
After your endodontic treatment chewing or biting on the treated tooth should be avoided or carefully watched as to not fracture the tooth. The unrestored tooth is in a more fragile state until the final restoration is completed. You may continue good oral hygiene with flossing and brushing.
Teeth endodontically treated can last as long as other natural teeth. In some cases a tooth endodontically treated may fail. Sometimes it may become painful or diseased months or years after treatment. In this case another endodontic procedure may be performed to save the tooth.