Root canal treatment removes inflamed or infected tissue from inside a tooth, cleans the canal system and seals it so the natural tooth can be retained whenever clinically appropriate.
A clinical examination and diagnostic X-ray are needed before treatment is advised.
The tooth is numbed and isolated. The infected tissue is removed, the internal canals are shaped and disinfected, and the space is sealed. A suitable final restoration is then planned to protect the tooth.
An endodontist has postgraduate training focused on diagnosing tooth pain and treating the inside of teeth. Specialist assessment can be particularly useful for complex anatomy, retreatment, trauma and difficult cases.
The tooth is numbed before treatment. Most patients feel pressure rather than pain, although mild soreness afterwards can occur.
Many cases take one or two visits. Infection, anatomy and retreatment needs can change the plan.
Back teeth often need a strong final restoration. The appropriate restoration depends on the remaining tooth structure and clinical findings.
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Facial swelling, fever, difficulty swallowing or breathing can require urgent care. Contact a nearby dental or medical service promptly.