What is root canal treatment and when do we need it?

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The root is the lower part of the tooth. It goes down to the jawbone and is concealed inside of the gums. Inside the root are root “canals,” located beneath both the root’s enamel coating and the dentin layer under it. Inside the root canals is a pulp – which essentially is the tooth’s nerve center, for the pulp is comprised of blood vessels and nerves.

The dentist decides upon root canal treatment mainly in the following cases:

  • There is an infection and inflammation of the pulp and the infection cannot be cured by external medication. Usually, the person suffers strong, sharp pain from this type of inflammation.
  • In situations where the pulp is decayed or rotten, to the point where the nerves and blood vessels in the root canal no longer are functioning. This can develop from the tooth having suffered external damage, if afterwards infection of the pulp sets in.
  • There is much damage to the tooth’s structure, and considerable decay is apparent. Nevertheless, enough of the tooth remains to support a crown.

What exactly does root canal treatment entail?

Essentially, the root canals are cleaned out by removing the infected pulp and then chemically disinfecting the canals. Afterwards the canals filled in with a sealant. In cases where the cleansing is not complete so infection is still present and spreading, a repeat root canal treatment is needed, which is usually more complex than the previous one.

Usually, root canal treatment requires local anesthesia so during the procedure there is no pain or discomfort. Even after the procedure is completed, during the recovery period, most patients do not feel any pain.

Owing to the fact that the treatment requires precision and delicacy – because it is not uncommon that the root canals are only a few microns wide – the dentist must be highly skilled and experienced.

In our clinic, root canal treatments are performed by Dr. Yaki Mizrahi , an oral medicine specialist and expert, who completed his training at Hadassah Ein Kerem Hospital. His was extensive training, providing him with knowledge and experience regarding a wide variety of diseases and problems of the oral cavity, such as lesions of the mucous membranes of the mouth and lips, functional disorders of the salivary glands and the chewing process, as well as all of the causes of facial pain and jaw pain. As a certified an oral medicine specialist, he is authorized to perform dental procedures for high-risk patients as well, such as those who have diabetes or heart problems, or they recently underwent chemotherapy or radiation treatment.

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