Root canal treatment and root tip inflammation

For a dentist, root canal treatment is a term he or she often uses, but does the person in the dental chair also know what will happen if a root canal needs to be treated? Another word for root canal treatment is nerve treatment. When is a root canal treatment necessary and is it always possible? What is a root tip infection?

Article content

  • Build-up of tooth or molar
  • Root canal treatment
  • When is a root canal treatment necessary?
  • Can a root canal treatment always be performed?
  • Is root canal treatment painful?
  • How much time does the dentist need for a root canal treatment?
  • Do you suffer from residual pain after a root canal treatment?
  • Control photo
  • Root tip inflammation

Build-up of tooth or molar

A tooth consists of a crown and one or more roots . The part of the root or roots that extends above the jawbone, but is covered by gums, is the neck. With receding gums you can see the lower part of the crown and later the neck. The crown is made up of an outer layer consisting of very hard translucent tooth enamel and an inner layer consisting of less hard dentine . This ensures the color of teeth and molars. The teeth each have one root, false molars have two roots in the upper jaw, one in the lower jaw, true molars in the upper jaw in most cases have three roots and two in the lower jaw. The tooth root consists of dentine that is covered with a layer of root cement. Inside the crown and roots there is a space in which the pulp is located. The pulp consists of connective tissue containing blood vessels, nerves and cells that form dentin.

Root canal treatment

A root canal treatment is also called nerve treatment . It involves removing pulp from the root canal. If the pulp is inflamed or has died due to the inflammation, the pulp space is drilled open. A thin barbed needle is used to remove the pulp. The root canal is cleaned and freed of dead pulp and bacteria with a needle-shaped file. The goal is to get a sterile canal. After all these steps, the root canal is sealed airtight.

When is a root canal treatment necessary?

Treatment is necessary in all cases where the pulp is inflamed or may become infected. In most cases the pulp is affected by caries, but a root canal treatment can also be done if a large piece of a tooth has broken off and the pulp is exposed. If a dentist drills and there is a lot of caries that causes the root canal to become open, root canal treatment is usually necessary.

Can a root canal treatment always be performed?

No, a root canal treatment cannot always be performed . In the case of severe inflammation of the root tip, the dentist will usually refer you to a dental surgeon for surgical removal of the root tip of a tooth or molar and the tissue around it. This is also necessary if a root canal treatment fails and inflammation persists. It is also possible that the tooth or molar needs to be extracted.

Is root canal treatment painful?

With an anesthetic, a root canal treatment is usually not painful.

How much time does the dentist need for a root canal treatment?

How long the root canal treatment takes depends on the number of root canals. You should expect a treatment time of half to an hour and a half. Usually the treatment is done in one go, but sometimes you have to come back several times.

Do you suffer from residual pain after a root canal treatment?

You may experience post-pain, which can last for several days. With a good painkiller, ask your dentist for advice, the pain can usually be suppressed well. Antibiotics are not given quickly.

Control photo

Usually, a control photo is taken six months to a year after a root canal treatment to see whether the inflammatory process has stopped.

Root tip inflammation

A root tip infection, also called peri-apical inflammation , is an inflammation of the tissue around the root tip of a tooth or molar. Inflammation of the root tip occurs when caries after the dental crown also affects the pulp in the root canal and then the root tip. In most cases, someone has no or vague complaints. It is often discovered accidentally when x-rays are taken by the dentist. Sometimes the inflammation occurs acutely, then the person has severe toothache. If the pain becomes even more intense and throbbing, then there is an abscess. It will be examined whether treatment of the root canal is possible. But if the inflammation is too severe or a root canal treatment is not successful, root tip surgery is performed or the tooth is extracted.