This is the process of removing the nerves from the crown (pulpotomy) or from the crown and roots of a tooth (pulpectomy). These procedures are often necessary to save a tooth that is painful and/or infected. If an infected tooth is left alone for a long period of time, an abscess can form. An abscess will show up on an x-ray as a dark spot below the apex of the root. This is actually bone loss in the jaw. It is very important to catch this problem before it deteriorates too far.
What is a nerve treatment for baby teeth?
Since the enamel of primary teeth is very thin, decay can progress into the dental nerve much more easily than in permanent teeth. When decay reaches the nerve there are bacteria that enter the nerve chamber. If these bacteria continue to penetrate into the whole nerve the tooth will abscess.
A Pulpotomy is a procedure where the infected part of the nerve is removed and a medicated filling material is placed into the nerve chamber. This keeps the remaining nerve tissue intact and vital. After the nerve treatment, the tooth needs to be restored with full coverage, either a composite or stainless steel crown. If the tooth is not protected it may fracture and need to be removed.
The first step of the procedure is to anesthetize the effected area. The next step is to open an access point through the top, or biting surface of the tooth. If the tooth needs a pulpectomy. Dr. Covington will then determine a working length of each canal. Each canal is then cleaned and shaped in preparation for the filling material. The canals are then sealed. The tooth is now ready for a restoration, which is usually a crown. This entire procedure is often completed in two visits.
When is a baby root canal needed?
There are a number of reasons why one of your child’s teeth may need a root canal. These include but are not limited to, a very deep cavity that extends into the nerve, a trauma to the tooth that exposes the nerve, or a crack in the tooth that extends into the nerve of the tooth.
- Moderate to severe lingering toothache pain when drinking hot or cold liquids or foods.
- Moderate to severe pain when biting on a tooth
- Sensitivity to tapping or pressure on the tooth
- Toothache that wakes you up in the middle of the night
- A pimple on your gum that may release pus or blood
- Radiating pain from one area of the mouth to another