Understanding Root Canal Therapy
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What Is a Root Canal and Why Is It Needed?

Inside every tooth, beneath the hard enamel and dentin, is a soft inner chamber called the pulp. The pulp contains nerves, blood vessels, and connective tissue that helped the tooth grow and develop. Once a tooth is fully formed, the pulp is no longer essential to the tooth's function — the surrounding tissues can keep it alive and healthy without it.

When the pulp becomes infected or inflamed, due to deep decay, a crack, repeated dental procedures on the same tooth, or trauma, it causes significant pain and if left untreated, the infection can spread to the surrounding bone and tissue, forming an abscess.

Root canal treatment removes the infected or inflamed pulp, cleans and disinfects the inside of the tooth, and seals it to prevent reinfection. The tooth is then restored, typically with a crown so that it can function normally for many years.

Signs and Symptoms That May Indicate You Need Root Canal Treatment

Not all tooth pain means a root canal is needed, but certain symptoms are strong indicators that the pulp inside a tooth may be infected or inflamed. Come in if you're experiencing any of the following:
  • Severe or persistent toothache - Deep, intense tooth pain, especially pain that throbs, keeps you awake at night, or radiates to the jaw, ear, or temple, is one of the most common signs of pulp infection.
  • Prolonged sensitivity to hot or cold - If sensitivity to hot or cold foods and drinks lingers for more than a few seconds after the stimulus is removed, rather than fading quickly, the pulp may be inflamed or dying.
  • Darkening or discoloration of the tooth - A tooth that has become noticeably darker than its neighbors may indicate that the pulp inside has died or is dying — sometimes without causing significant pain.
  • Swelling or tenderness in the gums - Swelling, tenderness, or a raised bump, sometimes called a dental abscess or pimple on the gum, near a painful tooth, is a sign that infection is present and needs immediate attention.
  • Pain when biting or chewing — Significant pain when applying pressure to a tooth, such as biting down or chewing, can indicate inflammation or infection at the root tip.
  • Cracked or chipped tooth with pain - A crack or chip that exposes the inner pulp to bacteria can lead rapidly to infection, particularly if the tooth is already sensitive or painful.

What Happens During Root Canal Treatment

Understanding exactly what happens during a root canal is one of the best ways to put anxiety to rest. Here's the full process:


CONSULT

This is the first step in the full arch process. During this appointment, you will meet with your Dr. Kurt O. Bally DMD FICOI to discuss your needs and options for dental implants. The consultation will typically take about an hour. This first and free visit is $525 value.
STEP 1
STEP 2

RECORDS

Your dentist will take a series of records, including dental x-rays, 3D scans, and photographs. These records will be used to create a treatment plan and to fabricate your dental implants.

PRE-SURGICAL CONSULT

This appointment is held before the surgery to discuss the risks and benefits of the procedure, as well as the recovery process. You will also have a chance to ask any questions you may have.
STEP 3
STEP 4

SURGERY

This is the procedure where the implants are placed into your jawbone. The surgery typically takes about 2 hours per jaw and is done safely with oral anesthesia. All patients leave with their new temporary teeth on the day of the surgery and will return within 1-2 weeks to have their first post-op visit and receive their fist implant prototype teeth. It is important to remain on a very soft diet after surgery and before receiving your first prototype.

PROTOTYPES

1-2 weeks after your surgery you will return to check your healing and receive your first set of implant prototype teeth that will be attached directly to your implants. We allow up to 3 versions of teeth during the healing process to ensure the dentist and patient is happy with the look and feel. As your implants heal your dentist will create a series of prototypes for your implant bridge. These prototypes will be used to test the fit and function of the bridge before it is permanently placed.
STEP 5
STEP 6

HEALING

The implants will need to heal for 4-6 months before the next step can be taken. Dr. Bally will also provide a night guard to help prevent excess pressure from going to your implants. As you heal you will remain on a soft diet.

PROTOTYPING AND VERIFICATION

Once the implants have healed, your dentist will create a final prototype of your dental bridge. This prototype will be verified to ensure that it is the correct size, shape, and color. Before authorizing the fabrication of your new zirconia implant smile.
STEP 7
STEP 8

DELIVERY

This is the appointment where your permanent dental bridge is placed. The procedure typically takes about 1 hour. It's a truly rewarding visit for everyone.

POST-DELIVERY CONSULT AND DOCUMENTATION

This appointment is held after your new zirconia implant smile is installed and your final night guard is given and instructions to maintain your smile are discussed. Final pictures, X-rays and video mark the end of your zirconia implant smile journey.
STEP 9
STEP 10

MAINTENANCE

Your zirconia implant smile will need to be maintained on a regular basis to ensure that it continues to function properly. This may include cleaning, adjustments, and checkups.

Examination & X-Rays

We examine the tooth and take X-rays to assess the extent of infection, the shape of the root canals, and the health of the surrounding bone. This gives us a complete picture before we begin.

Local Anesthesia

The area around the tooth is fully numbed with local anesthesia. We apply a topical numbing gel before the injection to minimize any discomfort from the needle itself. Most patients are surprised at how comfortable they feel once the anesthesia takes effect.

Dental Dam Placement

A small rubber sheet called a dental dam is placed around the tooth to isolate it and keep the area dry and free of saliva during the procedure. This is a standard part of root canal treatment.

Accessing the Pulp

A small opening is made in the top of the tooth to access the pulp chamber and root canals inside.

Removing the Pulp

Specialized instruments are used to carefully remove the infected or inflamed pulp tissue from the pulp chamber and each of the root canals. The canals are then cleaned, shaped, and disinfected thoroughly to eliminate bacteria and prevent reinfection.

Filling the Canals

The cleaned canals are filled with a biocompatible rubber-like material called gutta-percha and sealed with dental cement. This permanently closes the canals so bacteria cannot re-enter.

Temporary or Permanent Restoration

The opening in the top of the tooth is sealed with a temporary or permanent filling. In most cases, a crown will be recommended to protect the tooth after root canal treatment. We'll discuss this and schedule that appointment separately.
A straightforward root canal on a single-rooted tooth typically takes 60–90 minutes.

Why Los Angeles Patients Choose Amigos Dental for Kids & Adults for Root Canal Treatment

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