Root canal doesn't have to hurt or scare you. At Dr. Mirani’s office, we assure the root canal procedure is carried comfortably and gently with minimum pressure on our patients. Dr. Mirani, dentist in Beverly Hills, recommends root canal when the tooth is either infected or there is severe damage to the pulp (nerve tissue inside the root). The ultimate goal of a root canal is to keep the tissue around the tooth’s root healthy despite the fact that the tooth’s nerve has undergone degenerative changes. If left untreated, an inflamed pulp can cause a tooth to die and then it may have to be extracted, weakening the jawbone and the foundation of surrounding teeth. A patient who loses a tooth will usually have to undergo more extensive and costly restorative work.
How does a Root Canal keep the surrounding gum tissue healthy?
Dr. Mirani uses root canal procedures to make an infected tooth as healthy as possible by first cleaning out the unhealthy portions of the tooth, including the surrounding gum tissue, and then sealing the tooth so an infection will not re-occur. The process starts by removing all bacteria, infected nerve tissue, organic debris left over from the breakdown of nerve tissue, and bacterial toxins from within the inner aspects of a tooth (the area originally occupied by the tooth's nerve tissue). Each of these items can produce tissue irritants that can cause your body to activate an inflammation reaction.
Once this space has been cleansed Dr. Mirani will fill in and seal the interior of the tooth with a flexible plastic material called gutta percha. This aspect of the treatment is an attempt to minimize the possibility that bacteria will be able to re-colonize the inner aspects of the tooth or that tissue fluids can seep into the tooth, become stagnant, and subsequently break down. The seal also contains and encapsulates any debris that could not be fully removed during the cleaning aspect of the root canal treatment process so that it can't leak out and trigger an inflammation reaction. Once the tooth is cleaned and sealed it usually receives a dental crown to maintain the structural integrity of the tooth.
What happens during a Root Canal Procedure?
Root canals usually require one to two visits depending upon the number and severity of the affected teeth. The area around the infected tooth is first numbed and a rubber dental dam is placed around the tooth. A small hole is then drilled to the pulp area either through the top or the back of the tooth. The root canals are then measured with the use of x-rays after small amount of the infected pulp is removed. The x-ray allows the dentist to properly clean the entire canal and to make sure a sufficient amount of filling material is used to fill the canal with sealant.
The canal is cleaned out thoroughly with an antiseptic solution once all of the diseased pulp in the tooth is removed. The canals are then filled with gutta percha and then a temporary filling is put on top of the sealant. A crown or permanent dental filling will be done after there has been no sign of infection usually within a month or so. Crowns are used because the root canal procedure weakens the tooth. Under normal conditions, the patient usually experiences two to three days of soreness after the procedure is completed.
What will a Root Canal procedure with Dr. Mirani be like?
At Dr. Mirani’s office your tooth will be numbed and then a rubber dam, actually a sheet of rubber, will be placed around the tooth in order to keep saliva from being re-contaminated with bacteria as the root canal procedure is being performed. Dr. Mirani must first gain access to that area inside the tooth where the nerve tissue resides. This is accomplished by using a dental drill and making an access cavity that extends down to the pulp chamber of the tooth. On posterior teeth this hole is made on the chewing surface of the tooth. On front teeth the access hole is made on the tooth's backside.
Dr. Mirani will then clean out the interior of your tooth (the pulp chamber and all root canals). The cleaning process removes bacteria, toxins, nerve tissue, and related debris that may be festering inside your tooth. The cleaning process is usually accomplished by using "root canal files" and an abundant amount of irrigation. Root canal files look like straight pins but actually have very rough surface. Using a twisting motion the files scrape and scrub the inside of the tooth until the infected portion of the tooth is removed.
During the cleaning process Dr. Mirani will frequently wash out your tooth to help flush away any debris that was created. Various solutions are used during the irrigation process in order to disinfect the tooth. Once the tooth has been thoroughly cleaned Dr. Mirani will fill in and seal up the root’s interior by using a rubber compound called gutta percha. Gutta percha comes in preformed cones that are sized to match the diameter of files which have been used to clean out the inside of the tooth. After Dr. Mirani has finished the filling and sealing aspect of the root canal process she will place a filling in the access hole created at the beginning of the treatment.
How do I know if I am a candidate for a Root Canal?
Dr. Mirani helps dental patients throughout Beverly Hills to achieve optimal oral heath through Cosmetic and Restorative Dentistry, regular checkups and cleanings. Call Dr. Mirani’s office today at (310) 858-5933 to schedule an appointment if you are feeling any sort of pain or gum inflammation. Dr.Mirani will examine your tooth and explain the finer points of root canals.