A root canal is a commonly performed endodontic procedure.  Endodontics is a field of dentistry concerned with the biology and pathology of the dental pulp and root tissues of the tooth and with the prevention, diagnosis, and treatment of diseases and injuries of these tissues.

What is root canal treatment?

Dr. Kaufmann uses root canal treatment to find the cause and then treat problems of the tooth's soft core (the dental pulp).  Years ago, teeth with diseased or injured pulps were removed.  Today, root canal treatment has given dentists a safe way of saving teeth.

What is the dental pulp?

The pulp is the soft tissue that contains nerves, blood vessels and connective tissue.  It lies within the tooth and extends from the crown of the tooth to the tip of the root in the bone of the jaws.

What happens if the pulp gets injured?

An abscessed (infected) tooth caused by tooth decay.  When the pulp is diseased or injured and can't repair itself, it dies.  The most common cause of pulp death is a cracked tooth or a deep cavity.  Both of these problems can let germs (bacteria) enter the pulp.  Germs can cause an infection inside the tooth.  Left without treatment, pus builds up at the root tip, in the jawbone, forming a "pus-pocket" called an abscess.  An abscess can cause damage to the bone around the teeth.

Why does the pulp need to be removed?

When the infected pulp is not removed, pain and swelling can result.  Certain byproducts of the infection can injure your jaw bones.  Without treatment, your tooth may have to be removed.

What does root canal treatment involve?

Treatment often involves from one to three visits.  During treatment, Dr. Kaufmann or endodontist (a dentist who specializes in problems of the pulp) removes the diseased pulp.  The pulp chamber and root canal(s) of the tooth are then cleaned and sealed.

Here's how your tooth is saved through treatment:

1. First, an opening is made through the crown of the tooth into the pulp chamber.
2. The pulp is then removed. The root canal(s) is cleaned and shaped to a form that can be filled.
3. Medications may be put in the pulp chamber and root canal(s) to help get rid of germs and prevent infection.
4. A temporary filling will be placed in the crown opening to protect the tooth between dental visits if needed.  Dr. Kaufmann may leave the tooth open for a few days to drain.  You might also be given medicine to help control infection that may have spread beyond the tooth.
5. The pulp chamber and root canals are filled and sealed.
6. The temporary filling is removed and the pulp chamber and root canal(s) are cleaned and filled.
7. In the final step, a gold, ceramic, or porcelain crown is usually placed over the tooth. 
8. The crown of the tooth is then restored.