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What if my tooth is already root filled

and I get another infection?

Root canal treatment is usually very successful.

However, if the infection comes back, the treatment

can sometimes be repeated. During retreatment, the

dentist will reopen your tooth and remove the filling

material that was placed in the root canals during the

first procedure. The dentist then carefully examines the

tooth, looking for additional canals or new infection.

Once clean the roots are then refilled and sealed with a

permanent filling.

Rubber Dam (1), Cleaning File (2) and the Abscess (3)

1

2

3

Root canal treatment has the

reputation of being a really

unpleasant and a painful procedure.

Actually, the procedure itself is no more

painful than having a filling placed as

Dr Ashok Jakhu explains ...

Usually, a local anaesthetic is used and it should feel no

different to having an ordinary filling done, but if you

feel nervous or anxious dental sedation can be used to

help relax you during treatment.

At Wycherely’s dental practice we carry out simple and

complex root canal treatment although some root

canal procedures may still need to be referred to an

endodontic specialist.

What is root canal treatment?

Root canal treatment is needed when the blood or

nerve supply of the tooth is infected through decay or

injury. In some cases, your tooth could darken in colour,

youmay get a bad taste or swelling in themouth which

could mean that the nerve inside the tooth has died (or

is dying).

Why is root canal treatment needed?

If the pulp inside the tooth becomes infected, this may

eventually lead to an abscess. An abscess is an area of

infection which can cause swelling around the root of

the tooth, if left this can lead to tooth loss.The symptoms

of an abscess can range from a dull ache to severe pain

and the tooth may be tender when you bite.

What does it involve?

Local anaesthetic is used to numb the tooth and a

rubber dam is used to keep the tooth dry and free of

saliva. A rubber dam is a piece of rubber that fits over

the tooth and isolates it fromthe rest of themouth. After

the dentist removes all of the decay and bacteria, he will

use files to clean out the canals (roots) of the tooth.

Root canal files are small instruments that increase in

diameter and fit down into the canals enabling the

dentist to remove the nerve. Once the tooth is clean, the

dentist will fill the canals with a rubber filling material

called gutta percha, a permanent filling is then placed

on the top to seal the tooth.

38

FEBRUARY 2016