In this article we will discuss: where in the tooth is the nerve, and why in some cases it is necessary to resort to the nerve removal, that is, to perform pulpectomy. Consider the indications and contraindications for removal. Let us analyze the algorithm of pulpectomy and further treatment of the tooth.
Where is the nerve in the tooth?
To understand what the dental nerve is and why it is sometimes removed, let’s understand the structure of the tooth.
It is a multi-layered organ, in the supragingival part it is covered by enamel, in the subgingival part – the cement of the root. The main tissue of the tooth is called dentin. At the very center of the dental unit is the pulp chamber (the cavity that houses the pulp). The pulp is a connective tissue with a lot of nerve endings and blood and lymphatic vessels that move through it. Simply put, the pulp is the nerve of the tooth.
What is a “nerve extraction” or RCT?
Pulpectomy is a dental manipulation to remove the pulp from the pulp chamber. The changes that occur with pulp inflammation are irreversible. Therefore, to prevent the spread of infection, the pulp when the inflammatory process begins must be removed. This allows the tooth unit to be preserved. Impalement can be complete or partial, depending on the characteristics of the clinical case. The removal is performed with pain relief, because the inflammation is accompanied by significant pain syndrome.
Indications and contraindications for nerve removal
The indication for removal of the pulp is its inflammation, regardless of the cause. Infection can be provoked by decay, trauma to the tooth, an underlying infection, i.e. any condition in which the pathological process has affected the pulp chamber. Dissection is also performed when it is necessary to replace the teeth with artificial crowns or bridges. This measure is necessary because the “live” tooth under the crown is also subject to decay. In this case, its treatment will require the removal of the prosthetic structure.
Contraindications to pulping are any illness in the acute phase. Removal in the first trimester of pregnancy is undesirable.
Important: pulp inflammation may cause an emergency, so the depuration in this situation is carried out regardless of the contraindications.
The process of dental nerve extraction
- Anesthesia. The doctor injects anesthetic into the patient’s gum at the site of the prepared tooth. If necessary, the injection site is anesthetized using a gel or spray.
- Preparation. The dentist uses a drill to clean the pulp chamber, removing the decayed enamel and dentin
- Removal. The dentist inserts the pulp extractor into the root canal and performs the pulping
- Completion. The dentist washes the root canals with an antiseptic, puts the medication in and places a temporary filling
The general rule of thumb is that a dental crown will need to be placed over a tooth that has just received a root canal if the tooth is a premolar, a molar or one of the back grinding teeth. These teeth need to be kept strong as they are used continuously when eating throughout the day.
Treatment of the tooth after nerve extraction
After the pulp is removed and a temporary filling is placed on the tooth, a few days should pass. This is a testing period. If a mistake was made or something went wrong during the pulpectomy, the tooth will be sore. Then the dentist will open the filling and clean the canals again, and then temporarily fill it up again. The absence of pain indicates that the pulp was removed qualitatively, there is no pathogenic microflora left in the cavities. In this case, the doctor will remove the filling, wash the root canals, place the pins (if necessary) and fill the cavity. During RCT, it is mandatory to monitor the passage of the canals and fillings. Once completed, the dentist places a restorative filling on the tooth that is visually identical to the shape of the natural tooth.
Brickell Dental Care is equipped with the latest diagnostic equipment, so you can be sure that your tooth will last for years to come.
Brickell Dental Care offers dental treatment services, including dental nerve extraction. Going to our doctors has a number of significant advantages:
- appointments are conducted by highly qualified doctors;
- diagnostic and treatment protocols are followed;
- we provide financing options in partnership with CareCredit, Lending Club and Sunbit;
- we accept all major dental insurances PPO.
For timely professional dental care, call us at (407) 989 99-99!