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Root Canal


Diagram of tooth showing tooth root
Many people are deathly afraid of the concept of a root canal. However, despite what you may have heard, a root canal is not done to cause you extreme pain. It is, in fact, the only way to save a tooth that has suffered extensive damage and decay.

Thousands of teeth are saved each year, thanks to root canal therapy. At Sabeti Cosmetic Dentistry, Dr. Shohreh Sabeti have extensive experience in performing root canal procedures.

Why Do You Need a Root Canal Procedure?


Beneath the hard white enamel, and the softer dentin layer is the tooth pulp. This pulp contains soft tissue, nerves, and blood vessels that provide nutrition to the root of your tooth while it is developing.
Severe trauma or extensive decay can give the bacteria a way inside your tooth. The bacteria multiply in the tooth chamber and cause infection. If not treated, it can lead to a breakdown of soft and hard tissue near the tooth root. The pocket is then filled with pus, forming an abscess.

This results in several painful symptoms like:
•  Extreme pain while chewing or biting down.
•  Continuous pain and sensitivity of the tooth.
•  Pimples on the gum.
•  Inflamed and swollen gums.
•  Darkening of the tooth and gums.
•  Swelling that spreads to your face or neck.
•  Bone loss at the tip of the tooth root.
•  Development of a drainage hole through the side of the tooth or the side of the cheek, resulting in foul taste and breath.

All of these symptoms can be fixed by removing the dental pulp and disinfecting the pulp chamber. Fortunately, a fully-grown tooth can survive even without the nerve and will continue to be nourished through the surrounding tissue.

How is a Root Canal Procedure Performed?


At Sabeti Cosmetic Dentistry, will take an x-ray to determine the extent of the damage. You will then be given local anesthesia to numb the surrounding area. Patients who are young or suffer from anxiety may also be given a mild sedative during the procedure.

Dr. Shohreh Sabeti will then drill a small hole on the crown of your tooth to expose the pulp chamber. The infected soft tissue along with the tooth nerve is then removed with the help of fine needle-like instruments, and the emptied chamber is disinfected. The cavity is then prepared and permanently sealed with a mixture called gutta-percha. A temporary filling is then placed on the access hole while you are waiting for your permanent crown to be made. The entire procedure typically takes no more than two hours and is painless.

Complications of a Root Canal


In rare cases, a root canal procedure may be followed by some issues:
•  An undetected crack in the tooth root which can leak in bacteria, causing reemergence of infection.
•  Leaving a root canal un-cleaned.
•  A defective inner sealing material that allows bacteria to leak into the pulp chamber and re-contaminate it.

If this happens, you may need to undergo the root canal procedure again. Sometimes a small surgery called a root-end resection might be necessary. This involves opening up the gum, removing the infected tissue, and taking out the tip of the affected root. A small filling is placed at the end of the root to seal it. However, root canal procedures have a very high success rate (over 90%), and complications are not common.

If you suspect that your tooth may require a root canal treatment, call us at (213) 314-0636 and schedule an appointment with us so that we can prepare an effective treatment plan for you.

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