The role of an endodontist during a root canal is to remove any diseased or damaged pulp tissue that has taken up residence inside the tooth. After cleaning and disinfecting the area, that tooth is then filled and sealed. A crown may be placed on the tooth for further stability and protection.

The dental procedure performed for a root canal is complex, but it can be broken down into three primary steps. The steps are as follows: 
 
• Stage 1 – Extirpation
A rubber dam and clamp are placed inside the mouth. Initial cleaning of a root canal is performed to medicate the tooth, control any infection, and remove the nerve. This can take anywhere from 20-45 minutes depending on how complex the condition of the tooth is.
 
• Stage 2 – Instrumentation
A more detailed and thorough cleaning of a root canal is performed to make sure any bacteria has been contained and that the tooth is free from pain. This portion of the procedure generally takes between 30-60 minutes.
 
• Stage 3 – Obturation
Once the tooth is completely pain-free, the root canals are filled and sealed using a special tooth agent. Obturation typically lasts between 30-60 minutes and, once successfully completed, signals the end of the root canal process.

While a crown isn’t always necessary, it is usually recommended.

A crown adds an extra layer of protection to the affected tooth that keeps it from crumbling, chipping, or cracking. This is especially important for the back teeth, which are subjected to additional pressure from chewing and grinding. Due to this, crowns are often necessary for the restoration of back teeth.

However, if the root canal is successful and the tooth is in good overall condition, the endodontist may choose not to crown it. This is more likely to happen if the root canal took place in one of the front teeth, as they’re generally not put under as much pressure as the back teeth. This makes them less likely to require a crown.

While a root canal is often the most direct way of treating an infected or injured tooth, there are several alternatives that may also be available to you. It’s important to talk to your endodontist about whether these options would be possible or effective in treating your case. 
 
• Direct pulp capping
This procedure involves placing a mineral-rich material over the exposed pulp of the tooth, which helps protect the pulp while also promoting tissue repair. After the capping material is inserted, the tooth is then filled. This procedure is generally only recommended when the amount of exposed pulp is minimal and the tissue appears healthy.
 
• Pulpotomy
This procedure requires that the inflamed pulp of the tooth be removed, but the root canals and tooth nerve remain untouched. Once the pulp has been eliminated, a mineral-rich material is then placed inside the tooth. This is inserted to prevent bacterial growth and promote healing. Once complete, the tooth is then filled, and a crown is placed over it for additional protection.
 
• Tooth extraction
In some cases where the decay or damage to a tooth is too great, it may be recommended that the tooth be removed completely. Depending on the complexity of the tooth, surgery may be required. After a tooth is extracted, it may be replaced with a dental implant, a dental bridge, or a partial denture.
 
Root canals and dental alternatives are performed with the intention of helping you maintain your natural teeth and providing pain relief. At Ideal Endodontics, our specialized team will get you the treatment you need to get back to living a pain-free life. Contact us today to discuss your options or book an appointment. We are located at 3102 Golansky Blvd, Suite 101, Woodbridge, VA 22192. We serve patients from Woodbridge VA, Manassas VA, Dumfries VA, Lorton VA, Springfield VA, and Stafford VA.