Endodontic therapy

Endodontic therapy or root canal therapy is a sequence of treatment for the infected pulp of a tooth which results in the elimination of infection and the protection of the decontaminated tooth from future microbial invasion.Root canals, and their associated pulp chamber, are the physical hollows within a tooth that are naturally inhabited by nerve tissue, blood vessels and other cellular entities. Together, these items constitute the dental pulp. Endodontic therapy involves the removal of these structures, the subsequent shaping, cleaning, and decontamination of the hollows with small files and irrigating solutions, and the obturation (filling) of the decontaminated canals. Filling of the cleaned and decontaminated canals is done with an inert filling such as gutta-percha and typically a eugenol-based cement.Epoxy resin is employed to bind gutta-percha in some root canal procedures. Endodontics includes both primary and secondary endodontic treatments as well as periradicular surgery which is generally used for teeth that still have potential for salvage.

Nunn et al. trace the history back to 1756, at which date Philip Pfaff published his work on gold as a filler material.

The procedure is often complicated, depending on circumstances, and may involve multiple visits over a period of weeks.

In the situation that a tooth is considered so threatened (because of decay, cracking, etc.) that future infection is considered likely or inevitable, a pulpectomy (removal of the pulp tissue) is advisable to prevent such infection. Usually, some inflammation and/or infection is already present within or below the tooth. To cure the infection and save the tooth, the dentist drills into the pulp chamber and removes the infected pulp and then drills the nerve out of the root canal(s) with long needle-shaped hand instruments known as files (H files and K files).

The endodontist makes an opening through the enamel and dentin tissues of the tooth, usually using a dental drill fitted with a dental burr.

...
Wikipedia