Infected Pulp in Canary Wharf

A bacteria infects the tooth pulp which is the soft centre of the tooth that contains the blood vessels, nerves and connective tissue. This soft tissue is normally protected by three harder outer tissue layers – enamel, cementum and dentin. The soft dental pulp is securely encased within the dentin layer.

If you are experiencing any symptoms that could indicate an infected pulp your dentist or endodontist will do a pulp vitality test to determine if the pulp is still alive. This is done through thermal tests or electric pulp tests. X-rays are used to determine the extent of the tooth decay and the effect on the surrounding bone.

There are a few key symptoms to look out for such as a severe or constant throbbing toothache. The pain can spread to the neck and hot and cold temperatures cause discomfort or pain. Chewing or biting also becomes painful. In severe cases there maybe swelling near the cheek and neck areas and fever.

If left untreated the infection can continue to spread leading to an abscess which can then spread to your jawbone and the soft tissues of your face and neck. In rare cases the infection can even travel to your heart and brain. You can save the tooth with a root canal in the early stages but if it reaches the irreversible stage then the tooth will have to be extracted.

To treat root canal infections the root canal dental procedure helps remove the pulp inflammation or infection and then thoroughly clean and disinfect the area. After that the space is filled and sealed with a temporary filling to keep the tooth root safe, in severe cases. Once the area is healed a material called gutta percha is often used as a permanent filling.

A hole is drilled into the tooth to access the soft centre and to remove the infected pulp. The space thereafter is cleaned, disinfected and filled, after which it is sealed. Patients are given an anaesthesia so that the procedure is not painful and is similar to having a wisdom tooth removed. However, the area may feel a little numb or sore for a few days after the procedure.

Root canal therapy is normally carried out by endodontists who are also called root canal dentists because they have specialised in root canal treatment. Less severe cases can sometimes be treated by your normal dentist. Treatment is essential for the tooth to function and prevent adjacent teeth from being infected.

If there is deep decay you may require repeated dental procedures. Other than that there is no complicated preparation needed other than avoid eating just before the appointment. Also for about 24 hours before avoid alcohol and tobacco. It would be advisable to have someone to drive you home after the treatment as you may still feel the effects of the anaesthetic.

It always best to ask any questions or raise any concerns you may have, before starting the treatment. Let the dentist know all the medications you are taking, if any, prior to undergoing the procedure. Simple cases can take about 30 minutes to an hour with more severe cases lasting for 90 minutes or more and even a second appointment if needed.

Good oral hygiene habits are a must after your root canal treatment to keep all your remaining teeth strong and healthy. Directly after the treatment you may be asked to avoid brushing the area and instead cleanse with an antibacterial mouthwash or saltwater. Long term, eating a diet that promotes strong teeth and drinking plenty of water will also maintain your dental health.

Depending on the clinic you choose in the UK the cost can average from about £250 to £500 per tooth. Remember good oral hygiene habits and regular dental checkups will help reduce the risk of infected pulp affecting your tooth root and the need for treatment.