Dr. Roy Oyangen may recommend a root canal when a tooth’s dental pulp becomes infected.  Dental pulp is the area in the center of a tooth where the veins, nerves, and connective tissues are located.  To prepare for root canal therapy, our dentist will take an X-ray, most likely a C.B.C.T. scan,  to examine the shape of your root canals.  He will check for signs of infection in the nearby teeth as well. An access hole is made in the tooth, through which he removes the decayed dental pulp using files. After the tooth is thoroughly cleaned, he will seal the canal using a sealing paste and a rubber compound. At the end, the access hole is closed with a dental filling or Crown.

Root Canal Symptomsinfected-tooth

  • Severe Toothache
  • Tooth sensitivity to hot and cold temperatures
  • Darkening of a tooth
  • Swelling and pain in the gums
  • A recurring pimple on the gums




Root Canal Misconceptions

There is usually a misconception about the pain from a root canal.  They should be as painless as filling a cavity in a tooth.  The only thing you should feel is a little pinch from the shot used to numb the area.  Root canals are usually performed because the tooth is dying or infected.  Most patients are more comfortable after the root canal is done then the pain they were experiencing before the procedure.  Root Canals are commonly performed by a General Dentist or an Endodontist.  Dr. Oyangen is qualified as both. 

These are the common steps to performed during a Root Canal.

  • First, Dr. Oyangen will take an image of the infected or dead tooth.  They may take an x-ray or capture a 3-D picture using Cone Beam Computed Tomography, or C.B.C.T.  These images will inform the doctor about the shape, size, depth, and orientation of the root’s canal or canals.  It also will show the extent of any decay.
  • After the doctor studies the image, they will numb the area and/or administer a sedation technique.  Novocain is commonly used to numb the area.  If you are experiencing some anxiety, a sedation technique can be used.  The doctor may use Nitrous Oxide (Laughing Gas), Oral Conscious Sedation, which entails taking medication the night before and then administering laughing during the procedure.  For treating extremely high anxiety, they may use I.V. sedation to put you to sleep.
  • Once they have completed steps 1 & 2; our dentist will create an opening in the top of the tooth.  Through this opening, they will use files of graduating size to remove the dead or infected tissue.  These files also shape the canal.
  • After the decay is removed; the canal has been cleaned and shaped; the doctor will sterilize it to stop re-infection.  
  • Dr. Oyangen will then fill the cleaned canal.  It is routinely filled with a rubbery material, Gutta Percha.  This step is intended to fill the canal to give it support to prevent collapse and reinfection.  Occasionally, they may add extra support if the wall of the canal is thin.  
  • At this point, Doctor Oyangen may either place a permanent filling on the tooth or prepare the tooth to be crowned or capped in the future.  

Post Care After A Root Canal

Once this procedure is complete, it is your responsibility to continue good oral health practices.  That includes brushing the teeth you want to keep with toothpaste at least two times each day and flossing them at least once every day.  I recommend brushing your teeth and tongue after breakfast to remove loose particles and bacteria.  Then floss your teeth before you head to sleep and brush your teeth one more time, possibly using a fluoride concentrated toothpaste.  These habits will help keep your teeth strong, so they last your lifetime!  Keep Smiling!