Information to patients regarding root canal treatment.


1. Too much decay of the tooth that resulted in total or partial necrosis [death] of the pulp [nerve and blood vessels of the tooth].

2. Traumatic incident that resulted in a fractured tooth with pulp exposure.


The only alternative to root canal treatment is the extraction of the tooth. No compromise treatment is advised.


All pulpal tissues must be removed from the root canals.This is achieved with very small files which is specially designed to clean and enlarge these root canals.

Due to some canals being extremely narrow and curved, as is the case with come molars and premolars, the treatment might take longer to perform. Although great care is taken with the cleaning of these root canals, fracture of these fine instruments can occur and, if not possible to retrieve, might result in endodontic surgery.

After the canals have been filed and sterilized, a special root canal sealant is used to seal the canal to prevent future bacterial contamination and abscess formation.


The treatment is performed under local anesthetic and usually little or no discomfort is experienced.

After treatment the symptoms may vary from slight bite sensitivity to more severe symptoms that is usually controlled with antibiotics and ant-inflammatory pain medication and should usually subside within 3 days.


During and after root canal treatment the remainder of the tooth is very weak and can easily fracture. Great care should be taken not to use this tooth for biting or chewing as a fracture might result in the extraction of this tooth. To strengthen the remaining tooth as well as to provide a core for a future crown a post or posts are fitted and cemented in the root canals and a special filling material is used to build up the core of the tooth around the post.

Once the tooth has been properly restored you will be able to use it for normal function again.

When a tooth was damaged to such an extent due to decay or an accident that the nerve and bloodvessel (Pulp)supply to the tooth is compromised it would often be neccesary to remove the pulp tissues from the root canals of the tooth and then fill the root canal with a material(obturate)in order to prevent bacteria to cause infection to the tooth.An abscess is usually as a result of a nerve that has died,bacterial contamination and puss collecting in the bone adjacent to the tip(apex)of the root.
Root canal treatment is performed with special files that is specially designed for this purpose.Often the canals can be very small and that can make this procedure very difficult and time consuming.Although great care is taken with these instruments,sometimes an instrument can fracture and then specialist attention to this would be necessary.
After endodontics of a tooth,the tooth becomes very brittle and can fracture easily.
This is why all teeth that had their nerves removed should be rebuilt and strengthened by means of a full crown.
Endodontics is often portrayed by the media as the most painful procedure in the world.This is untrue and with modern anaesthesia and methods this process should not be painful at all.

Root Canal Treatment before and after
Please note area of bone loss around roots due to a necrotic pulp,

Root Canal Dentist in Cape Town

Phone: +27 0217153921
Cell: +27 0761590541
Fax: +27 0217154452
Address: Office no 1,Caversham Centre,27 Main Road,Bergvliet,Cape Town,Western Cape,South Africa 7945