Dr M

Verified Dentist
May 31, 2019
The procedure is usually done in either 2 or 3 steps.
The first step entails removing all decay on the teeth, and then opening up the pulpal chamber. All the pulpal tissue is then removed, with specific instruments. This includes the pulpal tissue in the roots as well. The tooth is rinsed clean with a chemical rinse. Medication is placed on the inside of the tooth, and then it is closed temporarily with a temp filling.
Step 2 usually happens after about 1-2 weeks.
The tooth is opened up again, cleaned and rinsed some more, and then the roots are shaped to facilitate the placement of a permanent filling material in the roots, as well as on top of the tooth.
The permanent filling is placed.
The tooth then usually requires a crown, if the root canal has been deemed a success, in order to minimize fracture risk, although this is dependent on the amount of sound tooth structure left.
The procedure can be completed in more steps, if the tooth remains symptomatic after the first step.
Please note : I tried to simplify the process as much as possible.