Nerve traction: causes, procedures and risks

Nerve traction: causes, procedures and risks

May 25, 2024
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Root canal extraction is a common dental procedure that aims to save severely damaged teeth and maintain their function, as doctors resort to this treatment when the tooth pulp, which contains blood vessels and nerves, is exposed to inflammation or infection as a result of deep decay or direct trauma and the aim of nerve extraction is to remove damaged tissue and clean the root canal thoroughly to prevent the problem from getting worse and to preserve the natural tooth instead of resorting to extracting it and in this article, we will review in detail the reasons for the need for nerve extraction, treatment steps, in addition to alternative procedures and potential risks to ensure a long-lasting, healthy smile.

سحب العصب
سحب العصب

What is the nerve pull procedure?

A root canal procedure, also known as root canal treatment, is a medical procedure aimed at treating damaged or infected tissue inside the tooth, which includes the dental pulp, which contains blood vessels and nerves. This procedure is used when these tissues become inflamed or infected as a result of deep decay, broken teeth, or other injuries. Steps to pull the nerve include the following:

Local anesthesia: The procedure begins by applying a local anesthetic to the area surrounding the affected tooth, to ensure patient comfort during the procedure.

Dental pulp removal: After anesthesia, the doctor drills the tooth to access the pulp cavity and the affected pulp, including the affected tissue and nerves, is removed.

Canal cleaning and disinfection: The root canals are carefully cleaned and disinfected using special tools to ensure that bacteria and any tissue residue are removed. An antiseptic solution may be used to ensure complete disinfection of the canals.

Canal expansion: Root canals are expanded using precise instruments, to prepare them for the filling process and ensure that any infected material is completely removed.

Canal filling: After the canals are cleaned and disinfected, they are filled with a special rubber-like filling material that seals the canals and prevents any future infection.

Tooth closure: A temporary or permanent filling is placed over the hole in the tooth to close and protect it. In some cases, the tooth may need a crown to provide additional protection and strengthen the tooth.

Follow-up and care: After the procedure, the patient is given instructions about caring for the tooth and signs to watch for. Follow-up sessions may be required to ensure the success of the treatment and the stability of the condition.

The root canal procedure aims to save the damaged tooth and prevent the need for extraction, which helps maintain the normal function of the teeth and overall oral health.

Cases that require pulling the tooth’s nerve 

Some cases require a root canal or root canal procedure when the tooth pulp is damaged due to bacterial penetration or inflammation. Among these cases:

  1. Deep tooth decay: When decay reaches the pulp of the tooth, it causes inflammation or infection that requires removal of the affected pulp.
  2. Exposure to dental trauma: Injuries or shocks that cause severe damage to the teeth can lead to damage to the pulp, which requires treatment by pulling the nerve.
  3. Tooth fractures: Teeth fractures expose the tooth pulp, exposing it to infection and inflammation.
  4. Erosion of dental fillings: When the fillings in the teeth are eroded and holes form, bacteria can penetrate through them and reach the tooth pulp.

In addition to these cases, there may be signs that indicate the need to pull the nerve, including:

Severe tooth pain: Severe and persistent tooth pain can indicate inflammation or infection of the dental pulp.

Pain when chewing or biting: Feeling sharp pain when pressing on the tooth can be a sign of pulp damage.

Tooth sensitivity: extreme sensitivity to cold, hot, or sweets, which continues even after the trigger has disappeared.

Tooth discoloration: Changing the color of the tooth to black may indicate the death of the nerve inside the tooth.

Swollen gums: Swollen gums near the affected tooth indicate an infection.

Gum abscess: An abscess or swelling in the gum may indicate an infection in the tooth pulp that needs immediate treatment.

Risks of pulling a tooth’s nerve 

Although root canal is a common and effective procedure for treating damaged teeth, it can come with some risks and complications and among these risks:

  1. Recurrence of infection: Infection may recur if all root canals are not completely cleaned and sealed or if they are not closed completely, leaving room for bacteria to grow again and the filling can also wear down over time, allowing bacteria to enter.
  2. Broken instruments: Instruments used to clean root canals may break inside the canal, making it difficult to complete treatment.
  3. Tooth discoloration: Over time, a tooth treated with root canal can become dark in color, which may require cosmetic procedures to improve its appearance.
  4. Broken tooth: After removing the nerve and blood vessels from inside the tooth, the tooth can become weak and brittle, which increases the risk of it breaking or cracking, especially if a crown or crown is not placed to protect it.
  5. Sensitivity and pain: Some people may feel sensitivity or pain in the treated tooth, especially during the few days following the procedure and in some cases, the pain may be persistent and require seeing a doctor.
  6. Endodontic surgery: Some cases may require endodontic surgery to remove the end of the root and get rid of the infection in the event of recurrence.
  1. Need for retreatment: In some cases, it may be necessary to re-treat the root canal if the initial treatment is not successful in removing all the bacteria or if new complications occur.

It is important to discuss these risks with your dentist before undergoing the procedure to understand all possible aspects and get appropriate guidance to ensure a successful treatment.

In conclusion, root canal extraction is a necessary procedure to treat damaged teeth and maintain their health, although there are some potential risks, however, following the dentist’s instructions carefully and paying good attention to oral hygiene can reduce these risks and ensure the success of the treatment and therefore, patients should not hesitate to undergo this procedure when needed, to ensure that they maintain healthy and pain-free teeth.

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